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Mod 3 Ch. 54, 55

Ch 54 Pharmacology, Ch. 55 Administration

On-hand office meds -lidocaine (Xylocaine) -tetanus shot TB shot for test
Routes of drug administration -oral -parenteral (med given outside the digestive tract) -sublingual -inhalation (nose/mouth) -topical -drops (eyes/ears) -suppositories (rectal/vaginal)
Three "befores" BEFORE: -med is removed from cabinet -med is dispensed -med is placed back in cabinet
6 / 10 "rights" RIGHT: -patient -medication -dosage -route -time -documentation
Rx superscription Contains patient's name, dob, and date Rx was written
Rx inscription Gives name of med, actual ingredients, and dosage
Signa Sig., On Rx, gives instructions
DAW Dispense As Written
CPOE Computerized Physician Order Entry
Ac before meals
bid twice a day
-c with
DC, disc discontinue
gtt, gtts 2 or more drops
IM intramuscular
Inj injection
IV intravenous
kg kilogram
mcg microgram
mg milligram
mL milliliter
NPO nothing by mouth
-p after
prn as needed
q every
qhs every night
Rx take
-s without
Sig. Label as follows / directions
SL sublingual / under the tongue
SOB shortness of breath
stat at once
SubQ subcutaneously
tid three times a day
QOD every other day
QiD four times daily
QD every day
IM Injection - deltoid -90 degree angle -three fingers down from acromiun process
1 mL 1 cc
g, gm gram
ointment for skin or mucous membrane (eye)
suppositories rectal or vaginal
lumen hollow part of needle
bevel open end of needle
shaft length of hollow tube
hub colored part you twist on
barrel syringe part that holds medication
flange -finger hold -prevents needle from rolling
plunger helps administer medication
viscosity -thickness of liquid -vaccine - fluid -testosterone - oil
gauge size of needle -smaller = larger opening -larger = smaller opening -viscosity of fluid determines needle gauge
needle legth -area to be injected determines needle length -IM = longer needle -ID = shorter needle
ampule -scored neck -alcohol swab -gauze to hold -break neck towards (so glass shatters away) -filter needle
what is needed to work / chart on EHR? proper certification (RMA, CMA, etc)
methods of injections -ID (intradermal) -IV (intravenous) -IM (intramuscular) -Sub Q (Sub Cutaneous)
reasons for medication reactions Patient's: -height -weight -age -allergies
Rx subscription Tells RPh how to dispense the drug
Intramuscular angle and sites -90 degrees and pull skin taunt -deltoid -dorsogluteal -ventragluteal -vastas lateralis (quad-hand-breadth from knee and hip) -Z-track
Sub Q angle and sites -45 degrees and form tissue mass -fatty tissue -back of arm, abdomen, thigh (inf/toddler), and upper back
Intradermal angle and sites -10-15 degrees -Tb inj / allergy skin testing -forearm -chest -upper back
prophalactic given as a preventative
immunizations / vaccines given to humans to decrease their susceptibility to disease
immunity resistance to disease
Artificially acquired Active immunity develops in response to receiving a vaccination of that disease
Created by: vanstellee