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Pharm Ch. 36&37
| Question | Answer |
|---|---|
| What is the most common form of oral medication? | Tablets |
| Medication that contains outer coating that does not dissolve until medication reaches the intestines. | Enteric-coated tablets |
| Designed to slow the absorption of the drug | Sustained-release tablets (extended release) |
| Can you crush or break sustained-released or enteric-coated tablets? | NO |
| Why can't you crush a sustained-released tablet? | This will cause the patient to recieve all of the drug at once which can lead to adverse effects and possible overdose. |
| Why can't you crush an enteric-coated tablet? | Can cause the medication to be absorbed in the stomach rather than the intestine, leading to gastric irritation or possible destruction of the medication. |
| Buccal tablets are designed to: | Dissolve between the cheek and gum, absorbing through the walls of numerous blood vessels in the inner cheek. |
| Sublingual tablets are designed to: | Dissolve under the tongue and are absorbed by blood vessels there. |
| Do buccal or sublingual tablets need to be digested to enter bloodstream? | No. |
| CAPSULE | Gelatin shell containing a powder or pellets of medication. |
| Which are easier to swallow, tablets or capsules? | Capsules |
| If the patient is unable to swallow the capsule: | It can be opened and contents can be mixed with 1 to 2 teaspoons of soft food, such as applesauce or ice cream. |
| Why shouldn't you put crushed tablets in full servings? | Because the patient may refuse to eat the serving and you will be unaware of how much medication was taken. |
| Medications that should not be crushed include: | Buccal/sublingual tablets, effervescent tablets, enteric coated tablets, liquid-filled gel caps, medications that taste too bitter to swallow, mucous membrane irritants, neoplastic agents (chemotherapy), sustained-release tablets, orally disint. tablets |
| Forms of liquid medication: | Elixir, solution, suspension, syrup |
| ELIXIR | May contain sweeteners or flavorings, may contain water and alcohol. Generally clear in appearance. |
| SOLUTION | Liquid that contains a dissolved substance. |
| SUSPENSION | Contains fine particles of medication mixed with, but not dissolved in, a liquid. When mixture sits, particles drift to bottom of the liquid. |
| SYRUP | Concentrated aqueous preparation of sugars, with or without flavoring agents, and medical substances. |