Q No. 1: What are the legal requirements for PRACTICE PARAMETERS of an enrolled nurse in relation to administration and documentation of medications?Q No. 2: Explain briefly the importance of a legal and regulatory framework for health (drug and poisons) regulations?Q No. 3: What is meant by scheduling of drugs and poison medications? Mention at least one example of a drug for each of the following schedules as determined by law.a) Schedule 2 b) Schedule 3 c) Schedule 4 d) Schedule 84. Explain how each of the following medication is meant to be handled, administered and stored:a) Capsulesb) Dropsc) Inhalantsd) Liquid medicatione) Lotions and creamsf) Ointmentsg) Patchesh) Powdersi) Tabletsj) Wafersk) SuppositoriesQ No.5: Explain briefly following terms in relation to drugs: pharmacodynamics, pharmacokinetics, and pharmacy-therapeutics?Q No. 6: What is Polypharmacy and how it affects people especially elderly?Q No. 7: Explain drug metabolism and excretion including First Pass Effect.Q No. 8: What is half-life of a drug and how does it relate to medication dosage calculation and administration?Q No. 9: How do drugs get transported?Q No 10: What Bioavailability of drug means. Explain, how it relates to route of administration.Q No. 11: What are the central role receptors in drug action and the meaning of AGONIST and ANTAGONIST?Q No 12: Define following terms in one or two sentences:Drug toxicology:Anaphylactic reaction:Adverse reaction: Contraindications:Precautions:Side effects:Q No 13: Explain following 8 rights of medication administration.Right medication (drug, medication, medicines)Right doseRight routeRight timeRight personRight expiration dateRight to refuseRight prescription (documentation)Q No 14: Explain each route for medication administration. Give one example for each.Oral:Sublingual, Bucccal:Dry Powder inhalers:Metered dose inhalers:Nebulisers:Oxygen therapy:Subcutaneous injections:Intramuscular injections:Z – track injectionsEnternal administration – percutaneous gastrostomy (peg) as well as nasogastric tubes:Intranasal, including nebulized medications:Ocular:Rectal:Sub-cutaneous injection using pre-loaded syringes or pens:Topical, including transdermal:Vaginal:Ventrolateral injection technique:Q No. 15: There are three way medications are named:Chemical nameTrade nameGeneric nameExplain the difference and give an example of paracetamol.Q No. 16: In a few sentences, explain the rationale for administering a medication from each of the following classifications, giving and example of a drug for each, why and how you would administer the drug, any major side effects, the routes of administration and nursing interventions.One example has been provided.ANTI-ANGINAL: Anginine (trade name)/ GTN spray (generic name): This medication is given sublingually to relieve Angina chest pain due to constriction or narrowing of coronary arteries. It is fast acting vasodilator, which allows for increase of blood supply to the Myocardium. Major side effects: Due to fast vasodilation BP can drop suddenly, dizziness and headache.Nursing Implication: Instruct the patient to rest in bed to prevent fainting andexertion to preserve oxygen, O2 administration at 2L via nasal specks, monitor BPhalf hourly, make sure that patient have call bell within reach to call for assistance togo to the toilet, report to a RN and notify MO, complete documentation in timelymanner.BETA- BLOCKERSCALCIUM CHANNEL BLOCKERSANTI-HYPERTENSIVEDIURETICSANTI-CHOLESTORANTI-CLOTHINGSEDATIVESANTIDEPRESSANTSANTIPSYCHOTICSANTIBIOTICSVITAMINS/MINERALSANTI-REFLUXANTI-EMETICSORAL HYPOGLACEMICSAPERIENCESINHALED MEDICATIONSANALGESICSRESPIRATORY MEDICATIONSANTI-INFLAMATORYANESTETICS ANTI-VIRALOPHTALMICANTI- PARKINSONSANTI-EPILEPTICCONTRACEPTIVE MEDICATIONS
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