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77 Cards in this Set

  • Front
  • Back
What does medical terminology mostly originate from?
greek and late prefixes, roots and suffixes
5 sources of drug derivation
1. plants
2. humans/ animals
3. minerals
4. synthetucs
5. engineered
What are solid drug types?
pills: powdered drug mixed with liquid
- tablets: powdered drug form with filler and compressed
What can tablets be?
chewable, sublingual, buccal, enteric coated, buffered and sustain release
Capsules
external shell, made of gelatine, inside:
- drug in power, granule, liquid or combo
Enteric- coating
prevents capsule or tablet from being dissolved in stomach, moves to intestines
caplets
shaped like capsules with form of tables, film coated for easy swallowing
Gelcaps
oil based drug in soft gratin capsules
powders
dried and finely ground drugs
granules
tiny pills usually in gelatine capsules, intended for gradual release
Troches or lozenges
flatttended disks that may be hard or semisolid
Syrups
aqueous solutions containing high conc. of sugars
solutions
drugs dissolved in solvent
Elixirs
solutions of water, alcohol and sugar
aerosols
oral inhalers, or nebulizers for rapid absoption into blood circulation
Topical drugs:
semi solid, creams, ointments, plasters
Creams: semi soldis in both aqueous and oily base
suncreen
ointments
similar to dream, used for local protective soothing, astringent or transdermal system effects
plasters
combo liquids ad powders that harden when dry
Topical drugs: liquid type
liniments
gels or jellies
lotions
liniments
liquid suspensions for external application to skin
gels or jellies
jellylike substance for topical application
lotions
suspenspetions of drugs in water base for external use
Injected drugs provide what kind of response?
rapid, also called parenteral
What form are injected drugs avail be in?
powders or solutions
liniments
liquid suspensions for external application to skin
gels or jellies
jellylike substance for topical application
lotions
suspenspetions of drugs in water base for external use
Injected drugs provide what kind of response?
rapid, also called parenteral
What form are injected drugs avail be in?
powders or solutions
injected drugs can be administered these ways:
Intra-articular
Intradermal
Intramuscular (IM)
Epidural
Subcutaneous
Intravenous (IV)
Ophthalmic:
eye drops and ointments
Otic:
ear medications
Nasal:
nose drops or sprays
Vaginal:
solutions, creams, tablets, suppositories: meant for vaginal enviro
Rectal:
suppositories or enemas
Inhalation:
anesthetic gases, compressed gases, bronchodilators
What are the routes of admin?
enteral
parenteral
Enteral
absorbed through the GI tract
- oral
- nasogastric or gastrostomy tube
- sublingual or buccal
Parenteral
injected
- intravenous, intramuscular, subcuntaneous, intradermal
Enteral route oral: what are the benefits?
most common, easiest, and most economical
Contraindiction
is a condition or factor that increases the risks involved in using a particular drug, carrying out a medical procedure, or engaging in a particular activity
Contraindicated
if patient is vomiting, has gastric or intestinal suction, is unconscious, or is unable to swallow
Which meds are best for kids?
liquid
Enteral route: nasogastric? how is it conducted?
nasogastric tube; which is inserted through nasopharynx and into stomach
Enteral route: gastrostomy how is it conducted?
gastrostomy tube: surgically placed directly into stomach
Enteral route: sublingual, how is it conducted?
- why is it used?
sulblingual: placed under tongue for dissolving
- used for rapid action Absorbs directly to the blood stream! of you swallow, it goes through the liver that destroys part of it before it can even work.
Enteral Route: Buccal
- gum and cheek for dissolving
- forms include tablets, capsules, lozenges and troches
- should not be swelled
- used over sublingual for a sustained release
Parenteral routes pros and cons
more quickly absorbed than oral route
- irretrievable
- invasive
- asepetic techniques must be used
What equipment is used for parenteral equipment
needles
syringes
ampules and vials
needles:
pierce the skin, allow injection
syringes
contain and then transfer meds to through the needle
Ampules and vials
contain med that is then drawn into syringe for injection
Are needles reusable? what are they made of?
most are disposable and made os stainless steel
- special procedure one may be reusable and need to be resharpend
what are the three parts of a needle
bevel, slants tip
cannual : attch to hum
hub: fits to syringe
Gauge:
diameter of shaft
from # 18 to # 28
smallest is largest number
Length of shaft range? how is it determined which to use?
ranges from .5 to 2
- determined by type of injection, patients weight, and muscle development
slant or length of bevel depends on?
longer bevels for IM and subcutantin

shorter for IV of intramural
Aumpules vs. vials
ampules made of clear glass, usually single dose and pre scored neck to be cut open.
- vials, small glass with rubber cap and pierced with needle to withdraw
What are the procedures for a intradermal injection?
inner forearm or upper back just below epidermis into dermis

-enters at 15 degrees
What are intradermal injections usually used for?
- common for tuberculin, or allergy tests or to admin local anesthetics
- produces small wheal on skis out surface
How is a subcutaneous injection given?
upper arms, back or abs

- small volumes, 45 degrees
What are subcutaneous injections usually used for?
heparin and insulin
How are intramusclar injections given?
upper arm, thigh or hip muscles
- 1-3 ml of meds
- 90 degrees
What are intramusclar injections usually used for?
drugs that irritate subcutaneous tissue
How are intravenous injections usually given
injected directly into veins, usually in arms

- inserted at short angle to skin
How can they be admined?
slowly, rapidly
- piggyback infution, (second drug in same line)
- into existing iv line (iv port
- into intermittent access device, heparin lock or added IV solution
-
Transdermal meds provide what kind of admin? examples?
sustained release

nicotine, nitroglycerin

- many factors effect the absorbion.
- have chemicals that help break the skin barrier
Ophthalmic route:
meds admined to the eyes using instillation or irrigations with liquids or ointments
- must use sterile technique

- diluted to less than 1%

-
Otis route:
localized infection of inflammation of ears
treated by dropping small amount of sterilized med into ear

- should lie on one side for 5 mins to allow for coating of inner ear
Nasal route
nasal decongestants are most common nasal instillations, many are OTC
- admired with dropper and sprays,
Inhaltions routes
- may admin medicines, water vapour, gases such as oxygen, CO2, and helium

- local effects achieved within the respiratory tract through

- aerosols, nebulizers or metered dose inhalers

- also a bit systemic.
- don't always need those mini particles, maybe dosnt need to get into bronchi
How are inhaled asthma meds usually admired?
Commonly administered by nebulizer
Delivers fine fog or mist using atomization or aerosolization
Atomization:
larger droplets are inhaled
Aerosolization
droplets are suspended in gas such as oxygen (the smaller the droplets, the further they can be inhaled into the respiratory system)
Vaginal Route is for? how is it used?
Vaginal medications, or instillations, include creams, jellies, foams, or suppositories

Suppositories are inserted with the finger of a gloved hand; they melt at body temperature.

Vaginal creams may be instilled by using an applicator.
Rectal Routeis for? how is it used? when? why?
Rectal medications are usually suppositories.

This route is useful for patients who are nauseated, vomiting, or unconscious.

Other rectal medications are available as solutions that are administered in the form of enemas.