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77 Cards in this Set
- Front
- Back
What does medical terminology mostly originate from?
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greek and late prefixes, roots and suffixes
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5 sources of drug derivation
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1. plants
2. humans/ animals 3. minerals 4. synthetucs 5. engineered |
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What are solid drug types?
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pills: powdered drug mixed with liquid
- tablets: powdered drug form with filler and compressed |
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What can tablets be?
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chewable, sublingual, buccal, enteric coated, buffered and sustain release
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Capsules
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external shell, made of gelatine, inside:
- drug in power, granule, liquid or combo |
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Enteric- coating
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prevents capsule or tablet from being dissolved in stomach, moves to intestines
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caplets
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shaped like capsules with form of tables, film coated for easy swallowing
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Gelcaps
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oil based drug in soft gratin capsules
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powders
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dried and finely ground drugs
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granules
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tiny pills usually in gelatine capsules, intended for gradual release
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Troches or lozenges
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flatttended disks that may be hard or semisolid
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Syrups
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aqueous solutions containing high conc. of sugars
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solutions
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drugs dissolved in solvent
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Elixirs
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solutions of water, alcohol and sugar
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aerosols
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oral inhalers, or nebulizers for rapid absoption into blood circulation
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Topical drugs:
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semi solid, creams, ointments, plasters
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Creams: semi soldis in both aqueous and oily base
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suncreen
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ointments
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similar to dream, used for local protective soothing, astringent or transdermal system effects
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plasters
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combo liquids ad powders that harden when dry
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Topical drugs: liquid type
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liniments
gels or jellies lotions |
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liniments
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liquid suspensions for external application to skin
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gels or jellies
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jellylike substance for topical application
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lotions
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suspenspetions of drugs in water base for external use
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Injected drugs provide what kind of response?
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rapid, also called parenteral
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What form are injected drugs avail be in?
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powders or solutions
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liniments
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liquid suspensions for external application to skin
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gels or jellies
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jellylike substance for topical application
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lotions
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suspenspetions of drugs in water base for external use
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Injected drugs provide what kind of response?
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rapid, also called parenteral
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What form are injected drugs avail be in?
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powders or solutions
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injected drugs can be administered these ways:
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Intra-articular
Intradermal Intramuscular (IM) Epidural Subcutaneous Intravenous (IV) |
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Ophthalmic:
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eye drops and ointments
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Otic:
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ear medications
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Nasal:
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nose drops or sprays
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Vaginal:
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solutions, creams, tablets, suppositories: meant for vaginal enviro
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Rectal:
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suppositories or enemas
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Inhalation:
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anesthetic gases, compressed gases, bronchodilators
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What are the routes of admin?
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enteral
parenteral |
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Enteral
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absorbed through the GI tract
- oral - nasogastric or gastrostomy tube - sublingual or buccal |
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Parenteral
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injected
- intravenous, intramuscular, subcuntaneous, intradermal |
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Enteral route oral: what are the benefits?
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most common, easiest, and most economical
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Contraindiction
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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
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Contraindicated
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if patient is vomiting, has gastric or intestinal suction, is unconscious, or is unable to swallow
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Which meds are best for kids?
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liquid
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Enteral route: nasogastric? how is it conducted?
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nasogastric tube; which is inserted through nasopharynx and into stomach
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Enteral route: gastrostomy how is it conducted?
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gastrostomy tube: surgically placed directly into stomach
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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. |
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Enteral Route: Buccal
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- gum and cheek for dissolving
- forms include tablets, capsules, lozenges and troches - should not be swelled - used over sublingual for a sustained release |
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Parenteral routes pros and cons
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more quickly absorbed than oral route
- irretrievable - invasive - asepetic techniques must be used |
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What equipment is used for parenteral equipment
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needles
syringes ampules and vials |
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needles:
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pierce the skin, allow injection
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syringes
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contain and then transfer meds to through the needle
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Ampules and vials
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contain med that is then drawn into syringe for injection
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Are needles reusable? what are they made of?
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most are disposable and made os stainless steel
- special procedure one may be reusable and need to be resharpend |
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what are the three parts of a needle
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bevel, slants tip
cannual : attch to hum hub: fits to syringe |
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Gauge:
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diameter of shaft
from # 18 to # 28 smallest is largest number |
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Length of shaft range? how is it determined which to use?
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ranges from .5 to 2
- determined by type of injection, patients weight, and muscle development |
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slant or length of bevel depends on?
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longer bevels for IM and subcutantin
shorter for IV of intramural |
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Aumpules vs. vials
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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 |
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What are the procedures for a intradermal injection?
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inner forearm or upper back just below epidermis into dermis
-enters at 15 degrees |
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What are intradermal injections usually used for?
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- common for tuberculin, or allergy tests or to admin local anesthetics
- produces small wheal on skis out surface |
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How is a subcutaneous injection given?
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upper arms, back or abs
- small volumes, 45 degrees |
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What are subcutaneous injections usually used for?
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heparin and insulin
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How are intramusclar injections given?
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upper arm, thigh or hip muscles
- 1-3 ml of meds - 90 degrees |
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What are intramusclar injections usually used for?
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drugs that irritate subcutaneous tissue
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How are intravenous injections usually given
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injected directly into veins, usually in arms
- inserted at short angle to skin |
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How can they be admined?
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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 - |
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Transdermal meds provide what kind of admin? examples?
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sustained release
nicotine, nitroglycerin - many factors effect the absorbion. - have chemicals that help break the skin barrier |
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Ophthalmic route:
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meds admined to the eyes using instillation or irrigations with liquids or ointments
- must use sterile technique - diluted to less than 1% - |
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Otis route:
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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 |
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Nasal route
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nasal decongestants are most common nasal instillations, many are OTC
- admired with dropper and sprays, |
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Inhaltions routes
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- 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 |
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How are inhaled asthma meds usually admired?
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Commonly administered by nebulizer
Delivers fine fog or mist using atomization or aerosolization |
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Atomization:
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larger droplets are inhaled
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Aerosolization
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droplets are suspended in gas such as oxygen (the smaller the droplets, the further they can be inhaled into the respiratory system)
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Vaginal Route is for? how is it used?
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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. |
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Rectal Routeis for? how is it used? when? why?
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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. |