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