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39 Cards in this Set
- Front
- Back
Dissolution
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the act or process of dissolving, the separation into component parts, the separation of a complex chemical compound into simpler molecules
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Enteral
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intestinal, within or by way of the intestine, opposite of parenteral.
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Parenteral
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taken into the body in a manner other than through the digestive canal, opposite of enteral
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Sublingual
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situated under the tongue, or on the underside of the tongue.
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Buccal
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in the direction of the cheek. Of or relating to the mouth cavity.
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First Pass Effect
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a phenomenon of drug metabolism whereby the concentration of a drug is greatly reduced before it reaches the systemic circulation. It is the fraction of lost drug during the process of absorption which is generally related to the liver and gut wall. Notable drugs that experience a significant first-pass effect are imipramine, morphine, propranolol, buprenorphine, and lidocaine. (Not same as First Dose Effect)
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Contraindication
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something (as a symptom or condition) that makes a particular treatment or procedure inadvisable
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Prophylactic
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preventing the spread of disease or infection
(ex- a condom to prevent spread of STI’s) |
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Onset (of action)
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time required after administration of a drug for a response to be observed
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Peak level
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the highest concentration, usually in the blood, that a substance reaches during the period under consideration, after which it declines, such as the highest blood glucose level attained during a glucose tolerance test.
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Trough level
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lowest level that a medicine is present in the body, In a medicine that is administered periodically, the trough level should be measured just before the administration of the next dose in order to avoid overdosing
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Duration
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the length of time the concentration of a drug is sufficient to elicit a therapeutic response
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Half-life-
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period of time required to reduce a drug level to half of its initial value
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Types of Medication Orders
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Written
Verbal Telephone- must read back One time- (stat, now, in am) Repeating (q am, bid, quid, q 6h) Standing Reconciliation |
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Dose Strength
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Amount per unit
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7 components of a medication order
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Full Name of Patient
Date & Time of Order Name of Medication Dose Route Time and frequency Signature of Provider |
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Form
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tablet, capsule, liquid, ointment
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Basic Formula
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D/A(V) = A (Pt. Dose
D= Desired dose ordered by MD H= Have on hand (dose on label) Vehicle= Vehicle or quanitity (Drug Form) A= Amount given to patient |
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MAR
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medication administration record
list of all patient's meds transferred from chart to his form ordered from pharmacy |
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Medication Reconciliation
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Medical provider evaluates which meds need to be added, taken off before going home or discharging to another dpt
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ampule
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sealed glass container designed to hold a single dose of medication
snap open |
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vial
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plastic or glass container that has a rubber stopper (diaphragm) on the top
When large volumes of solution are to be withdrawn from a vial, a small volume of air is required to initiate the flow of medication |
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barrel of syringe
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outer calibrated portion that holds the medication
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plunger of syringe
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the inner device that is moved backward to withdraw and measure the medication and is pushed to eject the medication from the syringe
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tip of syringe
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end of syringe that holds the needle
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the 3 types of syringes
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hypodermic, tuberculin, insulin
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the correct measure for volume is the _____
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mL
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tuberculin syringe
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narrow syringe that has a capacity of 0.5 mL or 1 mL
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hypodermic
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5, 6,10, 12 mL
when volumes larger than 3 mL is desired |
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6 rights
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patient
time /frequency dose route documentation drug |
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palliative
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drug given to prevent illness
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teratogenic
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effect of drug that results in structural defects to the fetus
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insulin
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measured in units
subcutaneous given in abdomen do not aspirate reg isulin may be given iv smallest capacity syringe for accuracy dose must be exact, whole units never round |
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Mixing instructions for isulin
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Cloudy to clear to add air
Clear to cloudy to draw up insulin 1. inject air into cloudy vial (NPH) 2.Inject air into clear vial (Novolog, regular) 3. Draw up clear (Novolog, Regular) into syringe 4. Draw up cloudy (NPH) into same syringe 5. Draw up cloudy (NPH) into same syringe Total units = clear + cloudy insulin |
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Lovenox
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prefilled syringe
subcutanous given in love handles abdomen, anterior/posterior lateral 90 degree angle reclining position |
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Reconstitution factor
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Powdered medication- dilute with liquid
diluent or solvent sterile H20, NS, N5W Know amount of diluent to add Displacement factor Initials, date /time prepared, exp date |
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Heparin
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measured in units, given in mLs
Heparin sodium (10,000 units/mL) vs Heparin lock flush (10 units/mL) IV or Subcutaneous subcutaneous given in abdomen |
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Steps for pediatric calculation
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1. lbs to kg
2. safe dose per day 3 safe dosage per dose 4. calculate dose |
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4 sites for injection
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ventrogluteal
vastus lateralis deltoid dorsal gluteal |