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Ch 54 Pharmacology, Ch. 55 Administration

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Term
Definition
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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