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65 Cards in this Set
- Front
- Back
Capsule
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Powder or gel form of an active drug enclosed in a gelatinous container, may also be called liquigel.
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Elixer
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Medication in a clear liquid containing water, alcohol, sweeteners, and flavor.
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Enteric coated
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A tablet or pill coated to prevent stomach irritation
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Extended Release
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Preparation of a medication that allows for slow and continuous release over a predetermined period also called CR, CRT, SR, SA, LA, TR
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Liniment
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Medication mixed with alcohol, oil, or soap which is rubbed on the skin
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Lotion
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drug particles in a solution for topical use
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Ointment
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Semisolid preparation containing a drug to be applied externally; also called an unction
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pill
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Mixture of a powdered dug with a cohesive material; may be round or oval
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Powder
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single or mixture of finely ground drugs
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Solution
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A drug dissolved in another substance
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Suppository
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An easily melted medication preparation in a firm base such as gelatin that is inserted into the body (rectum, vagina, urethra)
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Suspension
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Finely divided, undissolved partivles in a liquid medium; should be shaken before use
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Syrup
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Medication combined in a water and sugar solution
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Tablet
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Small, solid dose of medication, compressed or molded; may be any color, size, or shape
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Transdermal patch
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Unit dose of medication applied directly to skin for diffusion through skin and absorption in to the bloodstream
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Subcutaneous Injections (equipment)
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25-30 gauge, 3/8 to 1 inch. 3/8 and 5/8 most commonly used.
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Subcutaneous Injections (Procedure)
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45-90 Degrees 3/8=90 degrees 5/8=45 degrees. USUALLY no more than 1mL of solution is given.
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Intramuscular Injections
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deliever medication through the skin and subcutaneous tissue into certain muscles
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Intramuscular Injections (sites)
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Infant=vastus lateralis
Toddlers/children- vastus lateralis/deltoid Adults=ventrogluteal/deltoid |
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Intramuscular Injections( equipment)
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Aqueous solution= 20-25 Gauge.... Oil based solution 18-25 Gauge.
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Intramuscular Injections (procedure)
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GENERALLY 1-4 mL is accepted volume range. Deltoid= no more then 1-2 mL Children/Elderly 1-2 mL
72-90 Degrees |
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z track technique
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is recommended for all IM injections to ensure medication does not leak back along the needle track and into the cubcutaneous tissue
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Subcutaneous Injections
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are administered into the adipose tissue layer just below the epidermis and dermis
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7 Rights
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1- medication 2-pt 3-dosage 4-route 5-time 6-reason 7-documentation
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Two ways to Identify a Pt
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1- check ID bracelet 2- also ask pt to state his/her name if possible.
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Pharmacology
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study that deals with chemicals affects the body's function
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Generic Name
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identifies the drugs active ingrediants assigned by the manufacter that 1st developed the drug
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5 carious Health care Professionals
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Physician, Mid-level Provider, RN, LPN, pharmacist
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Offical Name
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name by which the drug is identified in the official publications
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Trade Name
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Proprietary name is selected by the drug company that sells the drug and is protected by trademark.
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Prototype Drugs
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are individual drugs that are often the first drug of a particular group tp ne developed. Ex. Morphine is this of opioid analgesics.
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Drug Classifications
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1-effects on the body 2-therapeutic use 3-chemical composition
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Schedule 1 drugs
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are not approved for medical use and have high abuse potentials
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Schedule 2 drugs
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are used medically and have high abuse potentials...ex. oploid
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Schedule 3 drugs
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less potential for abuse than those in 1 & 2, but may lead to psychological or physical dependence. Ex..Steroids
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Schedule 4 drugs
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some potential for abuse: Benzo
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Schedule 5 drugs
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Products containing moderate amounts of controlled substances. Ex antidiarrheal drugs
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Pharmacodynamics
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the process by which drugs alter cell physiology and affect the body
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Pharmacokinetics
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is the movement of drugs molecules in teh body in relation to the drug's absorption, distribution, metabolism, and excretion
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Receptior theory of drug action ( Lock and Key)
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drugs bind to specific receptors located on cell surfaces
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Nonreceptor drug actions
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drugs that do not act on receptor sites (very few drugs act this way)
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Drug related variables
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Dosage, route of administratioin, drug-diet interactions, drug-drug interactions
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Patient-related variables
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age, body weight, genetic and ethnic characteristics, gender, pathologic conditions, psychological considerations, tolerance, cross-tolerance
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Adverse Effects of Drugs( CNS)
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sleppiness, tremors
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Adverse Effects of Drugs(GI)
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constipation, diahrea, nausea
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Adverse Effects of Drugs ( Hematologic effects)
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blood cells
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Adverse Effects of Drugs (Hepatic)
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Decreased liver function
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Adverse Effects of Drugs (Nephrotoxicity)
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Decreased kidney function
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Adverse Effects of Drugs (hypersensitivity/allergy)
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itching, difficulty breathing
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Adverse Effects of Drugs (idiosyncrasy)
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aren't expected to fall into other categories
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Adverse Effects of Drugs (drug Dependence)
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takes some people less time (could be psycohological)
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Adverse Effects of Drugs (carcinogenicity)
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cause cancer
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Adverse Effects of Drugs (teratogenicity)
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effecting developing fetus
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Three Checks
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check the right medication! check with MAR! Checl again befoer putting back in cabinet!
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Maintaining a safe enviroment
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good lighting, maintaining security of medication prep areas, avoid distractions and interruptions.
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Pregnancy Categories
Category A |
Adequate studies in pregnant women demonstrate no risk to the fetus
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Pregnancy Categories
Category B |
Animal studies indicate no risk to the fetus, but there are no adequate studies in pregnant women; or animal studies show adverse effects, but adequate studies in pregnant women have not demonstrated risk
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Pregnancy Categories
Category C |
A potential risk, usually because animal studies have either not been performed or have indicated adverse effects, and there are no data from human studies. These drugs may be used when potential benefits outweigh the potential risk.
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Pregnancy Categories
Category D |
There is evidence of human fetal risk, but the potential benefits to the mother may be acceptable despite the potential risk
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Pregnancy Categories
Category E |
Studies in animals or humans or adverse reaction reports or both have demonstrated fetal abnormalities; the risk of use in pregnant women clearly outweigh any possible benefit.
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MEC
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Minimum Effective Concentration
(Drug) |
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Caplet
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Compressed powder or granulated drug with a smooth outer coating. Resembles a capsule, easier for patient to swallow than tablets.
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Gel or Magma
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A viscous supension of mineral precipitates in water. The mixture tends to separate when left standing and must be shaken before administration.
Milk of Magnesia |
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Oils
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Viscous, greasy oils that are insoluble in water. Oils may be drugs themselves or be used as vehicles for dissolving drugs.
Castor oil (drug) and Pitressin in oil (vehicle) |
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Tincture
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Extracts of drugs dissolved in alcohol. SOmetimes water is added, but a tincture is more potent than an elixir. Used for both oral and topical administrations. Care must be taken to distinguish between the two
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