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CCAC Pharmacology > Chapter 14 Medication Administration > Flashcards

Chapter 14 Medication Administration Flashcards

1
Q

A sealed hub on an administration set designed to provide sterile access to the intravenous fluid.

A

access port

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2
Q

Tubing that connects to the intravenous bag access port and the catheter to deliver intravenous fluid.

A

administration set

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3
Q

Small glass containers that are sealed and whose contents are sterilized.

A

ampules

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4
Q

The anterior aspect of the elbow

A

antecubital

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5
Q

Substances that prevent blood from clotting.

A

Anticoagulants

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6
Q

Chemicals used to cleanse an area before performing an invasive procedure, such as starting an intravenous
line; they are not toxic to living tissues. Examples include chlorhexidine, isopropyl alcohol, and iodine.

A

antiseptics

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7
Q

A method of cleansing used to prevent contamination of a site from pathogens when you are performing ar
invasive procedure, such as starting an intravenous line.

A

aseptic technique

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8
Q

Pertaining to the ear.

A

aural

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9
Q

A special type of macrodrip administration set designed to facilitate rapid fluid replacement by manual
infusion of multiple intravenous bags or intravenous-blood replacement combinations.

A

blood tubing

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10
Q

“In one mass”; in medication administration, a single dose given by the intravenous or intraosseous route;
may be a small or large quantity of the drug.

A

bolus

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11
Q

A spring-loaded device that is used for inserting an intraosseous needle into the proximal tibia in adult and
pediatric patients.

A

Bone Injection Gun (BIG)

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12
Q

Between the cheek and gums.

A

buccal

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13
Q

A rigid, hollow, venous cannulation device identified by its plastic “wings” that act as anchoring points for
securing the catheter

A

butterfly catheter

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14
Q

The insertion of a catheter into a body cavity, duct, or vessel to allow for fluid flow.

A

cannulation

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15
Q

An event in which a needle is reinserted into the catheter and slices through the catheter, creating a free-
floating segment.

A

catheter shear

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16
Q

A scale for measuring temperature, where water freezes at 0° and boils at 100°.

A

Celsius scale

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17
Q

Solutions that contain molecules (usually proteins) that are too large to pass out of the capillary membranes
and, therefore, remain in the vascular compartment.

A

colloid solutions

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18
Q

The total weight of a drug contained in a specific volume of liquid.

A

concentration

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19
Q

The puncturing of an emergency care provider’s skin with a needle or catheter that was used on a patient.

A

contaminated stick

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20
Q

Solutions of dissolved crystals (eg, salts or sugars) in water; contain compounds that quickly dissociate in
solution.

A

crystalloid solutions

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21
Q

An intravenous solution made up of 5% dextrose in water.

A

D5W

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22
Q

Depletion of the body’s systemic fluid volume.

A

dehydration

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23
Q

The amount of a drug that the physician orders for a patient; the drug order.

A

desired dose

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24
Q

The shaft of a long bone.

A

diaphysis

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25
Q

A solution (usually water or normal saline) used for diluting a medication.

A

diluent

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26
Q

Chemicals used on nonliving objects to kill organisms; they are toxic to living tissues.

A

disinfectants

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27
Q

Gentle downward or lateral traction on the skin.

A

distal traction

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28
Q

The area of the administration set where fluid accumulates so that the tubing remains filled with fluid.

A

drip chamber

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29
Q

Injecting sterile water or saline from one vial into another vial containing a powdered form of the drug.

A

drug reconstitution

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30
Q

A fluid solution, possibly containing supplemental medications, that can be administered rectally to aid in a
variety of gastrointestinal complications.

A

enema

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31
Q

Medication administration that involves the medication passing through a portion of the gastrointestinal
tract.

A

enteral medications

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32
Q

The growth plate of a long bone; a major site of bone development during childhood; also called the physis.

A

epiphyseal plate

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33
Q

The ends of a long bone.

A

epiphyses

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34
Q

Large neck vein that is lateral to the carotid artery.

A

external jugular vein (E)

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35
Q

A handheld, battery-powered driver to which a special intraosseous needle is attached; used for insertion of
the intraosseous needle into the proximal tibia of children and adults.

A

EZ-IO

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36
Q

A scale for measuring temperature, where water freezes at 32° and boils at 212°.

A

Fahrenheit scale

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37
Q

First Access for Shock and Trauma devices; manual sternal intraosseous devices used in patients age 12
years and older; include an infusion tube, subcutaneous portal, an introducer, a target/strain relief patch,
and a protective dome.

A

FAST devices

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38
Q

The area of an intravenous catheter that fills with blood to help indicate when a vein is cannulated.

A

flash chamber

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39
Q

A tube that is inserted into the stomach to decompress the stomach; can also be used to administer certain
enteral medications.

A

gastric tube

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40
Q

The internal diameter of an intravenous catheter or needle.

A

gauge

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41
Q

A unit of measure that indicates drops.

A

gtt

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42
Q

The body’s natural blood-clotting mechanism. It involves the steps of blood vessel spasm, platelet plug
formation, and blood clotting.

A

hemostasis

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42
Q

A mass of blood in the soft tissues beneath the skin; it indicates bleeding into soft tissues and may be the
result of a minor or a severe injury.

A

hematoma

43
Q

Devices that are implanted in surgery, sutured under the skin, for the purpose of long-term medication
administration, total parenteral nutrition, chemotherapy, blood product administration, and venous blood
sampling; an arteriovenous fistula is an example.

A

implanted vascular access devices

43
Q

A solution that has a lower concentration of sodium than does the cell; the increased osmotic pressure lets
water flow into the cell, causing it to swell and possibly burst.

A

hypotonic solution

44
Q

A solution that has a greater concentration of sodium than does the cell; the increased osmotic pressure can
draw out water from the cell and cause it to collapse.

A

hypertonic solution

45
Q

The escape of fluid into the surrounding tissue; the result of vein perforation during intravenous cannulation.

A

infiltration

46
Q

A mechanical device that infuses a precise intravenous volume programmed by the clinician.

A

infusion pump

47
Q

The active process of moving air into the lungs; also called inspiration; also a route of medication delivery.

A

inhalation

48
Q

The layer of the dermis, just beneath the epidermis; a medication delivery route.

A

intradermal

49
Q

Into a muscle; a medication delivery route.

A

intramuscular (IM)

50
Q

Within the nose.

A

intranasal

51
Q

Within the bone.

A

intraosseous (10)

52
Q

A technique of administering fluids, blood and blood products, and medications into the intraosseous space
of a long bone, usually the proximal tibia.

A

intraosseous infusion

53
Q

The spongy cancellous bone of the epiphyses and the medullary cavity of the diaphysis, collectively.

A

intraosseous space

54
Q

Within a vein.

A

intravenous (IV)

55
Q

Cannulation of a vein with an intravenous catheter to access the patient’s vascular system.

A

intravenous therapy

56
Q

The amount of charged particles found in a particular area.

A

ionic concentration

57
Q

An intravenous solution that does not cause a fluid shift into or out of the cell; examples include normal
saline and lactated Ringer solution.

A

isotonic crystalloid solution

58
Q

A solution containing an equal concentration of solutes and water on either side of a semipermeable
membrane. In this case, water does not shift across the membrane, and no change in cell shape occurs.

A

isotonic solution

59
Q

A sterile, isotonic, crystalloid solution containing specified amounts of calcium chloride, potassium chloride,
sodium chloride, and sodium lactate in water.

A

lactated Ringer solution (LR)

60
Q

Intravenous administration sets named for the large orifice between the piercing spike and the drip
chamber; they allow for rapid fluid flow into the vascular system; the maximum flow rate is 10 or 15 gtt/mL,
depending on the manufacturer.

A

macrodrip sets

61
Q

The practice of preventing contamination of the patient by using aseptic technique.

A

medical asepsis

62
Q

A pressurized canister that delivers a specific dose of a medication; commonly used for beta agonist
bronchodilators.

A

metered-dose inhaler (MDI)

63
Q

A measurement system based on multiples of 10 (ie, a decimal system) that is used for the measurement of
length, weight, and volume.

A

metric system

64
Q

Intravenous administration sets named for the small needlelike orifice between the piercing spike and the
drip chamber; they allow for carefully controlled fluid flow and are ideally suited for medication
administration; the maximum flow rate is 60 gtt/mL.

A

microdrip sets

65
Q

A single vial divided into two compartments by a rubber stopper; methylprednisolone sodium succinate
(Solu-Medrol) is stored this way.

A

Mix-o-Vial

66
Q

A device that attaches to the end of a syringe that is used to spray (atomize) certain medications via the
intranasal route.

A

mucosal atomizer device (MAD)

67
Q

A device for producing a fine spray or mist that is used to deliver inhaled medications.

A

nebulizer

68
Q

A spring-loaded device that contains neither a drill nor a battery; used for inserting an intraosseous needle
into the proximal tibia of an adult patient.

A

New Intraosseous device (NIO)

69
Q

Devices that have been inserted by direct venipuncture through the skin directly into a selected vein, for the
purpose of long-term medication administration, total parenteral nutrition, chemotherapy, and venous blood
sampling; peripheral inserted central catheters and central venous catheters are examples.

A

anticoagulants

70
Q

A solution of 0.9% sodium chloride; an isotonic crystalloid.

A

normal saline

71
Q

Pertaining to the eye.

A

ocular

72
Q

The ability to influence the movement of water across a semipermeable membrane.

A

osmolarity

73
Q

A congenital bone disease that results in fragile bones.

A

osteogenesis imperfecta

74
Q

Inflammation of the bone and muscle caused by infection.

A

osteomyelitis

75
Q

An increase in the body’s systemic fluid volume.

A

overhydration

76
Q

A Teflon (plastic) catheter inserted over a hollow needle.

A

over-the-needle catheter

77
Q

A route of medication administration that involves any route other than the gastrointestinal tract.

A

parenteral route

78
Q

A type of surgical drain often used as a constricting band.

A

Penrose drain

79
Q

Through the skin or mucous membrane.

A

percutaneous

80
Q

A technique in which a cannula (tube) is inserted into veins of the peripheral areas-that is, veins that can
be seen and/or palpated. Examples of peripheral veins include those of the hand, arm, and lower extremity
and the external jugular vein.

A

peripheral vein cannulation

81
Q

The hard, sharpened plastic spike on the end of the administration set designed to pierce the sterile
membrane of the intravenous bag.

A

piercing spike

82
Q

Medication syringes that are prepackaged and prepared with a specific concentration.

A

prefilled syringes

83
Q

A sleeve that is placed around the intravenous bag and inflated to force fluid to flow from the intravenous
bag and into the tubing.

A

pressure infuser device

84
Q

Obstruction in one or more pulmonary arteries by a solid, liquid, or gas that has swept through the right side
of the heart into the lungs.

A

pulmonary embolism

85
Q

A reaction characterized by an abrupt temperature elevation (as high as 106°F [41°C]) with severe chills,
backache, headache, weakness, nausea, and vomiting; a potential complication of intravenous or
intraosseous therapy.

A

pyrogenic reaction

86
Q

Special types of intravenous devices that eliminate the need to hang a bag of intravenous fluid; also called a
buff cap or INT (intermittent); commonly used for patients who do not require fluid boluses but may require
medication therapy

A

saline locks

87
Q

Any contaminated item that can cause injury; includes intravenous needles and catheters, broken ampules
or vials, or anything else that can penetrate or lacerate the skin.

A

sharps

88
Q

Devoid of all living organisms; achieved by using heat, gas, or chemicals.

A

sterile

89
Q

Into the tissue between the skin and muscle; a medication delivery route.

A

subcutaneous

90
Q

Under the tongue; a medication delivery route.

A

sublingual

91
Q

A drug mixed in a firm base that melts at body temperature and is shaped to fit the rectum.

A

suppository

92
Q

Reactions that affect systems of the body.

A

systemic complications

93
Q

The shift of fluid into the tissues causing edema

A

third spacing

94
Q

Inflammation of a vein related to a thrombus (blood clot).

A

thrombophlebitis

95
Q

The visible scars from repeated cannulation of a vein; commonly associated with illicit drug use.

A

track marks

96
Q

Across the skin; a medication delivery route.

A

transdermal

97
Q

A solid boring needle.

A

trocar

98
Q

A cylindrical device that attaches to an 18- or 20-gauge sampling needle; accommodates self-sealing blood
tubes when blood samples are being obtained.

A

Vacutainer

99
Q

Veins on the leg that are large, twisted, and ropelike and can cause pain, swelling, or itching.

A

varicose veins

100
Q

The development of a stationary blood clot in the venous circulation.

A

venous thrombosis

101
Q

Small glass or plastic bottles that contain medication; may contain single or multiple doses.

A

vials

102
Q

The amount of fluid you have on hand, such as the amount of fluid in an intravenous bag or the amount of
fluid in a vial of medication.

A

volume on hand

103
Q

A special type of microdrip set that features a 100- or 200-mL calibrated drip chamber; used for fluid
regulation in patients susceptible to circulatory overload, such as pediatric and older patients; also called a
Buretrol.

A

Volutrol

104
Q
A

CCAC Pharmacology (12 decks)

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