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DDS MEDICATION CERTIFICATION.
re-certification - Answeris done every two years with a exam and a pass and pour medication therapy - Answerthe use of substance to cure like antibiotics for infection analgesics. for pain prevent disease are vaccines or diagnosis a disease medication comes from 4 source - Answerplants - made from flowers leaves Barks animals - made from secretions of animals minerals- mined out of the ground and ocean synthetics- made in laboratory name of medications - Answerchemical ,generic and brand Chemical name - Answerthe actual chemical composition of the medication Generic names - Answera shortened more simple name of the chemical name Trade name - Answerknown as the brand name
Control drug - Answerthey must be kept in a locked cabinet separate from non control medications and a non-removable lockbox (should have 2 locks with different keys) Receipt disposition sheet - Answerrecord for controlled drugs give by pharmacy Documentation of controlled drug count - Answershift to shift Med count sheet Factors medication effects - Answerage ,weight ,gender , diseases nutrition, routes (RAW GUN) Effect of medication - AnswerTHERAPEUTICS EFFECT - the desired effect. NO APPARENT EFFECT - the drug doses not treat the health problem. SIDE EFFECTS- any effects of a drug other than the one for which it is administered ( mild but predictable) ADVERSE EFFECT- severe ,side effects or toxicity caused by the administration of medication. ALLERGIC REACTION- hypersensitivity to particular allergens that usually involve skin mucous membranes and bronchial tube. ANAPHYLAXIS (anaphylactic)- acute systemic allergic reaction (life threatening). Antagonistic Reaction - Answerdecrease the action of another medication. Synergistic Reaction - Answerincrease the action of another medication.
qh - Answerevery hour qod - Answerevery other day hs - Answerhour of sleep ad - Answerright ear od - Answerright eye po - Answerby mouth sl - Answersublingual as - Answerleft ear os - Answerleft eye NPO - Answernothing by mouth optic - Answereye au - Answerboth ears
ou - Answerboth eyes pr - Answerper rectum otic - AnswerEar NKA - AnswerNo known allergies NKDA - Answerno known drug allergies cc - AnswerCubic centimeter, ml mcg - Answermicrograms oz - Answerounce i - Answer1 one gm - Answergram mg - Answermilligram tsp - Answerteaspoon
PRC - AnswerProgram Review Committee D/C - Answerdiscontinue supp - Answersuppository medication measurements - Answer1 tsp= 5cc or 5 ml 1 TBSP= 3 teaspoon = 15cc or 15ml 2 TBSP= 1oz = 30cc or 30ml 1 cup = 8 oz or 240ml 5 Rights - Answerconsumer,time,drug,dosage,site CTDDS OR CTDMR Rule of 3 - AnswerONCE take medication out closet. SECOND preparing the medication. THIRD before administer the medication. Authorized Prescriber Order - AnswerPhysician, APRN,Dentist,PA What is an complete Order - Answer5 rights,authorized prescrider signature & expiration date.
Expiration date - Answerwhen the order is not valid. most order are for 180 days 90 days antibiotics may be written for 10 to 14 days eye for 3 days. PRN orders - Answerif the order is a PRN it must contain the reason for the medication to be administered Who can accept a telephone order. - AnswerNurse or Pharmacist Unlabled use - Answerwhich is classified use in treatment a certain problem , has been found useful in other disorder Med administration responsibility - AnswerAllow no distractions when preparing meds. Do not give meds if label cannot be read. Each person has his/her own supply of prescription meds. Identify the correct person to the end point. Meds that needs refrigeration keep temperature between 36-46 degrees Local Effect - Answerconfined to the site of application Systemic Effect - Answerinvolves the body as a whole Absorbtion of Medication - Answerdissolves in GI ABSORPTION METABOLIZED by the LIVER DRUG in CIRCULATION
Sprinkles - Answerbeads inside a capsule capsule may be opened and placed on food Do Not Crush DO NOT chew G-Tube and J-Tube - Answertubes are placed into the stomach this is how the person receive medications and food Liquid - Suspension - Answera liquid which has particles in it. shake the container will so the particles will separate. Syrup - Answerprepared with sugar diabetics need no added sugar syrup Elixir - Answermade with sugar and alcohol should not be given to people with alcohol addiction alcohol may interact with other medication Pouring a Liquid - Answercup should be on a flat surface at eye level label towards your palm Sublingual - AnswerUnder the tongue ( absorb directly into the bloodstream good in emergencies) NPO should not eat drink or rinse mouth out for several minutes
Buccal - Answerbetween the cheek and gum ( absorbed directly into the bloodstream good for emergencies unpleasant taste) NPO for several minutes should not eat drink or rinse mouth out Crushing Medications - Answerneed an authorized prescribers order Dysphasia - AnswerDifficulty inability to swallowing Neuromoto problems incidental aspiration problems with the jaw tongue and facial muscles Metered dose inhalers - Answerdeliver medication through hand held aerosol absorbed into lungs. increase heart rate. Spacer - Answercylinder it gots pnto the mouth peice of the inhaler. allow medication to be breathed in slower. Dry Powder Inhaler - Answerbreathe medication deeply into lungs Nebulizer - Answeruse if inhaler not effective. large device with medicine cup. use mouth piece or mask to breathe mist. take about 10 minutes
Powders - Answerapply on clean dry skin do not Shake over area unless specifically Aerosoles - Answerspray from a distance of 6 - 10 inches Shake well before using do not use near Heat are open Flame or while smoking transdermal patches - Answerunit dose is medication that is delivered through the skin via an adhesive patch systemic or local effect mist and sprays - Answerprolonged use cause rebound congestion & chronic swelling of the mucous membrane offer quick relief clean tip to the spray pump or inhaler with hot water after use Nasal drops - Answernever insert the dropper more than 3/8 until nostril keep head tilt for 3 to 5 minutes to prevent loss of medication Enemas and Suppository Medication - Answermedication are made of cocoa butter and medication melt at a body temperature 98.6 (degrees F) acts in 15 to 30 minutes can be given to someone who is unconscious or vomiting systemic effect cannot be used if person has lower bowel disease or diarrhea
Sims position - Answerinserted while the person is lying on the LEFT SIDE with the right leg bent up and over the left leg insert in the anus approximately 3 - 4 inch ask person to lie in bed for 10 to 15 minutes before getting up vaginal medications Administration - AnswerDROSAL RECUMBENT POSITION ask the person to Auntie her bladder before starting the procedure ask the person to lie on her back with knees bent and feet flat on bed keep her covered well expose only the perineum exposed vaginal opening with thumb and index finger of one hand ask the person to remain lying down for at least 30 minutes after insertion. a Central nervous system - Answerstimulant depressants= analgesias hypnotics sedadive stimulants - Answerthat increase the brain activity and spinal cord depressant - Answermeds used to SLOW DOWN brain activity analgesics - Answerpain relieve for moderate and severe Analgesics 3 categories - Answernarcotics
treats- tension anxiety nerousness Antipsychotics - AnswerNeurologic or major tranquilizer treats-psychosis ...must use sunscreen antipsychotic/ neuroleptics side effects - AnswerEARLY ONSET 5-60 days akathisia Parkinsonism acute dystonia LATE ONSET occur 3-6 mth tardive dyskinesia neuroleptic malignant syndrome (fever) require emergency care!! psychotic medications - Answermood stabilizer antidepressant antipsychotic anxiolyics Anti-convulsants/ Anti-epileptic - Answertreats seizure disorder Antibiotics - Answeracts by killing bactericidal must be taken until prescription is finished must be taken at exactly as prescribed
antihistamines - Answerused to reduce the symptoms of allergic reaction Antitussives - Answersuppress cough reflex expectorants - Answeraids in removal of secretions of the throat and lungs bronchodilator - Answerused to open the Bronchiah tubes which opens air passage to the lungs to increase the flow of air histamine blocker - Answermedication that helps prevent the production of stomach acid GERD- contents of the stomach backflow up into the esophagus Antacids - Answermedication that counteracts the acid in the stomach medication don't block the stomach from making acid but makes the stomach acid less acidic cardiovascular disease - Answerconditions or diseases of the heart and blood vessels in general stroke congestive heart failure coronary artery disease angina(chest pain) hypertension (high blood pressure) diuretic - Answerhow to remove excess fluids from tissue
cardiovascular disease risk factor - Answergender, smoking, diabetes, stress obesity, race,age , lack of exercise ,high cholesterol genetics ,high blood pressure family hex ofheart disease constipation - Answerdecrease in the frequency of stool or difficulty in the formation or passage of stool cathartic/laxative - Answermedication that induce defecation or bowel movements hormonal medication - Answermedications used to replace hormones that the body does not produce diabetics - Answera chronic life-long disease makes by high levels of sugar in the blood insulin is a hormone produced by the pancreas to control blood sugar type 1 type 2 diabetes - Answertype 1 known as - juvenile diabetics( born with) type 2 known as - adult onset genetic ,lifestyle &poor sleep hypothyroidism - Answera condition where the body lacks sufficient thyroid hormone sex hormone - Answerfemales- estrogen & Progesterone males testosterone
hormonal medications - Answersteroids that control sexual maturity and reproduction parasites 4 (types) - Answerscabies bed bugs pinworms lice osteoporosis - Answercondition characterized by weak and brittle bones which can break easily prader Willi syndrome - Answeralways hungry PKU disorder - Answerno animal food products objective - Answerable to be seen heard or touch smell taste factual subjective - Answersomething that only the person experience it can truly know (opinion, interpretation) 255 m - Answermedication incident report must be done within 24 hours Class A documentation error - Answerfailed to document according to procedure. failed to submit required documentation related to medication error.
