ch 18
About this set
Created by:
tbartkiewi on August 15, 2009
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63 terms
Terms | Definitions |
|---|---|
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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