Ch 5: Medication Therapy Flashcards
Active Ingredients
mixed with water, alcohol, both, the resulting preparations are either solutions or suspensions
Solutions
rarely separate when left standing and if they separate must be thrown away. tinctures, fluidextracts, elixirs, spirits, Syrups
Suspensions
if left standing particles will settle at the bottom, you must shake the bottle well before use, Emulsions Magmas, Gels, Liniments, Lotions, Aerosols
Ointments
Pastes
Tablets
Capsules
Sustained Release Tablets and capsules
Enteric-Coated Tablets and Capsules
Troches and Lozenges
Suppositories
Routes of Administration
Oral, Sublingual, Buccal, Topical, Rectal, Vaginal, Inhalation, Parenteral
Buccal
buc; inside the cheek
Intradermal
ID;Into the skin
Intravenous
IV;into the Vein
Intramuscular
IM;Into the muscle
Oral
PO, p.o. ; By mouth
Rectal
R, By rectum
Subcutaneously
subcut; under the skin into the fatty layer
Sublingual
SL,sublin,subl ; under the toungue
Topical
on the skin
Vaginal
vag
Instillation
topical medications for the eyes ears and nose,
Insertion
inserted into the vagina,urinary bladder or rectum
Irrigation
rinsed with water containing drugs
Inhalation
sprayed or inhaled into the nose
Parenteral
injecting a drug into the body
Infusion
is the insertion of a needle or tube into a vein through which fluids are slowly added to the bloodstream over a period of time
Outpatients
patients who are discharged from a hospital who are seeing a doctor in a clinic or an office
Types of Drug Orders
Routine, standing, PRN, stat, verbal, telephone, facsimile, computerized
Routine Order
The ordered drug where a drug is administered until the drug is terminated
Standing Order
Outlines a specific condition in which a drug is to be administered
PRN Order
Order for the drug to be given when requested when a patient needs
Stat Order
a single order that is given immediately
Verbal Order
Orally expressed and not written down
Telephone Order
Verbal Order given over the telephone
Facsimile Order
order transmitted by using a Fax Machine
Computerized Order
Transmitted via computer is becoming the routine replacement for hand written orders
a.c.
before meals
ad lib
as desired
AM, a.m.
morning
BID, bid
Twice a day
h, hr
hourly
n, noc.
night
p.c.
after meals
PM, p.m.
afternoon
q.h.
every hour
q2h,q.2h
every 2 hours
q3h, q.3h
every 3 hours
q4h, q.4h
every 4 hours
QID,qid
four times a day
stat
Immediately
TID, tid
Three times a day
a
before
ophth.,op
ophthalmic
-
p
after
-
c.
with
NKA
No known Allergies
per
by means of
pH
Hydrogen Concentration
PO, p.o.
by mouth
q.
every
Rx
take/description
-
s.
without
sig.
lable
DC, d/c
discontinue
dil.
dilute
n.p.o.
nothing by mouth
AD
right ear
AS
left ear
AU
both ears
h.s.
Bedtime
MS4
Morphine Sulfate
MgS
Magnesium Sulfate
OD
right eye
OS
left eye
OU
both eyes
Os
by mouth, PO
q.d. QD
daily
q.o.d
Every other day
SC,SQ,subq
subcut, subcutaneously
Pharmacy requisition form
this is used if you have no physicians order sheets
Single Unit Dose
individually wrapped or bottled
Multiple dose
multiple times given from the same container or bottle
Automated medication dispensing system
PYXIS makes drug management simpler and safer
Medication administration record (MAR)
convenient way to document all the drugs administered in a day
Controlled substances
Drugs who’s use is restricted
narcotics, stimulants and depressants
Setting up medications
- clear your mind of everything except getting the medication set up properly
- before any medications, think about cleanliness
- setting up is the time when you decide need to decide whether you must calculate a dose
- When you pour the liquid medication from a bottle pour it from the side away from the label
- if preparing a unit dose tablet place the packaged tablet directly into the medicine cup
- Decide whether the liquid is to be mixed with a liquid or a food
The seven RIGHTS
Right drug, Right dose, right patient, right route, right time, right technique, right documentation
Problem-oriented medical record (POMR)
the chart is organized according to a numbered list of problems or diagnosis
subjective-objective-assessment-plan (SOAP)
problem intervention evaluation (PIE)
Subjective Objective Assessment Plan
Problem Intervention Evaluation
Incident Report
Medication Error must immediately be reported to the nurse