Clinical Chapter 11 (limited)

62 terms by CourtneyMarie82

Create a new folder

Advertisement Upgrade to remove ads

Kathy Bonewit-West 8th Edition

pharmacology

the study of drugs

administering

when medication is actually given to the Pt

dispensing

when medication is given to PT to take at home

prescribing

when a physician provides provides Pt with hand written or computer generated Rx for drug to be filled at a pharmacy

parenteral

refers to sites outside of the gastrointestinal tract

Physician's Desk Reference

a reference book that provides the same information that is found in package inserts that accompany each container of medicine

chemical

The name that describes the chemical composition and molecular structure of a drug. Pharmacists are most concerned with this name.

generic

assigned by the pharmaceutical manufacturer who developes the drug befor approved by the FDA. Usually a shortened derivative of the chemical name

official

the name under which a drug is listed in one of the official publications like the United States Pharmacopeia which regulate strength, purity, packaging etc. Generic name is usually used for this name.

brand name drug

sold under the name given the drug by the manufaturer.May have several of these since there are muliple manucaturers

elixir

a sweet flavored liquid (usually containing a small amount of alcohol) used in compounding medicines to be taken by mouth in order to mask an unpleasant taste

solution

liquid preparation that contains one or more completely dissolved substances.

solvent

a liquid substance capable of dissolving solute

solute

the dissolved substance in a liquid solution

sublingual

under the tongue

enteric coated tablet

Tablet coated in a way designed to resist destruction by the gastric fluids and to delay release.

liniment

a liquid medicine combined with oil, soap, alcohol or water, rubbed on the skin especially to relieve pain

1 ml

1 cc = ____

gram

measures solids

liter

measures liqui

meter

linear measurment to measure length or distance

grain

the basic weight of the apothecary system

household

drop, teaspoon, tablespoon, ounce cup glass are all ex of the _________ system

volume

measurement of liquid ie: millileter ml, liter L

weight

measurment of a solid ie: gram g, microgram mcg, kilogram kg

controlled drugs

classified into five categories called schedules due to potiential for abuse

DEA number

Dr must use their assigned _____ _______ on every prescription of a contolled substance

schedule II

currently accepted as medical use in treatment in US, with or without serious restrictions. Abuse may lead to serious psychological or physical dependence. Rx must be in ink or types. Refill ER w/in 7 days. Manufacture label CII cocaine, coedine, fentanyl, hydrocodone, hydromorphone, meperdine, morphine, oxycodone (APAP, ASA)

subscription

directions to the pharmacist, usually designates the number of doses to be dispensed #30 tablets

inscription

Name of drug and the drug dosage ie: Amoxil 250mg

orally

drugs administered _____ are absorbed slowly because they must be digested first

parentally

drugs administered ______ are absorbed more quickly than orally because they are ijected directly into the boby

empty

drugs administered through the oral route are absorbed more rapidly when the stomach is ____ than when it contains food. Others should be taken with food as to not upset the stomach

desired effect

A drug may not produce the _______ ______ if it is taken with food. Drug package will always indicate whether to take w/ or w/o food.

smaller dose

Dr may Rx a ______ ______ for ped and geriatric Pt as they respond more strogly to meds

size

a Pt body ______ has an effect on the drug action. Thinner Pt = lesser dose, obese Pt = stronger dose

tolerance

Pt taking a certain drug can develope a _______ over time. Dr should be informed as it may no longer produce the desired effect on Pt

adverse reaction

and undesirable reaction to a drug

side effects

often harmless and tolerated by pt. to obtain the therapeutic effect of the Rx

interaction

MA should record any Rx the Pt may be taken so the the Dr can review them. Some Rx taken along with other meds can cause a drug ______

anaphylactic shock

Sever allergic reaction; symptoms begin with sneezing, urticaria (hives) itching, erythema, anioedema, and disorientation.

seven rights

Right drug, dose, time, Pt, route, technique, documentation

routes of administration

oral, parenteral, topical, rectal, vaginal, IV

epinephrine

given to treat anaphylactic shock

hub hilt shaft bevel lumen poit

parts of a needle

plunger, barrell tip

parts of a syringe

decreases

as the size of the gage in increases, the size if the needle _____. gage of needle is determined by the size of the lumen

vial

closed glass container w/ a rubber stopper, may be single double or multiple use dose. to mix a ______ roll between hands, do not shake

ampule

a glass container which holds a single dose of a medication. Must use a filer needle withdraw meds in case of glass particles

safety engineered syringes

incorporate a built in feature to prevent needle stick

subcutaneous

45 degree angle of insertion into fat, just uner the skin. sites are; lateral part of arm, anterior of thigh, upper back, abdomen. Needle: 23-25G 1/2-5/8 needle Ex: insulin allergy inj

Intradermal

10-15 degree angle. injection site away from large nerves and blood vessels ex: TB test

intramuscular

90 degree angle of insertion, 3ml max, gluteal and vastus lateralis. More blood vessels allow for faster absorption. Asperate to make sure you are not in a vein. Needle" 1 for children and small adults 1 1/2 inch adults ex: immunizations, B12, corticosteroids Sites: sorso/ventrogluteal, deltoid, vastus lateralis

schedule III drugs

less abuse potential, anabolic steroids, analgesics, CNS Stimulants, sedative/hypnotic ie: Tylenol w codeine, Vicodin,

aspirate

__________ to verify you are not inj into a vein.

apothecary system

oldest system of measurement being phased out by metric system. Basic weight unit is grain, next is scruple then dram ounce and pound. 1lb = 12 oz. Liquid measurement are minim = about 1 grain, fluid oz, pint etc... most american's are very familiar w this system

household system

easier for Pt than the metric system, unless exact measurement is needed. Basic unit of liquid is gtt = drop (0.6ml or 1grain) Tsp, Tbs, oz, cup glass

dorso gluteal

site for intramuscular injuections for adults and children over 3 years old. 1 1/2 - 1" needle

vastus lateralis

for children under 3 years old 1- 5/8 " needle

chart procedure

_______ ________, include date, time name of med, lot number, dose given, route site, observations. (lot number indicates batch which can be recalled if any problems)

year

an RX expires one _____ after the issue date

date

an Rx must have an issue _____ or the presrciption cannot be filled.

Please allow access to your computer’s microphone to use Voice Recording.

Having trouble? Click here for help.

We can’t access your microphone!

Click the icon above to update your browser permissions above and try again

Example:

Reload the page to try again!

Reload

Press Cmd-0 to reset your zoom

Press Ctrl-0 to reset your zoom

It looks like your browser might be zoomed in or out. Your browser needs to be zoomed to a normal size to record audio.

Please upgrade Flash or install Chrome
to use Voice Recording.

For more help, see our troubleshooting page.

Your microphone is muted

For help fixing this issue, see this FAQ.

Star this term

You can study starred terms together

NEW! Voice Recording

Create Set