-
The available amount of solution containing a medication.
VOLUME ON HAND
-
The amount of drug available in solution.
DOSAGE ON HAND
-
Weight per volume
CONCENTRATION
-
Specific quantity of medication needed.
DESIRED DOSE
-
Standard concentration of routinely used medications.
STOCK SOLUTION
-
Agents used in the diagnosis, treatment, or prevention of disease.
MEDICATIONS / DRUGS
-
Right person
Right drug
Right dose
Right time
Right route
Right documentation
SIX RIGHTS OF DRUG ADMINISTRATION
-
Measures to decrease your risk of exposure to blood and body fluids.
STANDARD PRECAUTIONS
-
A condition free of pathogens.
ASEPSIS
-
Limited to one area of the body
LOCAL
-
Throughout the body.
SYSTEMIC
-
Free of ALL forms of life.
STERILE
-
Careful handling to prevent contamination.
MEDICALLY CLEAN
-
Cleansing agent that is toxic to living tissue.
DISINFECTANT
-
Cleansing agent that is NOT toxic to living tissue.
ANTISEPTIC
-
Rigid, puncture-resistant container clearly marked as a biohazard.
SHARPS CONTAINER
-
Material applied to and absorbed through the skin or mucous membrane.
TOPICAL MEDICATION
-
Percutaneous
Pulmonary
Enteral
Parenteral
ROUTES OF DRUG ADMINISTRATION
-
Transdermal mucous membranes
PERCUTANEOUS ROUTES
-
Tongue
Eye
Ear
Nose
Cheek
MUCOUS MEMBRANES MEDICATION SITES
-
Beneath the tongue
SUBLINGUAL
-
Between the cheek and gum
BUCCAL
-
Drug administered through the mucous membranes of the eye.
OCULAR MEDICATION
-
o.d. (R) eye - oculus dexter
o.s. (L) eye - oculus sinister
o.u. Both eyes - oculus uterque
ABBREVIATIONS THAT DESIGNATE (R), (L), OR BOTH EYES
-
Drug adminstered through the mucous membranes of the nose.
NASAL MEDICATION
-
Device that produces a fine aerosol mist that permits wide and even distribution of a medication across the nasal muscosa.
- MEDICATION ATOMIZATION DEVICE
- (MAD)
-
Drug administered through the mucous membrane of the ear and ear canal.
AURAL MEDICATION
-
Drawing of medication into the lungs along with air during breathing.
INHALATION
-
Placement of medication in or under skin with a needle and syringe.
INJECTION
-
Metered dose inhaler
Endotracheal tube
Nebulizer
PULMONARY MEDICATION MECHANISMS
-
Inhalation aid that disperses liquid into aerosol spray or mist.
NEBULIZER
-
Hand-held device that produces a medicated spray for inhalation.
METERED DOSE INHALER
-
Lidocaine
Vasopression
Epinephrine
Atropine
Naloxone
ENDOTRACHEAL MEDICATIONS
-
Through the G.I. tract
ENTERAL
-
Gastric tube
Oral
Rectal
ENTERAL ROUTES
-
Contain liquid, dry, or beaded medication in a soluble casing.
*For max. effect: swallow whole
CAPSULES
-
Comprised of medicated powder.
Compressed into a small, solid disk.
*May be scored to permit breaking in half or quaters for smaller doses.
TABLETS OR PILLS
-
Releases drug gradually as layers of the capsule/table erode.
*MUST be swallowed whole
ENTERIC COATED / TIME-RELEASE CAPSULES AND TABLETS
-
Liquid medications combined with alcohol or placed in a sweetened fluid.
ELIXIRS
-
Medications combined with fat or oil emulsifier.
EMULSIONS
-
Solid forms of medication that slowly dissolve in the mouth.
Permitting gradual swallowing.
LOZENGES
-
A liquid that contains small particles of solid medication.
SUSPENSIONS
-
Concentrated solution of sugar in water or another liquid to which a medication is added.
SYRUPS
-
Change in a medications chemical composition that occurs in the liver.
HEPATIC ALTERATION
-
Medication packaged in a soft, pliable form for insertion into the rectum.
SUPPOSITORY
-
A liquid bolus of medication that is injected into the rectum.
ENEMA
-
Concentrated mass of medication.
BOLUS
-
Outside of the G.I. tract
PARENTERAL
-
Plastic tube with which liquid medications can be drawn up, stored, and injected.
SYRINGE
-
Hollow metal tube used with the syringe to administer medications.
HYPODERMIC NEEDLE
-
The size of a needles diameter
GAUGE
-
Breakable glass vessel containing liquid medication.
AMPULE
-
Plastic or glass container with a self-sealing rubber top.
VIAL
-
Vial with 2 containers, one holding a powdered medication and the other holding a liquid mixing solution.
NON-CONSTITUTED DRUG VIAL / MIX-O-VIAL
-
Syringe packed in a tamper-proof container with the medication already in the barrel.
PRE-FILLED / PRE-LOADED SYRINGE
-
Parenteral medication packaged in an IV bag and administered as an IV infusion.
MEDICATED SOLUTION
-
Liquid medication delivered through a vein.
INFUSION
-
Intravenous access
Intraosseous infusion
INJECTIONS:
Intradermal
Intramuscular
Subcutaneous
PARENTERAL ROUTES
-
Within the dermal layer of skin.
INTRADERMAL
-
The layer of loose connective tissue between the skin and muscle.
SUBCUTANEOUS
-
Within the muscle
INTRAMUSCULAR
-
Deltoid
Dorsal gluteal
Vastus lateralis
Rectus femoris
INTRAMUSCULAR INJECTION SITES
-
Surgical puncture of a vein to deliver medication or withdraw blood.
*Also called cannulation.
INTRAVENOUS (IV) ACCESS
-
Surgical puncture of a vein in the arm, leg, or neck.
PERIPHERAL VENOUS ACCESS
-
Surgical puncture of the internal jugular, subclavian, or femoral vein.
CENTRAL VENOUS ACCESS
-
Line threaded into the central circulation via a peripheral site.
PERIPHERALLY INSERTED CENTRAL CATHETER (PICC)
-
Chemically prepared solution tailored to the body's specific needs.
INTRAVENOUS FLUID
-
IV solutions containing large proteins that cannot pass through capillary membranes.
COLLOID
-
IV solutions that contain electrolytes but lack the larger proteins associated with colloids.
CRYSTALLOID
-
State in which solutions on opposite sides of a semipermeable membrane are in equal concentrations.
ISOTONIC
-
State in which a solution has a higher solute concentration on one side of a semipermeable membrane than on the other side.
HYPERTONIC
-
State in which a solution has a lower solute concentration on one side of a semipermeable membrane than on the other side.
HYPOTONIC
-
Hypertonic
Isotonic
Hypotonic
CRYSTALLOID CLASSES
-
Flexible, clear plastic tubing that connects the solution bag to the IV cannula.
ADMINISTRATION TUBING
-
Hollow needle used to puncture a vein.
CANNULA
-
Administration tubing that delivers a relatively small amount of fluid.
- MICRODRIP ADMINISTRATION TUBING
- (60 gtt/min)
-
Administration tubing that delivers a relatively large amount of fluid.
MACRODRIP ADMINISTRATION TUBING
-
Sharpened-pointed device inserted into the IV solution bag's administration set port.
SPIKE
-
Clear, plastic chamber that allows visulazation of the the drip rate.
DRIP CHAMBER
-
Pace at which the fluid moves from the bag into the patient.
DRIP RATE
-
Device that regulates the size of drops.
DROP FORMER
-
Self-sealing membrane into which a hypodermic needle is inserted for drug administration.
MEDICATION INJECTION PORT
-
Rigid, plastic device specifically constructed to fit into the hub of an intravenous cannula.
NEEDLE ADAPTER
-
IV tubing used to extend a macrodrip or microdrip setup.
EXTENSION TUBING
-
IV setup that delivers specific volumes of fluid.
MEASURED VOLUME ADMINISTRATION SET
-
Calibrated chamber of Berutol IV administration tubing that enables precise measurement and delivery of fluids and medicated solutions.
BURRETTE CHAMBER
-
Administration tubing that contains a filter to prevent clots or other debris from entering the patient.
BLOOD TUBING
-
Semi-flexible catheter enclosing a sharp metal stylet.
OVER-THE-NEEDLE CATHETER / ANGIOCATHETER
-
Stylet that does NOT have a Teflon tube, is itself inserted into the vein and secured there.
HOLLOW NEEDLE CATHETER
-
Teflon catheter inserted through the needle / intracatheter.
CATHETER INSERTED THROUGH THE NEEDLES' / INTRACATHETER
-
Flat, rubber band used to inpede venous return and make veins easier to see.
VENOUS CONSTRICTING BAND
-
Leakage of fluid or medication from the blood vessel that is commonly found with infiltrations.
EXTRAVASATION
-
IV TROUBLESHOOTING
- Constricting band still in place?
- Edema at puncture site?
- Cannula abutting vein wall or valve?
- Administration set control valves closed?
- IV bag too low?
- Completely filled drip chamber?
- Catheter patient?
-
IV ACCESS COMPLICATIONS
- Pain
- Local infection
- Pyrogenic reaction
- Allergic reaction
- Catheter shear puncture
- Circulatory overload
- Thrombophlebitis
- Thrombus formation
- Air embolism
- Necrosis
- Anticoagulants
-
Foreign protein capable of producing fever.
PYROGEN
-
Foreign particle in the blood.
EMBOLUS
-
An excess of intravascular fluid.
CIRCULATORY OVERLOAD
-
Inflammation of the vein.
THROMBOPHLEBITIS
-
-
Air in the vein.
AIR EMBOLISM
-
The sloughing off of dead tissue.
NECROSIS
-
Drug that inhibits blood clotting.
ANTICOAGULANT
-
Peripheral IV cannula with a distal medication port used for intermittent fluid or medication infusions.
Saline is injected into the device to maintain it's patency.
SALINE LOCK
-
Peripheral IV cannula with a distal medication port used for intermittent fluid or medication infusions.
Flushes of heparin solution, which inhibit blood coagulation, are used to maintain patency of the device.
HEPARIN LOCK
-
Surgically implanted port that permits repeated access to central venous circulation.
VENOUS ACCESS DEVICE
-
Needle that has an opening on the side of the shaft instead of the tip.
HUBER NEEDLE
-
Gravity-flow device that regulates fluid's passage through an electrochemical pump.
INFUSION CONTROLLER
-
Outside the vein.
EXTRAVASCULAR
-
Device that delivers fluids and medications under positive pressure.
INFUSION PUMP
-
Glass container with color-coded, self-sealing rubber top.
BLOOD TUBE
-
Device that holds blood tubes.
VACUTAINER
-
Long, exposed needle that screws into the vacutainer and is inserted directly into the vein.
MULTIDRAW NEEDLE
-
Elevated numbers of red and white blood cells.
HEMOCONCENTRATION
-
The destruction of red blood cells.
HEMOLYSIS
-
Within the bone.
INTRAOSSEOUS
-
A sharp, pointed instrument.
TROCAR
-
INTRAOSSEOUS ACCESS COMPLICATIONS
- Fracture
- Infilltration
- Growth plate damage
- Complete insertion
- Pulmonary embolism
- Infection
-
FUNDAMENTAL METRIC UNITS
- Grams - mass
- Meters - distance
- Liters - volume
-
METRIC PREFIXES
- kilo - 1,000 - (k)
- hecto - 100 - (h)
- deka - 10 - (D)
- deci - 1/10 or 0.1 - (d)
- centi - 1/100 or 0.01 - (c)
- milli - 1/1,000 or 0.001 - (m)
- micro -1/1,000,000 or 0.000001 - (mcg)
-
CONVERSION OF UNITS OF MEASURE
- BIG to small (must get LARGER)
- Move decimal 3 places to (R)
- small to BIG (must get smaller)
- Move decimal 3 places to (L)
-
Predetermined amount of medication or fluid.
UNIT
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