Chapter 14 Medication Administration: Vital Vocabulary Flashcards

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1
Q

A sealed hub on a an administration set designed for sterile access to the IV fluid

A

access port

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2
Q

Tubing that connects to the IV bag port and the catheter to deliver IV fluid

A

administration set

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3
Q

Small glass containers that are sealed and the contents sterilized

A

ampules

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4
Q

The anterior aspect of the elbow

A

antecubital

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5
Q

A substance that prevents blood from clotting

A

anticoagulant

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6
Q

Chemicals used to cleanse an area before performing an invasive procedure, such as starting an IV line; not toxic to living tissues; examples include isopropyl alcohol and iodine

A

antiseptics

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7
Q

A method of cleansing used to prevent contamination of a site when you are performing an invasive procedure, such as starting an IV line

A

aseptic technique

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8
Q

Pertaining to the ear

A

aural

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9
Q

A special type of macrodrip administration set designed to facilitate rapid fluid replacement by manual infusion of multiple IV bags or IV-blood replacement combinations

A

blood tubing

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10
Q

A term used to describe “in one mass”; in medication administration, a single dose given by the intravenous or intraosseous route; may be a small or large quantity of the drug

A

bolus

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11
Q

A spring-loaded device that is used for inserting an intraosseous needle into the proximal tibia in adult and pediatric patients

A

Bone Injection Gun (BIG)

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12
Q

Between the cheeks and gums

A

buccal

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13
Q

A rigid, hollow, venous cannulation device identified by its plastic “wings” that act as anchoring points for securing the catheter

A

butterfly catheter

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14
Q

The insertion of a catheter, such as into a vein to allow for fluid flow

A

cannulation

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15
Q

Occurs when a needle is reinserted into the catheter, and it slices through the catheter, creating a free-floating segment

A

catheter shear

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16
Q

A scale for measuring temperature where water freezes at 0 degrees and boils at 100 degrees

A

Celsius scale

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17
Q

Solutions that contain molecules (usually proteins) that are too large to pass out of the capillary membranes and, therefore, remain in the vascular compartment

A

colloid solution

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18
Q

The total weight of a drug contained in a specific volume of liquid

A

concentration

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19
Q

The puncturing of an emergency care provider’s skin with a needle or catheter that was used on a patient

A

contaminated stick

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20
Q

Solutions of dissolved crystals (for example, salts or sugars) in water; contain compounds that quickly dissociate in solution

A

crystalloid solutions

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21
Q

An intravenous solution made up of 5% dextrose in water

A

D5W

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22
Q

Depletion of the body’s systemic fluid volume

A

dehydration

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23
Q

The amount of a drug that the physician orders for a patient; the drug order

A

desired dose

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24
Q

The shaft of a long bone

A

diaphysis

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25
Q

A solution (usually water or normal saline) used for diluting a medication

A

diluent

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26
Q

Chemicals used on nonliving objects to kill organisms; toxic to living tissues

A

disinfectants

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27
Q

Gentle downward or lateral traction on the skin

A

distal traction

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28
Q

The area of the administration set where fluid accumulates so that the tubing remains filled with fluid

A

drip chamber

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29
Q

Injecting sterile water or saline from one vial into another vial containing a powdered form of the drug

A

drug reconstitution

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30
Q

A fluid solution, possibly containing supplemental medications, that can be administered rectally to aid in a variety of gastrointestinal complications

A

enema

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31
Q

Medication administration that involves the medication passing through a portion of the gastrointestinal tract

A

enteral medications

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32
Q

The growth plate of a bone; a major site of bone development during childhood

A

epiphyseal plate

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33
Q

The ends of a long bone

A

epiphyses

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34
Q

Large neck vein that is lateral to the carotid artery

A

external jugular (EJ) vein

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35
Q

A handheld, battery-powered driver to which a special intraosseous needle is attached; used for insertion of the intraosseous needle into the proximal tibia of children and adults

A

EZ-IO

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36
Q

A scale for measuring temperature where water freezes at 32 degrees and boils at 212 degrees

A

Fahrenheit scale

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37
Q

Manual sternal intraosseous devices used in patients age 12 and older; include an infusion tube, subcutaneous portal, an introducer, a target/ strain relief patch, and a protective dome

A

First Access for Shock Trauma (FAST) devices

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38
Q

The area of an IV catheter that fills with blood to help indicate when a vein is cannulated

A

flash chamber

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39
Q

Tubes that are commonly inserted in patients in the prehospital setting to decompress the stomach; can also be used to administer certain enteral medications

A

gastric tubes

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40
Q

The internal diameter of an IV catheter or needle

A

gauge

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41
Q

A unit of measure that indicates drops

A

gtt

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42
Q

An accumulation of blood in the tissues beneath the skin; a potential complication of IV therapy

A

hematoma

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43
Q

The body’s natural blood-clotting mechanism

A

hemostasis

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44
Q

A solution that has a greater concentration of sodium than does the cell; the increased osmotic pressure can draw out water from the cell and cause it to collapse

A

hypertonic solution

45
Q

A solution that has a lower concentration of sodium than does the cell; the increased osmotic pressure lets water flow into the cell, causing it to swell and possibly burst

A

hypotonic solution

46
Q

Devices that are implanted in surgery, sutured under the skin, for the purpose of long-term medication administration, total parenteral nutrition, chemotherapy, blood product administration, and venous blood sampling; an arteriovenous fistula is an example

A

implanted vascular access devices

47
Q

The escape of fluid into the surrounding tissue; the result of vein perforation during intravenous cannulation

A

infiltration

48
Q

A mechanical device that infuses a precise intravenous volume programmed by the clinician

A

infusion pump

49
Q

Breathing into the lungs; a medication delivery route

A

inhalation

50
Q

The layer of the dermis, just beneath the epidermis; a medication delivery route

A

intradermal

51
Q

Into a muscle; a medication delivery route

A

intramuscular (IM)

52
Q

Within the nose

A

intranasal

53
Q

Within the bone

A

intraosseous (IO)

54
Q

A technique of administering fluids, blood and blood products, and medications into the intraosseous space of a long bone, usually the proximal tibia

A

intraosseous infusion

55
Q

The spongy cancellous bone of the epiphyses and the medullary cavity of the diaphysis, collectively

A

intraosseous space

56
Q

Within a vein

A

intravenous (IV)

57
Q

Cannulation of a vein with an IV catheter to access the patient’s vascular system

A

intravenous therapy

58
Q

The amount of charged particles found in a particular area

A

ionic concentration

59
Q

Intravenous solution that does not cause a fluid shift into or out of the cell; examples include normal saline and lactated Ringer solutions

A

isotonic crystalloid solutions

60
Q

A solution that has the same concentration of sodium as does the cell. In this case, water does not shift, and no change in cell shape occurs

A

isotonic solution

61
Q

A sterile isotonic crystalloid IV solution of specified amounts of calcium chloride, potassium chloride, sodium chloride, and sodium lactate in water

A

lactated Ringer (LR) solution

62
Q

Reactions that occur in a localized area; a potential complication of intravenous therapy

A

local reactions

63
Q

Administration sets named for the large orifice between the piercing spike and the drip chamber; allow for rapid fluid flow into the vascular system; allow 10 or 15 gtt/ mL , depending on the manufacturer

A

macrodrip sets

64
Q

A term applied to the practice of preventing contamination of the patient by using aseptic technique

A

medical asepsis

65
Q

A pressurized canister that delivers a specific dose of a medication; commonly used for beta-agonist bronchodilators

A

metered-dose inhaler (MDI)

66
Q

A decimal system based on tens for the measurement of length, weight, and volume

A

metric system

67
Q

Administration sets named for the small needlelike orifice between the piercing spike and the drip chamber; allow for carefully controlled fluid flow and are ideally suited for medication administration; allow for 60 gtt/ mL

A

microdrip sets

68
Q

A single vial divided into two compartments by a rubber stopper; methylprednisolone sodium succinate (Solu-Medrol) is stored this way

A

Mix-o-Vial

69
Q

A device that attaches to the end of a syringe that is used to spray (atomize) certain medications via the intranasal route

A

mucosal atomizer device (MAD)

70
Q

A device for producing a fine spray or mist that is used to deliver inhaled medications

A

nebulizer

71
Q

A spring-loaded device that contains neither drill nor battery, used for inserting an intraosseous needle into the proximal tibia of an adult patient

A

New Intraosseous (NIO) device

72
Q

Devices that have been inserted by direct venipuncture through the skin directly into a selected vein, for the purpose of long-term medication administration, total parenteral nutrition, chemotherapy, and venous blood sampling; peripheral inserted central catheters and central venous catheters are examples

A

non-tunneling devices

73
Q

A solution of 0.9% sodium chloride; an iosotonic crystalloid

A

normal saline

74
Q

Blockage, usually of a tubular structure such as a blood vessel or IV catheter

A

occlusion

75
Q

Pertaining to the eye

A

ocular

76
Q

The ability to influence the movement of water across a semipermeable membrane

A

osmolarity

77
Q

A congenital bone disease that results in fragile bones

A

osteogenesis imperfecta

78
Q

Inflammation of the bone and muscle caused by infection

A

osteomyelitis

79
Q

An increase in the body’s systemic fluid volume

A

overhydration

80
Q

A Teflon (plastic) catheter inserted over a hollow needle

A

over-the-needle catheter

81
Q

A route of medication administration that involves any route other than the gastrointestinal tract

A

parenteral route

82
Q

A type of surgical drain often used as a constricting band

A

Penrose drain

83
Q

Through the skin or mucous membrane

A

percutaneous

84
Q

A technique in which a cannula (tube) is inserted into veins of the peripheral areas, that is, veins that can be seen and/ or palpated. Examples or peripheral veins include those of the hand, arm, and lower extremity and the external jugular vein

A

peripheral vein cannulation

85
Q

The hard, sharpened plastic spike on the end of the administration set designed to pierce the sterile membrane of the IV bag

A

piercing spike

86
Q

Medication syringes that are prepackaged and prepared with a specific concentration

A

prefilled syringes

87
Q

A sleeve that is placed around the IV bag and inflated to force fluid to flow from the IV bag and into the tubing

A

pressure infuser device

88
Q

A blood clot or foreign matter trapped within the pulmonary circulation

A

pulmonary embolism

89
Q

A reaction characterized by an abrupt temperature elevation (as high as 106 degrees F [41 degrees C]) with severe chills, backache, headache, weakness, nausea, and vomiting; a potential complication of intravenous or intraosseous therapy

A

pyrogenic reaction

90
Q

Feature of an IV catheter (or any other object) that allows it to appear on a radiograph

A

radiopaque

91
Q

Special types of IV devices that eliminate the need to hang a bag of IV fluid; also called a buff cap or INT (intermittent); commonly used for patients who do not require fluid boluses but may require medication therapy

A

saline locks

92
Q

Any contaminated item that can cause injury; includes IV needles and catheters, broken ampules or vials, or anything else that can penetrate or lacerate the skin

A

sharps

93
Q

The destruction of all living organisms; achieved by using heat, gas, or chemicals

A

sterile

94
Q

Into the tissue between the skin and muscle; a medication delivery route

A

subcutaneous

95
Q

Under the tongue; a medication delivery route

A

sublingual

96
Q

A drug mixed in a firm base that melts at body temperature and is shaped to fit the rectum

A

suppository

97
Q

Fainting; brief losses of consciousness caused by transiently inadequate blood flow to the brain

A

syncopal episodes

98
Q

Reactions that affect systems of the body

A

systemic complications

99
Q

The shifting of fluid into the tissues, creating edema

A

third spacing

100
Q

Inflammation of a vein

A

thrombophlebitis

101
Q

The visible scars from repeated cannulation of a vein; commonly associated with illicit drug use

A

track marks

102
Q

Across the skin; a medication delivery route

A

transdermal

103
Q

A solid boring needle

A

trocar

104
Q

A cylindrical device that attaches to and 18- or 20- gauge sampling needle; accomodates self-sealing blood tubes when blood samples are being obtained

A

Vacutainer

105
Q

Veins on the leg that are large, twisted, and ropelike and can cause pain, swelling, or itching

A

varicose veins

106
Q

The development of a stationary blood clot in the venous circulation

A

venous thrombosis

107
Q

Small glass or plastic bottles that contain medication; may contain single or multiple doses

A

vials

108
Q

The amount of fluid you have on hand, such as the amount of fluid in an IV bag or the amount of fluid in a vial of medication

A

volume on hand

109
Q

A special type of microdrip set that features a 100- or 200- mL calibrated drip chamber; used for fluid regulation in patients prone to circulatory overload, such as pediatric and older patients; also called a Buretrol

A

Volutrol