Ch 54 Pharmacology, Ch. 55 Administration
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On-hand office meds | -lidocaine (Xylocaine)
-tetanus shot
TB shot for test
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Routes of drug administration | -oral
-parenteral (med given outside the digestive tract)
-sublingual
-inhalation (nose/mouth)
-topical
-drops (eyes/ears)
-suppositories (rectal/vaginal)
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Three "befores" | BEFORE:
-med is removed from cabinet
-med is dispensed
-med is placed back in cabinet
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6 / 10 "rights" | RIGHT:
-patient
-medication
-dosage
-route
-time
-documentation
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Rx superscription | Contains patient's name, dob, and date Rx was written
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Rx inscription | Gives name of med, actual ingredients, and dosage
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Signa | Sig., On Rx, gives instructions
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DAW | Dispense As Written
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CPOE | Computerized Physician Order Entry
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Ac | before meals
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bid | twice a day
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-c | with
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DC, disc | discontinue
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gtt, gtts | 2 or more drops
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IM | intramuscular
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Inj | injection
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IV | intravenous
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kg | kilogram
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mcg | microgram
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mg | milligram
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mL | milliliter
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NPO | nothing by mouth
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-p | after
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prn | as needed
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q | every
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qhs | every night
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Rx | take
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-s | without
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Sig. | Label as follows / directions
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SL | sublingual / under the tongue
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SOB | shortness of breath
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stat | at once
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SubQ | subcutaneously
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tid | three times a day
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QOD | every other day
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QiD | four times daily
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QD | every day
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IM Injection - deltoid | -90 degree angle
-three fingers down from acromiun process
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1 mL | 1 cc
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g, gm | gram
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ointment | for skin or mucous membrane (eye)
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suppositories | rectal or vaginal
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lumen | hollow part of needle
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bevel | open end of needle
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shaft | length of hollow tube
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hub | colored part you twist on
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barrel | syringe part that holds medication
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flange | -finger hold
-prevents needle from rolling
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plunger | helps administer medication
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viscosity | -thickness of liquid
-vaccine - fluid
-testosterone - oil
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gauge size of needle | -smaller = larger opening
-larger = smaller opening
-viscosity of fluid determines needle gauge
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needle legth | -area to be injected determines needle length
-IM = longer needle
-ID = shorter needle
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ampule | -scored neck
-alcohol swab
-gauze to hold
-break neck towards (so glass shatters away)
-filter needle
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what is needed to work / chart on EHR? | proper certification (RMA, CMA, etc)
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methods of injections | -ID (intradermal)
-IV (intravenous)
-IM (intramuscular)
-Sub Q (Sub Cutaneous)
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reasons for medication reactions | Patient's:
-height
-weight
-age
-allergies
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Rx subscription | Tells RPh how to dispense the drug
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Intramuscular angle and sites | -90 degrees and pull skin taunt
-deltoid
-dorsogluteal
-ventragluteal
-vastas lateralis (quad-hand-breadth from knee and hip)
-Z-track
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Sub Q angle and sites | -45 degrees and form tissue mass
-fatty tissue
-back of arm, abdomen, thigh (inf/toddler), and upper back
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Intradermal angle and sites | -10-15 degrees
-Tb inj / allergy skin testing
-forearm
-chest
-upper back
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prophalactic | given as a preventative
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immunizations / vaccines | given to humans to decrease their susceptibility to disease
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immunity | resistance to disease
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Artificially acquired Active immunity | develops in response to receiving a vaccination of that disease
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