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Untitled Flashcards
LVN Wk 1
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1
Question
Nursing Ethical principles: Autonomy
Answer
Pt makes own healthcare decisions (refusing medication, procedures). Exception is suicide watch and safety risk to themselves or others.
2
Question
Nursing Ethical principles: Beneficence
Answer
To promote good
3
Question
Nursing Ethical principles: Nonmaleficence
Answer
Avoid causing harm (check medications)Nonmaleficence: The ethical duty to do no harm and prevent unnecessary harm to patients.
4
Question
Nursing Ethical principles: Justice
Answer
Treat fairly and equitably
5
Question
Nursing Ethical principles: Fidelity
Answer
Being gaithfull or loyal, seeing task to an end
6
Question
Nursing Ethical principles: Advocacy
Answer
Promoting to protect pts rights
7
Question
Nursing Ethical principles: Veracity
Answer
Don't lie to pts, at times best to avoid directly answering question: "The physician will go over that with you".
8
Question
Negligence Vs. Malpractice
Answer
Neg: Everyone knows not to do that. Mal: Specific people know not to do that ex-- Nurse is req to perform skill that they have.
9
Question
LADME
Answer
Liberation Absorption Distribution Metabolism Excretion
10
Question
L in LADME
Answer
Liberation: Drug releasing from dosage (think difference between an IV medication and a PO medication)
11
Question
A in LADME
Answer
Administration: Movement from site of administration to blood stream.
12
Question
D in LADME
Answer
Distribution: Movement of drug from blood stream to site of action
13
Question
M in LADME
Answer
Metabolism: Body chemically changes drugs to use them (Generally it is the liver that does this)
14
Question
E in LADME
Answer
Excretion: Removal of drugs + metabolites from body (Typically Kidney)
15
Question
First Pass Effect
Answer
Medication is abosrbed and broken down by the GI tract before reaching target site
16
Question
Factors that influence drug metabolism
Answer
Liver, Infants, Older Adults
17
Question
Factors that influence excretion
Answer
Infants, Geriatric, kidney disease
18
Question
Penicilins Common examples
Answer
Penicillin, amoxicillin, ampicillin, piperacillin/tazobactam
19
Question
Pencillins: Major concerns:
Answer
History of allergy (anaphylactic shock)
20
Question
Cephalosporins: Examples
Answer
Cephalexin (keflex) ceftriaxone (Rocephin), cefazolin (Ancef), cephalexin (Keflex),
21
Question
cephalosporins: Major Concerns
Answer
Allergic reaction, this is a major cause of C. Diff
22
Question
Glycopeptide: Example
Answer
Vancomycin
23
Question
Glycopeptide: Vancomycin: Major Concerns
Answer
Major nephrotoxicity risk, monitor renal function. Can cause Redman syndrome in IV solutions.
24
Question
Redman syndrome
Answer
Too fast or strong of a solution in IV application of Vancomycin. Hand at injection site will be red, itchy, and hurt.
25
Question
Aminoglycosides: Example:
Answer
Gentamicin, Tobramycin, Neomycin
26
Question
Aminoglycosides: Major concerns:
Answer
Nephrotoxicity, audio toxicity, monitor urine output. Ringing in ears can be permenant.
27
Question
Macrolides: Examples:
Answer
Azithromycin, Z-Pak (Zithromax), erthromycin, clarithromycin
28
Question
Macrolides: Major concerns:
Answer
Thromycin = think heart. Can affect cardiac rhythm/QT interval. Monitor liver function, cardiac rhythm, and for jaundice, heart palpitations
29
Question
Fluoroquinolones: Examples:
Answer
ciprofloxacin (Cipro), levofloxacin (Levaquin)
30
Question
Fluoroquinolones: Major concerns:
Answer
Reported tendon swelling/pain/rupture. Pt more sensitive to sun (sunburn). Binds with antiacids (Tums, calc, mag) nullifying medication.