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PHM1000 Pharmacy Technician - Chapter 7: Routes/Formulations De More

Quiz yourself by thinking what should be in each of the black spaces below before clicking on it to display the answer.
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Question
Answer
Intra   into  
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Intravenous   into the the venous (circulatory) system  
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intraocular   into the eye; PARENTERAL; solutions, suspensions, ointments, inserts  
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intracardiac   into the heart  
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intraarterial   into the artery  
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intrspinal   into the spine  
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intraosseous   into the bone  
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intraarticular   into the joint  
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intrarespiratory   into the lung  
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Enteral   anything involving the alimentary tract (mouth to anus)  
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Parenteral   any sites of administration besides the enteral tract. (i.e. vaginal)  
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Oral   ENTERAL; Tablets, Capsules, Bulk Powders, Solutions, Suspensions, Elixirs, Syrups, Emulsions  
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Buccal   ENTERAL; Tablets, Solutions  
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Sublingual   ENTERAL; Tablets, Lozenges  
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Rectal   ENTERAL; Solutions, Ointments, Suppositories  
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intranasal   PARENTERAL; solutions, suspensions, sprays, aerosols, inhalers, powders  
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inhalation   PARENTERAL; solutions, aerosols, powders,  
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IV/IM/ID   intravenous/intramuscular/intradermal; PARENTERAL; solutions, suspensions, emulsions  
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dermal   solutions, tinctures, collodions, liniments, suspensions, ointments, creams, gels, lotions, pastes, plasters, powders, aerosols, transdermal patches  
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subcutaneous   PARENTERAL; solutions, suspensions, emulsions, implants  
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vaginal   PARENTERAL; solutions, ointments, creams, aerosol foams; powders; suppositories, tablets, IUDs  
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pH   measures the acidity or alkalinity of a substance. 7 is neutral. Higher numbers = more alkaline (8-14) Lower numbers = more acidic (1-6).  
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stomach acid   pH of 1-2  
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enteric coated   coating on tablets that delays disintegration of a tablet until it reaches the higher pH of the intestine.  
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disintegration   breaking apart of a tablet into smaller pieces  
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dissolution   when the smaller pieces of a disintegrated tablet dissolve in a solution  
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modified release   oral formulations that release the drug so a longer duration of action occurs. SR (sustained release) SA (slow acting), ER/XR (extended release) PA (prolonged action), CR (controlled/continuous release) TR (time release) LA (long acting)  
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solutions   clear liquid made up of one or more substances dissolved in a solvent(Aqueous solutions)  
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syrups   concentrated or nearly saturated solution of sucrose in water, contain less than 10% of alcohol.  
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nonaqueous solution   contain solvent other then water (glycerin, alcohol, propylene glycol can be used in oral solutions)  
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elixirs   lear sweetened, hydroalcoholic liquids, less sweet and viscous than syrup,alcohol content 5-40%  
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spirits   alcoholic or hydroalcoholic solutions of volatile substances with alcohol content 62-85%. Typically used for flavoring effect (Peppermint Spirit) but can be used for medicinal purposes (Spirit of Camphor)  
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tinctures   nonvolatile substances:10gm drugs in 100ml of solutions; Ex: Tincture of Iodine  
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suspensions   formulations in which the drug is not completely dissolved in the solvent.  
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emulsions   mixture of two or more immiscible (unblendable) liquids; "Oil and Water don't mix"; an emulsifier is is used to formulate a homogenous mixture between the two ingredients  
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creaming   one of two distinct phases of separation that occurs with emulsions; occurs when dispersed droplets merge and rise to the top or fall to the bottom of the emulsion; redispersed by shaking  
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coalescence   breaking or cracking; irreversable seperation of dispersed phase (emulsions)  
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gelling agents   increase the viscosity or thickness of the medium in which they are placed (GELS)  
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water soluble   able to dissolve in water  
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sublingual   under the tongue  
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hemorrhoid   painful swollen veins in the anal/rectal area  
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IV   intravenous; 16-20 gauge/1-1.5" needle length  
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IM   intramuscular; 19-22 gauge/1-1.5" needle length  
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SC/SQ   subcutaneous; 24-27 gauge/ 3/8 - 1" needle length  
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ID   intradermal; 25-26 gauge/ 3/8" needle length  
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necrosis   increase in cell death  
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buffer system   ingredients in a formulation designed to control pH  
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sterile   free of all microorganisms, both harmful and harmless  
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aqueous   water based  
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diluent   solvent that dissolves a freeze dried powder or dilutes a solution  
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infusion   gradual injection of an intravenous solution into a patient  
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syringeability   the ease with which a suspension can be drawn from a container into a syringe  
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thrombus   blood clot; complication that can occur from IV administration  
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phlebitis   inflammation of veins; complication that can occur from IV administration  
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air emboli   occurs when air is injected into the veins; complication that can occur from IV administration  
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particulate matter   small pieces of material (ex: glass from ampule or vial) that can get through filtration in an IV line and cause complications if it gets into venous system  
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infusion pumps   used to ensure a constant delivery rate  
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elastometric pumps   useful for intermittent or very slow, continuous infusions  
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IM Injection sites   gluteal maximus, deltoid (upper arm) and thigh muscles  
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IM Injection formulations   solutions, suspensions, colloids in aqueous and oil based solvents, oil-in-water emulsions or water-in-oil emulsions  
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oil in water emulsions   an oil dispersed in water; mix readily with water based liquids (ex: milk. fat globules dispersed in water)  
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water in oil emulsions   water based mixed in oil; mix readily with oil based liquids (ex: cod liver oil)  
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z-tract injection   method of injecting medication into a large muscle using a needle and syringe; seals the medication deeply within the muscle and allows no exit path back into the subcutaneous tissue and skin. Used for medicines that stain the skin or irritate tissues.  
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SC injection sites   lower abdomen, front of thigh, back, back of upper arm  
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biocompatability   not irritating; does not promote infection or abcess  
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wheal   raised or blister-like area on the skin caused by an ID (intradermal) injection  
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normal volume of tears   estimated to be 7 to 10 microliters  
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normal commercial volume   50 microliters  
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% of dose lost from overflow of the eye   80% Only about 20% of a dose is actually absorbed into the eye.  
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Tear production   2 microliters per minute; turnover is every 2 to 3 minutes  
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Capacity of adult nasal cavity   20ml  
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inspiration   breathing in  
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MDI   metered dose inhalers  
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percutaneous absorption   absorption of drugs through the skin, often for systemic effect  
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Rules of percutaneous absorption   more drug is absorbed when applied to larger area; greater amount of rubbing in, the greater the absorption; longer the contact with the skin, the greater absorption; formulations or dressings that increase skin hydration generally improves absorption  
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stratum corneum   outermost layer of epidurmis  
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gels   dispersions of solid drugs in jelly like vehicle  
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lotions   suspensions of solid drugs in an aqueous vehicle  
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ointments   drugs incorporated into a base (such as petrolatum, polyethylene glycols)  
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colloidions   liquid preparations of pyroxylin (pulpy or cottonlike polymer) dissolved in a solvent mixture of ether and alcohol (ex: Liquid bandages)  
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liniments   alcoholic or oil based solutions, generally applied by rubbing (ex: absorbine jr.)  
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pastes   used for protective action; more solid materials than ointments, stiffer and less penetrating  
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plasters   provide prolonged contact at application site; solid or semisolid (common backing material: cotton, moleskin, paper)  
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powders   mixture of drug and inactive base (ex cornstarch)  
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transdermal systems   patches, tapes, gauzes used to deliver drugs through skin for a systemic effect  
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glycerinated gelatin   base used to make suppositories; good for prolonged local effects because it softens slowly; preferred for vaginal suppositories  
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polyethylene glycols   used in suppositories; dissolve when inserted into a body cavity, which allows for storage without refrigeration  
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solid formulations   tablets, capsules, bulk powder  
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modified released formulations   primary goal is to reduce the amount of doses; many terms are used to identify these drugs: ER/XR (extended release) prolonged action (PA), sustained release (SR) controlled/continued release (CR) time release (TR) and long acting (LA)  
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local effect   drug activity is at site of administration  
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systemic effect   drug introduced into the venous (circulatory) system and carried to site of activity  
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enteral routes   oral, buccal, sublingual, rectal  
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enteral dosage forms   tablets, capsules, bulk powders, solutions, suspensions, elixers, syrups, emulsions, lozenges, ointments, suppositores; (know what forms can be used where)  
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parenteral route   intraocular, intranasal, inhalation, intravenous, intramuscular, intradermal, dermal, dermal, subcutaneous, vaginal  
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parenteral dosage forms   solutions, suspensions, ointments, inserts, gels, aerosols, powders, colloids, emulsions, tinctures, liniments, creams, lotions, pastes, plasters, transdermal patches, IUDs (IMPORTANT: know what forms can be used where!)  
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sublingual & buccal   route of administration used when rapid action is desired; some limitations include bitter taste and conditions which may inhibit patient from taking medications orally  
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rectal administration   given for local effect or to avoid degradation; limitations include: many patients do not prefer rectal dosage forms, seen as inconvenient; absorption is erratic and unpredictable  
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parenteral administration   used becausee: poor absorption of oral drug, med degraded by stomach/intestinal acids, rapid drug response desired, patient is unconscious/unable to take the drug; disadvantages: cost/skills to administer, risks of administration or if reaction occurs  
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injection independent   opthalmic, intranasal, inhalation, dermal, vaginal, otic  
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injection dependent   intravenous, intramuscular, intradermal, subcutaneous, epidural, intrathecal  
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buffer system   ingredients in a formulation designed to control the pH  
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sterile   bacteria-free  
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complications that can occur from IV administration   thrombus, phlebitis, air emboli, particulate material  
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IM injection formulations   solutions, suspensions, oil-in-water emulsions, water-in-oil emulsions and colloids in aqueous and oil-based solvents  
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subcutaneous injection sites   lower abdomen, back of arm, front thigh, upper back  
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viscosity   thickness of liquid  
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wheal   caused by an ID inhection; raied blister-like area on the skin  
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ways intranasal dosage is lost   amounts of drug are swallowed; normal mucous flow remove drug; enzymes in mucosa metabolize certain drugs  
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recommended period for intranasal administration   3 to 5 days; prolonged used can lead to swelling, which can cause a rebound of symptons previously intended to be treated by the nasal spray.  
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syringability   ease with which a suspension can be be drawn from a container into a syringe  
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injectability   ease of flow when a suspension is injected into a patient  
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infusion   gradual intravenous injection of a volume of fluid into a patient ; generally a large volume (i.e. electrolyte solution)  
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infusion pumps   administration devises used for the administration of certain medications (such as analgesics or insulin) at a controlled rate  
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