ch 18

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Created by:

tbartkiewi  on August 15, 2009

Subjects:

pharmacology

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ch 18

4 considerations when selecting route of administration
PHYSICAL CONDITION, Body size/mass, AGE, Gender
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4 considerations when selecting route of administration PHYSICAL CONDITION, Body size/mass, AGE, Gender
6 rights Pt, Medication, Dose/Amnt, Route/Method, Technique, Time/Schedule
Drug Schedule I high abuse, med use:unacceptable ex:Heroin,peyote,Weed
Drug Schedule II high abuse, med use: tightly restricted SEVERE psychic or physical dependancy ex:morphine,amphetamine
Schedule III low abuse, med use:Acceptable LIMITED physical&psychological, ex:phenobarbitual
Schedule IV low abuse. med use:acceptable,LIMITED physical/psychological ex:small amts of codeine in cough&anakgesics
Anesthetic lack of feeling,local or general Ex:Novacaine or Xylocaine
Antianxiety releves anxiety&muscle tension EX:Valium, Librium
Antiarrythmic Controls cardiac arrythmias EX:xylocaine, indernal
Antibiotic destructs,inhibits micoorganism growth EX:Penicillion
Anticoagulant prevents,delays clotting EX:Coumandin, heparin sodium
Antiemetic Relieves N&V EX:Trigan, dramamine
Diuretic iNCREASE URINE EXCRETION Ex: Diuril, furosemide, Mannitol
Hypoglycemic decrease blood sugar level Ex:insulin,glyburide
Tranquilizer reduces mental tension & anxiety EX: Thorazine, Mellaril
Vasodilator produces relation in b.vessels,lowers BP, Ex:Isordil
about diseases/vaccines : FLU incubation:1-4 Days, shot 4 high risk Pt,elderly&chronic illness
about diseases/vaccines:PNEUMONIA incubation:few hrs after exposure to bacteria,PNEUMOVAX vaccine
disease/vaccine: HIB or influenza type B incubation 1-3 D,popular w/day cares ages 6mo-5yrs,VACCINE:in 3 series@ 2,4&6mo's.booster@18mo
disease/vaccine:MMR measles:incubation 10-21 D, mumps:14-28,rubella:3 D, Vaccine:12-18mo's
disease/vaccine:DIPHTHERIA incubation:2-5 D, Vaccine:15-18mo
disease/vaccine:PERTUSIS whooping cough,child <4,incubation: 7-14 D,vaccine 15-18mo
disease/vaccine:RABIES series of injections
disease/vaccine:TETANUS incubation:3-21 or 4-5wks, vaccine: 15-18mo lockjaw, acute, fatal infectious disease affects CNS,
disease/vaccine:ROTAVIRUS child under age 3 immunizations: 2,4 &6mo's of age
disease/vaccine:VARICELLA ZOSTER chickenpox,vaccine child btwn 12-18mos &again 11-12yrs old
disease/vaccine:HEP A 2 injections 6mo apart
disease/vaccine:HEP B incubation:14-50 D,vaccine:preg moms & child@1-4 mos & again 6&18mo.
disease/vaccine:MENINGITIS 15-24yrs, death w/in 24-48 hrs after contracting the disease
disease/vaccine:POLIO injections@18mo,when they begin school & every 5 yrs till 18
Intradermal needle gauge range 26-27 gauge LEGNTH: 3/8-5/8 @ 10-15 degree angle
intamuscular angle 90 degrees
subcutaneous angle 45 degrees
intravenous angle 25 degrees
intradermal angle 10-15 degrees
intradermal used for Tb & allergy testing; 0.01ml to 0.05ml
INTRADERMAL INJECTION (how) hold skin taut, needle placed under the skin, forms a wheel, DO NOT MASSAGE site, observe for 20 minutes
SUBCUTANEOUS sites deltoid(upper outer arm), abdominal area, midvastus lateralis(upper thigh)
subcutaneous needle 1/ 2 to 5/8
subcutaneous gauge 25G - 27G
subcutaneous used for small doses of meds; allergy, insulin, immunizations,0.5ml to 2.0ml
intramuscular sites deltoid(upper outer arm), gluteus medius(upper outer part of hip), vastus lateralis(midportion of thigh), ventrogluteal(lateral outside part of hip)
intramuscular gauge 18G - 23G
Intramuscular needle 1-3 inches
intramuscular patient position prone(face down) or lean over table
purpose of IM injections inject large amts of medication(0.5ml to 3.0ml)
ID amount of medication 0.01ml to 0.05ml
SQ amount of medication 0.5ml to 2.0ml
IM amount of medication 0.5ml to 3.0ml
PDR section 1 white pages; alpha listing of mfg & their products, addresses, #&emergency contacts
PDR section 2 pink pgs; brand &generic index
PDR section 3 blue pgs; product category list
PDR section 4 pgs; product id index, colored pics
PDR section 5 white pgs; production info
PDR section 6 green,DX product info
RED INK IN A CHART INDICATES Allergies
3 ways drugs act on the body directly effects 1 or more body tissues; effect microorganisms; replacement of body chemicals
local classification action occurs where administered
remote classification action occurs away from where drug administered
systemic classification action take place throughout the body
synergistic classification one drug works with or counteracts w/another drug
part of a RX 1.physician info(name,address#)2.Pt info(name address DOB)3.superscription(includes Rx symbol(take thou-latin)4.inscription(name & quantity of med) 5.subscription(directions to the pharmacist)6.SIG(directions 2 Pt) 7.DR.sig(also indicates if substitutions are allowed(generic)8.repetatur(refill),9 label 10.DAW(NO SUBSTITUTIONS)
Z-track method inject substances that might be irritated/discolored tissue, does 0.5ml to 3.0ml, needle is 2-3 inches, gauge is 19G to 21G, 90 degree angle, dont massage,hold pt skin @ inj to 1 side

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