Drug Administration Flashcards
six rights
- right drug
- right dose
- right time
- right route of administration
- right patient
- right to refuse
knowledge of medication
- know the appropriate dose
- know the appropriate routes
- know the possible side effects
- know the drug class of the medication
tablet
compressed drug with fillers, binders, and coloring agent
hard capsule
drug and filler with two ends prescriptions
soft capsule
liquid filled
Enteric coated
not dissolved in acidic media
(Will dissolve in alkaline area (intestine) to protect the stomach for example baby aspirin
prolonged action
sustained release
oral liquid forms
- Syrup- sugar in water solution
- for example cough syrups
- elixir- hydroalcoholic liquid
- alcohol used to dissolve the drug
- sometime cant dissolve in water
- alcoholics cant be prescribed with
- suspension- particles suspended in solution, must shake well
- does not dissolve
- for example antibiotics liquid form
Parenteral Administration
- intravenous 100% absorption
- subcutaneous
- intramuscular
- intradermal
- intrathecal
- intra articular
subcutaneous
- underneath skin into loose connective tissue, 1-2 ml max volume
- for example: botox, insulin, heparin
intramuscular
deposited between layers of muscle, 2 to 3 ml max volume, z-track option
intradermal
- below skin surface, 0.1 ml maximum volume
- ppd tuberculosis skin test
intrathecal
- directly in spinal fluid
- epidural and some antibiotic and cerebral
intra articular
directly into joints
rheumatoid arthritis
rectal
poor and erratic absorption
(worse route)
inhalation
- directly to the site of action if not swallowed first
- asthma directly to the lungs
- allergic rhinits
*
sublingual/ buccal
avoids stomach acid
(under tongue or side of the cheeks of mough)
(nitrogycerin)
Topical
- ointments, creams, patches, etc.
- For example:
- hormones
- post menopausal
- contraceptives
- nicotine
- pain relievers
- hormones