Ch 5: Medication Therapy Flashcards by Douglas Robinson

Active Ingredients

mixed with water, alcohol, both, the resulting preparations are either solutions or suspensions

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Solutions

rarely separate when left standing and if they separate must be thrown away. tinctures, fluidextracts, elixirs, spirits, Syrups

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Suspensions

if left standing particles will settle at the bottom, you must shake the bottle well before use, Emulsions Magmas, Gels, Liniments, Lotions, Aerosols

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Ointments

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Pastes

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Tablets

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Capsules

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Sustained Release Tablets and capsules

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Enteric-Coated Tablets and Capsules

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Troches and Lozenges

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Suppositories

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Routes of Administration

Oral, Sublingual, Buccal, Topical, Rectal, Vaginal, Inhalation, Parenteral

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Buccal

buc; inside the cheek

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Intradermal

ID;Into the skin

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Intravenous

IV;into the Vein

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Intramuscular

IM;Into the muscle

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Oral

PO, p.o. ; By mouth

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Rectal

R, By rectum

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Subcutaneously

subcut; under the skin into the fatty layer

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Sublingual

SL,sublin,subl ; under the toungue

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Topical

on the skin

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Vaginal

vag

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Instillation

topical medications for the eyes ears and nose,

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Insertion

inserted into the vagina,urinary bladder or rectum

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Irrigation

rinsed with water containing drugs

Inhalation

sprayed or inhaled into the nose

Parenteral

injecting a drug into the body

Infusion

is the insertion of a needle or tube into a vein through which fluids are slowly added to the bloodstream over a period of time

Outpatients

patients who are discharged from a hospital who are seeing a doctor in a clinic or an office

Types of Drug Orders

Routine, standing, PRN, stat, verbal, telephone, facsimile, computerized

Routine Order

The ordered drug where a drug is administered until the drug is terminated

Standing Order

Outlines a specific condition in which a drug is to be administered

PRN Order

Order for the drug to be given when requested when a patient needs

Stat Order

a single order that is given immediately

Verbal Order

Orally expressed and not written down

Telephone Order

Verbal Order given over the telephone

Facsimile Order

order transmitted by using a Fax Machine

Computerized Order

Transmitted via computer is becoming the routine replacement for hand written orders

a.c.

before meals

ad lib

as desired

AM, a.m.

morning

BID, bid

Twice a day

h, hr

hourly

n, noc.

night

p.c.

after meals

PM, p.m.

afternoon

q.h.

every hour

q2h,q.2h

every 2 hours

q3h, q.3h

every 3 hours

q4h, q.4h

every 4 hours

QID,qid

four times a day

stat

Immediately

TID, tid

Three times a day

before

ophth.,op

ophthalmic

- p

after

- c.

with

NKA

No known Allergies

per

by means of

Hydrogen Concentration

PO, p.o.

by mouth

every

take/description

- s.

without

sig.

lable

DC, d/c

discontinue

dil.

dilute

n.p.o.

nothing by mouth

right ear

left ear

both ears

h.s.

Bedtime

MS4

Morphine Sulfate

MgS

Magnesium Sulfate

right eye

left eye

both eyes

by mouth, PO

q.d. QD

daily

q.o.d

Every other day

SC,SQ,subq

subcut, subcutaneously

Pharmacy requisition form

this is used if you have no physicians order sheets

Single Unit Dose

individually wrapped or bottled

Multiple dose

multiple times given from the same container or bottle

Automated medication dispensing system

PYXIS makes drug management simpler and safer

Medication administration record (MAR)

convenient way to document all the drugs administered in a day

Controlled substances

Drugs who's use is restricted narcotics, stimulants and depressants

Setting up medications

1. clear your mind of everything except getting the medication set up properly 2. before any medications, think about cleanliness 3. setting up is the time when you decide need to decide whether you must calculate a dose 4. When you pour the liquid medication from a bottle pour it from the side away from the label 5. if preparing a unit dose tablet place the packaged tablet directly into the medicine cup 6. Decide whether the liquid is to be mixed with a liquid or a food

The seven RIGHTS

Right drug, Right dose, right patient, right route, right time, right technique, right documentation

Problem-oriented medical record (POMR)

the chart is organized according to a numbered list of problems or diagnosis

subjective-objective-assessment-plan (SOAP) problem intervention evaluation (PIE)

Subjective Objective Assessment Plan Problem Intervention Evaluation

Incident Report

Medication Error must immediately be reported to the nurse

Ch 5: Medication Therapy Flashcards

(93 cards)