Pharmacology ATI Final Review (Part 2)
What routes of medication go through the first pass effect? What routes do not?
- FIRST PASS: Oral, enteral
NON-FIRST PASS: Sublingual, buccal, IV, SC, IM, ID, Inhalation
MIXED:
...
Pharmacology ATI Final Review (Part 2)
What routes of medication go through the first pass effect? What routes do not?
- FIRST PASS: Oral, enteral
NON-FIRST PASS: Sublingual, buccal, IV, SC, IM, ID, Inhalation
MIXED: Rectal
When should medication reconciliation happen? - On admission, transferring and at discharge.
What are the six rights of medication administration?
- -Right patient
-Right Medication
-Right dose
-Right time
-Right route
-Right documentation
What are the PINCH medications?
- Potassium/PCA
Insulin
Narcotics
Chemo
Heparin
What should you do in the event of a medicinal error?
- -Complete an occurrence report
-Document in the EMR what happened. DO NOT state that there was a med error.
-Always assess your patientWhat class of medication is Albuterol? What does it do? What side effects are common? Who should
you not give them to? What do they interact with? –
-Short Acting Beta 2 Adrenergic
-Relieves bronchospasms by bronchodilating. (Acute asthma attack)
-Tachycardia, anxiety, tremors
-Tachydysrhythmias, diabetes, HTN, angina, CVD pts
-Beta blockers
What are long acting drugs for asthma? - Formoterol, salmeterol
How would you teach a patient to use a metered dose inhaler? –
-Hold 1-2 inches away.
-Exhale.
-Press trigger (prime before if new one)
-Inhale slowly (3-5 seconds).
-Hold breath for 10 seconds.
-Rinse your mouth if it's a glucocorticoid- to prevent thrush.
-Clean products with water and let dry
What are some frequently used glucocorticoids? Adverse effects? Contraindications? Interactions –
-Beclomethasone (QVAR) (Inhaled)
-Prednisone (Oral); prevent inflammation and suppress mucus.
-ADVERSE EFFECTS: Candidiasis, Cushing's, Bone loss, HYPERglycemia, Peptic Ulcer Disease, Infection,
fluid and electrolyte disturbances
-Live vaccines, systemic fungal infections, diabetes, HTN, PUD, kidney issues
-Loop diuretics (K+ wasting), NSAIDs, PO hypoglycemics (counteracts)
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