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Fundi Final
Stack #190927
| Question | Answer |
|---|---|
| Prefilled Cartridges | expell air before adminstration; eject excess medication before adminstration |
| Prefilled Syringe | do NOT expell excess air before adminstrating |
| Directions: Mixing Medications | air injected into both vials; medication in multidose vial is drawn into the syringe first |
| Intradermal Injections | forearm, upper back under scapula, 1/4inch to 1/2 inch; 26-27 gauge needle, dosage = 0.5mL; angle: 10-15 degrees; adminstered into the dermis; longest absorption time; allery tests, tubercullin |
| Subcutanous Injections | 25-30 gauge; 3/8inch-1 inch; 3/8inch-5/8inch most commonly used; into adipose tissue; slow absorption rate becuase of blood vessels; 45-90 degree angle; example: insulin or heparin; outer arm, abdomen, thigh; usually no more that 1 mL |
| Insulin Syringes | 28-30 gauge; 5/16inch - 1/2inch length needle |
| Appropriate gauge is determinedd by the medication adminstered - bioogical/meds in aquoes solutions? - meds in oil based solutions? (needle size) | 20 -25 gauge:18 - 25 gauge |
| Intramuscular Injections | deliver medication into certain muscles faster onset of action - more blood vessels; ad: antibiotics, hormones, vaccines, hepatitis vac; 72 degree - 90 degree angel |
| Places of slow absorption | abdomen - rapid; arm; thighs; upper ventral; dorso fluteal areas |
| Bad things about dorsogluteal site | in subcutanoues alters drug absorption; pain temporary or permenant paralysis because of damages to sciatic nerve; no longer recommended for intramuscular injections |
| Excretion | process of removing a drug or its metabolities from the body; kidneys excrete most drugs |
| Metabolism | biotransformation; the change of a drug from its original formation to a new form; liver; primary site for drug metabolism |
| Distribution (depends on..) | on blood flow to th tissue; the drugs availability to leave the bloodstream and drugs ability to enter the cells |
| Tablet | small solid dose of medication compressed or molded |
| Transdermal Patch | unit dose of medication applied directly to skin for diffusion through skin and absorption into the bloodstream |
| Syrup | medication combined in a water and sugar solution |
| Suspension | finely divided undissolved in a liquid medium should be shaken before use |
| Suppository | easily melted medication preperation in a firm base such as gelatin that is inserted into the body (rectum, vagina, urethra) |
| Solution | a dru dissolved in another substance |
| Powder | single or mixture of finely ground drugs |
| Pill | mixture of powder drug with a cohesive material |
| Ointment (unction) | semisolid preperation containing a dug to be applied externally |
| Lozenge (troche) | medication containing a drug in a flavored or sweetened dose; which dissolves in mouth and releases medication |
| Lotion | drug particles in a solution for topical use |
| Liniment | medication mixed with alcohol, oil, or soap which s rubbed onto the skin |
| Extended Release | preperation for a medication that allow for slow and continous release over a period of time |
| Enteric Coated | tablet or pill coated to prevent stomach irritation; cannot be crushed |
| Elixir | medication in a clear liquid, containing water, alcohol, sweeteners and flavor |
| Capsule | powder or gel form of an active enclosed in a gelatinous container |
| Pharamcodyanmics | the effect the drug has on the body |
| Pharamacokinetics | the effect the body has on the drug |
| Absorbed in basic enviroments (where) | Intestines |
| Adverse Drug Effects | are undesriable effects other than the intended theraputic effects of drugs |
| Allergic Effect | an immune system response the body interprets the drug as foreign and forms antibodies against the drug |
| Drug Tolerance | body becomes accusomed to the effects of a particular drug over a period of time; necessitating larger doses to produce the desried effect; narcotics and alcohol |
| Toxic Effect | symptoms that carry risk for permanent damage or death; occur from a larger (over dose) |
| Idiosyncratic Effect | peculiar response to a drug; (over, under, opposite, response) thought to be genetic |
| Drug Interactions | one drug is affected by another drug, food, or substance taken at the same time; can be beneficial |
| Drug that can harm the fetus | teratogenic drugs; some drugs are exreted through mammary glands |
| Serum drug levels are monitored to prevent and enhance | toxicity; therapeutic effect |
| Half Life | the amount of time it takes for 50% of the drug to be eliminated |
| Trough Level | lowest concentration of the drug; usually measured 30 min before next dose of drug is due to be adminstered |
| Peak Level | highest plasma concentration (measured when absorption is complete) |
| Theraputic Range | concentration of the drug in the blood serum that produces the desired effect without causing toxicity |
| Subsequent Dose: drug dose | smaller dose; given at regualr intervals to maintain the theraputic drug level |
| Loading Dose: drug dose | larger does; to quickly reach a theraputic blood level of the drug |
| Hyponatremia | < 135 MEQ/L of sodium; seizures, cramps, vomiting, anorexia, nausea |
| Hypernatremia | > 145 MEQ/L of sodium; thirst, increase body temp, dry mouth |
| Hypokalemia | < 3.5 MEQ of potassium; fatigue, nausea, vomiting, decrease bowel, polyuria |
| Hyperkalemia | > 5.0 MEQ of potassium; muscle weakness, paralysis |
| Hypocalcemia | < 8.5 mg/dl of calcium; seizures, mental, cramps |
| Hypercalcemia | > 10.5 mg/dl of calcium; weakness, lethargy, constipation, kidney stones |
| Hypomagnesemia | < 1.3 MEQ/L of magnesium; irability, mental change |
| Hypermagnesmia | > 3-5 MEQ/L of magnesium; hypotension, decrease respirations, drowsiness |
| Hypophosphatemia | < 2.5 mg/dl of phorophous; respiratory failure, seizures, joint stiffness |
| Hyperphosphatemia | > 4.5 mg/dl |
| Respiratory Alkalosis | low PaCO2 - increase pH, >7.45, decrease PaCO2, normal HCO3 |
| Calcium range | 8.5-10.5 mg/dl |
| Metabolic Alkalosis | high bicarbonate; increase pH, >7.45, increase HCO3, normal PaCO2 |
| Acidosis | excess of H ions, loss of base ions, fallas below 7.35 |
| pH of normal body fluid | 7.35-7.45 |
| PaO2 Range | 80-100mg; acid <80; base >100 |
| PaCO2 Range | 35-45 mm/hg; acid <35; base >45 |
| Alkalosis | lack of H ions; gain of base; pH exceeds 7.45 |
| Respirtory Acidosis Disturbances | acute/chronic respiraoty disease; edema, atelectasis, CNS depression, twitching, dizziness, unconciousness, weakness, headache, asthma |
| HCO3 | 22-26 MEQ/L; Acid <22; Base >26 |
| Metabolic Alkalosis | vomiting, hypokalemia, renal loss, dizziness, hypertonic muscles, tingling of fingers and feet |
| Hypertonic | solution has greater osmolarity than plasma; >295 mos/l |
| Hypotonic | solutionis less osmolarity than plasma; <275 mos/l |
| Metabolic Acidosis disturbances | diahrea, renal failure, headache, confusion, increase respiraoty rate and depth, nasuses, vomiting, peripheral vasodilation |
| Respiratory Alkalosis Disturbances | hyperventilation, anxiety, hypoexmia, fever, spsis, sweating, dry mouth, lightheadness, convulsions |
| Metabolic Acidosis | low bicarbonate; decrease pH; < 7.35; decrease HCO3; normal PaCO2 |
| Respiratory Acidosis | high PaCO2; decrease in pH; < 7.35; increase in PaCO2; normal HCO3 |
| Sodium Range | 135-145 meq/l |
| Phosophorus Range | 2.5 - 4.5 mg/dl |
| Magnesium Range | 1.3 - 3.5 meq/l |
| Potassium Range | 3.5 - 5.0 meq/l |
| Calcium | Milk, dairy products, canned fish, greens; 1000mg |
| Phosphorus | milk, soft drinks, processed foods; 700 mg |
| Magnesium | green leafy vegetables, nuts, beans, grains; 310-420mg |
| Sulfur | Meat, eggs, milk, dried peas, beans, nuts |
| Sodium | salt, processed foods; 1500mg |
| Potassium | whole grains, fruits, leafy vegetables; 4700 mg |
| Chloride | salt; 2300 mg |
| Iron | liver, lean meats, grain breads, ceral; 2-18 mg |
| Iodine | salt, seafood, food additives; 150 mg |
| Zinc | oyesters, liver, meats, peas, beans, nuts; 8-11 mg |
| Manganese | whole grains, nuts, dried pease, beans, fruit; 1.8-2.3 mg |
| Vitamin C | citrus fruits, broccli, green peppers, strawberries, greens; 75-90 mg |
| Vitamin B complex | liver, egg yolk, poultry, meats, sefood, green leafy veggies, yeast, banana, broccli, spinach, milk |
| Vitamin A | liver, carrots, egg, yolk, fortified milk; 700-900 mg |
| Vitamin D | sunlight, fortified milk, fish; 5ug |
| Vitamin E | vegetable oils, wheat, whole grains; 15 ug |
| Vitamin K | green leafy vegetables, intestines from gut; 90-125 ug |