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39 Cards in this Set

  • Front
  • Back
Dissolution
the act or process of dissolving, the separation into component parts, the separation of a complex chemical compound into simpler molecules
Enteral
intestinal, within or by way of the intestine, opposite of parenteral.
Parenteral
taken into the body in a manner other than through the digestive canal, opposite of enteral
Sublingual
situated under the tongue, or on the underside of the tongue.
Buccal
in the direction of the cheek. Of or relating to the mouth cavity.
First Pass Effect
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)
Contraindication
something (as a symptom or condition) that makes a particular treatment or procedure inadvisable
Prophylactic
preventing the spread of disease or infection
(ex- a condom to prevent spread of STI’s)
Onset (of action)
time required after administration of a drug for a response to be observed
Peak level
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.
Trough level
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
Duration
the length of time the concentration of a drug is sufficient to elicit a therapeutic response
Half-life-
period of time required to reduce a drug level to half of its initial value
Types of Medication Orders
Written
Verbal
Telephone- must read back
One time- (stat, now, in am)
Repeating (q am, bid, quid, q 6h)
Standing
Reconciliation
Dose Strength
Amount per unit
7 components of a medication order
Full Name of Patient

Date & Time of Order

Name of Medication

Dose

Route

Time and frequency

Signature of Provider
Form
tablet, capsule, liquid, ointment
Basic Formula
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
MAR
medication administration record

list of all patient's meds
transferred from chart to his form
ordered from pharmacy
Medication Reconciliation
Medical provider evaluates which meds need to be added, taken off before going home or discharging to another dpt
ampule
sealed glass container designed to hold a single dose of medication

snap open
vial
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
barrel of syringe
outer calibrated portion that holds the medication
plunger of syringe
the inner device that is moved backward to withdraw and measure the medication and is pushed to eject the medication from the syringe
tip of syringe
end of syringe that holds the needle
the 3 types of syringes
hypodermic, tuberculin, insulin
the correct measure for volume is the _____
mL
tuberculin syringe
narrow syringe that has a capacity of 0.5 mL or 1 mL
hypodermic
5, 6,10, 12 mL
when volumes larger than 3 mL is desired
6 rights
patient
time /frequency
dose
route
documentation
drug
palliative
drug given to prevent illness
teratogenic
effect of drug that results in structural defects to the fetus
insulin
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
Mixing instructions for isulin
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
Lovenox
prefilled syringe
subcutanous
given in love handles
abdomen, anterior/posterior lateral
90 degree angle
reclining position
Reconstitution factor
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
Heparin
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
Steps for pediatric calculation
1. lbs to kg
2. safe dose per day
3 safe dosage per dose
4. calculate dose
4 sites for injection
ventrogluteal
vastus lateralis
deltoid
dorsal gluteal