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Terms and Definations

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Terms




Definitions


 


Solid


 Powder, Tablet, Pill, Bolus, Pessary, Suppository


 


Liquid


 Mixture, Tincture, Spirit, Suspension, Elixir, Emulsion, Extract, Infusion, Decoction, Injection, Liniment, Lotion


 


Semisolid


 Ointment, Cream, Paste, Electuary


 


Gases, Vapors


 Aerosol, Spray, Mist


 


Powder


 Mixture of drugs packaged in a packet

 Solid


 


Tablet


 Active drugs(s) combined with a binder and excipient, compressed by a machine.

 Solid


 


Excipient


 Inactive carrier for drugs in pharmacology


 


Enteric-Coated Tablet


 Acid Proof in the stomach, dissolve in alkaline small intestine


 


Pill


 Mixture of drugs and a sticky binder

 ovoid or spherical

 glazed sugar coating

 Solid


 


Capsule


 Container made of mixture of gelatin and glycerin

 Used with powder drugs and some liquids


 


Bolus


 Large cylindrical in shape

 Used for horses and cattle

 Solid


 


Mixture


 Aqueous solution or suspension for oral use

 Aromatic water of a volatile oil (peppermint) is added to prevent bacteria and mold

 Liquid


 


Pessary


 Conical (cone shaped) solid preparation for intravaginal use in humans


 


Suppository


 conical solid preparation given intrarectally for systemic effect in humans


 


Conical


 Cone Shaped


 


Paste


 Semisolid preparation for external or internal use


 


Electuary


 Semisolid preparation applied on the back of the tongue (systemic effect)


 


Tincture


 Alcoholic liquid with nonvolatile substance

 internal or external use


 


Spirit


 Alcoholic liquid with volatile substance

 Alcohol is the vehicle


 


Suspension


 Aqueous suspension of solids, usually contains dispersing agent (gum-tragacanth or methycellulose) to delay settling. Shake well before use


 


Syrup


 Solution of medical agents, flavoring, coloring, 85% sucrose solution (more than 50)


 


Elixir


 hydroalcoholic solution of medicinal agents, sweetened and flavored, keeps better than a mixture due to high alcohol content


 


Emulsion


 Oily substance dispersed in an aqueous medium with an emulsifying or a dispersing agent (gum-acacia, lecithin, methycellulose)


 


Dispersing Agent


 Additive in pharmaceuticals to evenly distribute the drug throughout the body.


 


Extract


 Obtained by Percolation (passing the solvent over the dried plant material), placing the material in the solvent (maceration), If water is used infusion, If boiling water (decoction)


 


Injections


 Sterile solutions or suspensions in an aqueous (sometimes oil vehicle) Heat sterilized or filtered. Some powders packaged aseptically in vials and then reconstituted with sterile water. Tablet injection similar to powder


 


Repository Form


 Slow Release Form


 


External Dosage Forms


 RED LABEL


 


Liniment


 Liquid or Semisolid preparation applied on the skin with friction. Counterirritant for chronic inflammation of muscles and tendons


 


Lotion


 Solution or suspension of soothing (anodyne) substances applied to skin for inflammation and pain relief


 


Ointment


 Semisolid greasy preparation in which the drug is dissolved or dispensed in a suitable base


 


Cream


 Drug in a water-oil emulsion, water will evaporate leaving the drug and a thin oil film on the skin


 


Dusting Powder


 A mixture of drugs in powder form for external use (starch or talc for adsorbents -(adheres to skin)


 


Aerosol


 A drug in a suitable solvent packaged under pressure with a propellant (fluorinated hydrocarbon or nitrogen)


 


Solid Vehicles (solvents or carriers)


 Starch, Sucrose, Talc, PVP, Resin


 


Oral Medication Vehicles


 Waters (peppermint), Syrup, Elixir


 


Injection Vehicles


 Sterile Water, Sterile Saline, Propylene Glycol, Polyethylene Glycol, Polyvinylpyrrolidone, Polysorbate 80 (Tween 80)


 


Semisolid Vehicles


 Paraffin Oil, Wax, Bee Wax, Vaseline


 


 


 

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Terms




Definitions


 


micro


 .000001 or 1/1,000,000


 


milli


 .001 or 1/1000


 


centi


 .01 or 1/100


 


deci


 .1 or 1/10


 


unit


 meter, liter, gram


 


deka


 10.


 


hecto


 100.


 


kilo


 1000.


 


1 kilogram=


 2.2 pounds


 


1 gram=


 15 grains


 


1 ounce=


 30 grams


 


1 grain=


 60 milligrams


 


1 kiloliter=


 exactly 1000 liters


 


1 liter=


 1 quart


 


1 milliliter=


 1 gram=1 minims= 1 cubic centimeter


 


1 fluid ounce=


 8 fluid drams,=30 milliliters


 


1 gallon=


 4 liters


 


1 pint=


 500 milliliters


 


1 quart=


 2 pints=1000 milliliters


 


1 gallon=


 4 quarts=4000 milliliters


 


1 teaspoon=


 60 drops


 


1 minim=


 1 drop


 


1 meter=


 39.37 inches=approx. 1 yard


 


1 yard=


 3 feet=36 inches


 


1 inch=


 2.54 centimeters

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medical error


 medication calculations that are incorrect are an example of...


 


sentinel events


 health care organizations are required to reports incidents involving patient harm are also called...


 


safe patient care


 is a responsibility of every health care worker


 


contaiminated needles


 health care workers are at risk for injury with...


 


hazardous substances


 ppe can reduce the risk of splashes of


 


injury reports


 health care workers are required to report to supervisor when an injury occurs


 


VORB


 verbal order read back


 


six rights of medication administration


 drug,dose,patient,route,time,documentation


 


three checks


 pulled from drawer, prepared or opened,packaging replaced or discarded


 


MAR


 medication administration record

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Terms




Definitions

 

Exponents


 a shortcut to show multiplication of a number times itself


 


Percentages


 a portion of the whole


 


Celsius scale


 temperature scale in which the freezing point of water is 0 C and boiling point is 100 C


 


Proportion


 a statement of equality between ratios


 


Ratio


 A comparison of two numbers


 


Carpule


 sealed glass tube containing anesthesia


 


Diluent


 liquid agent added to meds


 


reconstitute


 powder mixed with water

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Terms




Definitions

 

Exponents


 a shortcut to show multiplication of a number times itself


 


Percentages


 a portion of the whole


 


Celsius scale


 temperature scale in which the freezing point of water is 0 C and boiling point is 100 C


 


Proportion


 a statement of equality between ratios


 


Ratio


 A comparison of two numbers


 


Carpule


 sealed glass tube containing anesthesia


 


Diluent


 liquid agent added to meds


 


reconstitute


 powder mixed with water

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apothecary system


 oldest of the drug measurement systems that are seldom used today


 


convert


 transform


 


equivalent


 amount of weight of any element needed to replace a fixed weight of another body


 


extremes


 first term or last term of a mathematical proportion


 


household systems


 unit was developed so patients could measure out dosages at home using ordinary things found in kitchen.


 


means


 how a result is obtained or an end is achieved.


 


metric system


 system of weights and measures based on the meter, gram, liter.


 


proportion


 a prat considered in relation to the whole


 


ratio


 the relationship in degree or number between two things.


 

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1.5 ml


 what is the maximum amount for an intramuscular (IM)vaccine?


 


1ml


 what is the maximum amount for a subcutaneous (subcut)vaccine?


 


0.1ml


 what is the maximum amount for a intradermal (ID)vaccine?


 


the square root of kgxcm divided by 3600.


 what is the formula for calculating BSA using the metric system?


 


the square root of poundsxinches divided by 3131.


 what is the formula for calculating BSA using the household system?


 


barrel


 the part of the syringe that is a hollow cylinder that holds the medication. it has calibrations(markings on the outer surface.


 


plunger


 the part of the syringe that fits in the barrel and is moved back and forth.


 


tip


 the part of the syringe that holds the needle. The needle slips onto it or can be twisted and locked in place.


 


hub


 the part of the needle that attaches to the syringe


 


shaft


 the long part of the needle embedded in the hub


 


bevel


 the slanted portion of the tip of the needle


 


needle length


 the distance from the point to the hub. ranges from 3/8 in-2inches.


 


gauge


 the thickness of the inside of the needle(ranges from 18-28)


 


the larger the gauge the smaller the needle


 what is the relationship betwen the gauge and the thickness of the gauge?


 


hypodermic,oral,tuberculin and insulin


 what are the types of syringes?


 


hypodermic


 what was the first type of syringe developed?


 


tuberculin.


 what type of syringe holds 1ml of fluid and is primarily used for (ID) vaccines? It's calibrated in 0.01ml.


 


smaller syringes


 what type of syringes are used for subcut or IM?


 


larger syringes


 what type of syringes are used for drawing blood or IV's?


 


the top ring


 where on a syringe is the liquid volume read from?


 


insulin


 what type of syringes are calibrated only in units and given subcut? It has a standard capacity of 100 units but also can be in 50 and 30 units.


 


in 100 units/ml multidose vials


 how is insulin available?


 


human(rDNA) or animal(beef or pork)


 what are the sources of insulin?


 


rapid, short, intermediate or long acting


 what are the types of insulin?


 


human(labeled rDNA origin)


 what is the most common type of insulin?


 


onset and duration


 what factors affect the type of insulin?


 


humalog(rapid acting)


 what type of insulin is taken 15 min before meals and given until long affecting takes affect?


 


Humulin R(regular) (short acting)


 what type of insulin is taken 30-40 mins before meals?


 


Humulin L(lente) (intermediate acting)


 what type of insulin lasts about half a day or overnight and lasts 14-16 hrs?


 


Humulin U (ultralente) (long acting)


 what type of insulin lasts 1 day and is not timed with meals?


 


rapid acting with either intermediate or long acting.


 what is a syringe composed of for someone with IDDM?


 


the sum of the 2 insulin amounts


 the total volume in the syringe is = to what?


 


to provide the most accurate scale


 why should the smallest capacity syringe be used?


 


the amount of air injected into the vial


 the anount of insulin to be withdrawn from each vial must be = to what?


 


intermediate or long acting insulin


 you must inject air into what type of insulin before injecting air into regular insulin?


 


regular insulin


 what type of insulin is drawn up first to prevent contamination?


 


to prevent precipitation


 why must intermediate or long acting insulin be mixed well without delay?


 


the same source(ex. human with human and animal with animal)


 only insulin from what sources can be mixed together?


 


discard the medication and start over


 what shoudl you do if you draw up too much of the intermediate or long acting insulin?


 


pre-filled syringe


 what type of syringe would you used a tubex or carpuject syringe?


 


medications injected into the body


 what are parenteral medication?


 


ampule


 what is a glass container that holds a single dose of medication? It has a narrowed neck designed to snap open?


 


vial


 what is a glass or plastic container that has a rubber stopper on the top? Its stopper maintains sterility until it is used for the first time.


 


diluent


 what a a liquid that dilutes the powder in a vile?


 


reconstitution


 what is the process when the powder in the vial must be diluted with a liquid(diluent)?


 


sterile water and sodium chloride(saline solution)


 what are the most common types of diluents?


 


displacement factor


 what is known as the increase in volume when a diluent is added to a drug?


 


heparin


 what is a type of anticoagulant or blood thinner that treats and prevents (DVTs) and is given either subcutaneous or IV?


 


it causes hematomas. Use a tuberculin syringe.


 why would you use never give heparin (IM) and what type of syringe would you use?

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outcome criteria


descriptions of specific patient behaviour or responses that demonstrate meeting of or achievement of goals related to each nursing diagnosis. these statements should be verifiable, framed in behavioral terms, measurable, and time specific. outcome criteria are conidered to be specific, whereas goals are broad


 


nursing process


 a well established , research supported framework for professional nursing practice


 


additive effects


 drug interactions in which the effect ofa combination of two or more drugs with similar actions is equivalent to the sum of the individual effects of the same drugs given alone.


 


adverse effects


 general term for any undesirable effect that are a direct response to one or more drugs


 


agonist


 a drug that binds to and stimulate the activity of one or more receptors in the body


 


antagonist


 a drug that binds to and inhibits the activity of one or more receptors


 


antagonistic effects


 drug interactions in which the effect of a combination of two or more drugs is less thatn the sum of the individual effects ofthe same drug given alone(1+1 = less than 2) it is usually caused by an antagonizing (blocking or reducing) effect of one drug on another


 


bioavailability


 measure to the extent of drug absorption for a given drug and route


 


chemical name


 the name that describes the chemical composition and molecular structure of a drug


 


contraindication


 any condition especially one related to a disease state or other patient characteristic, including current or recent drug therapy, that renders a particular form of treatment improper or undesirable


 


cytochrome


 general name for a large class of enzymes that played a significant role in drug metabolism


 


drug actions


 the cellular processes involved in the interaction between a drug and body cells


 


drug interaction


 alteration in the pharmacologic activity of a given drug caused by the presence on one or more additonal drugs, it is usually related to effects on the enzymes required for metabolism of the dugs


 


duration


 length of time the concentration of a drug in the blood or tissues is sufficient ot elicit a response


 


enzymes


 protien molecules that catalyze oner or more of a variety of biochemical reactions, including those related to the bodys own physioligic processes as well as those related to drug metabolism


 


first-pass effect


 the initial metabolism in the life of a drug absorbed from the gastrointestinal tract befor the durg reaches systemic circulation throught the bloodstream


 


medication use process


 the prescribing, dispensing, and administering of medication and the monitoring of their effects


 


metabolite


A chemical form of a drug that is the product of one or more biochemical (metabolic) reactions involving the parent drug . Active metabolites are those that have pharmacologic activity of their own, even if the parent drug is inactive . Inactive metabolites lack pharmacologic activity and are simply drug waste products awaiting excretion from the body (e.g., via the urinary, gastrointestinal, or respiratory tract)


 


peak effect


 the time required for a drug to reach its maximum therapeutic response in the body


 


peak level


 the maximum concentration of a drug inthe body after administration, usually measred in a blood sample for therapeutic drug monitoring


 


pharmacogenetic


 The study of the influence of genetic factors on drug response, including the nature of genetic aberrations that result in the absence, overabundance, or insufficiency of drug-metabolizing enzymes


 


pharmacology


 the broadest term for the study of the science of drugs


 


prodrug


 an inactive drug dosage form that is converted to an active metabolite by various biochemical reactions once it is inside the body


 


steady state


 the physiologic state in which the amount of drug removed via elimination is equal to the amount of drug absorbed with each dose


 


active transport


 the active(energy requiring) movement of a substance between the different tissues via biomolecular pumping mechanisms contained within cell membranes


 


neonate


 pertaining to a person younger that 1 month of age. newborn infant


 


nonogram


 a graphin tool for estimating drug dosages using various body measurements


 


drug absorption, distribution, metabolism, excretion


 what are the four phases of pharmokinetics


 


category x


 fetal abnormalities reported and positive evidence of fetal ris in humans available from animal and human studies. Not to be used in pregnant women


 


1983 orphan Drug act


 enabled FDA to promote research and marketing of orphan drugs used to treat rare diseases


 


American Nurses Code


 ensures nurses are acting in the best interest of the client


 


the american nurses code of ethics


 ensures the nurse is acting in the best interest of her client


 


absorption


 movement of a drug from its site of administartion into the bloodstream for distribution to tissues


 


drug solubility


 this refers to the ability of a drug to dissolve and form a solution

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Adrenergics


 Actions: Vasocontriction

 

Primary uses: Raise and sustain blood pressure


 


Adrenergic Blockers


 Actions: Vasodilation


Primary uses: Control hypertension


 


Analgesics


 Actions: Block pain receptors

 

Primary uses: Relieves pain


 


Anesthetics


 Actions: Block nerve impulses to the brain

 

Primary uses: Produce local anesthesia or general anesthesia


 


Antacids


 Actions: Reduce acidity in the stomach

 

Primary uses: Treat gastric hyperacidity


 


Antianxiety Agents


 Actions: Reduce anxiety and tension

 

Primary uses: Produce calmness and release muscle tension


 


Antibiotics


 Actions: Kills the growth of microorganisms

 

Primary uses: Treat bacterial invasions and infections


 


Anticholinergics


 Actions: Reduce spasms in smooth muscles (internal organs: heart, stomach, liver, etc)

 

Primary uses: Dry secretions before surgery


 


Anticoagulants


 Actions: Delay or block clotting of blood

 

Primary uses: Treat blood clots


 


Anticonvulsants


 Actions: Prevent seizures

 

Primary uses: Treat epilepsy and other neurologic disorders


 


Antidepressants


 Action: Treats depression

 

Primary uses: Elevate mood


 


Antiemetics


 Action: Act on the hypothalamic center in the brain.

 

Primary uses: Prevent and relieve nausea and vomiting.


 


Antifungals


 Action: Slows the multiplication of fungi

 

Primary uses: Treat systemic or local fungal infections.


 


Antihistamines


 Action: Blocks histamine action in tissues

 

Primary Uses: Relieve allergies


 


Antihypertensive Agents


 Action: Prevents vasoconstriction

 

Primary Uses: Reduce and control blood pressure.


 


Antiinflammatory Agents


 Action: Reduce inflammation

 

Primary Uses: Treat arthritis and other inflammatory disorders.


 


Antimigraine Agent


 Action: Prevents migraines

 

Primary Uses: Treatment or prevention of migraine headaches.


 


Antineoplastic


 Action: Destroy cancerous cells

 

Primary Uses: Cancer chemotherapy


 


Antipsychotics


 Action: Alter chemical actions to the brain.

 

Primary Uses: Treat the symptoms of schizophrenia and bipolar disorder


 


Antipruritics


 Action: Relieve itching

 

Primary Uses: Treat allergies or topical exposures that cause itching


 


Antipyretics


 Action: Lower body temperature

 

Primary Uses: Reduce fevers


 


Antispasmodics


 Action: Prevents or spasms from injury or inflammation

 

Primary Uses: treats sports injury


 


Antitussives


 Action: Inhibit the cough center

 

Primary Uses: Temporarily suppress a nonproductive cough


 


Antiviral Agents


 Action: Reduce the spread of viral cells

 

Primary Uses: Treat viral infections


 


Bronchodilators


 Action: Relax the smooth muscles of the bronchi

 

Primary Use: Treat asthma, promote bronchodilation


 


Cathartics (Laxative)


 Action: Increase activity in the large intestine

 

Primary Use: Increase bowel evacuation


 


Contraceptives


 Action: Inhibit conception

 

Primary Use: Prevent pregnancy


 


Decongestants


 Action: Relieve local congestion in tissues

 

Primary Use: Relieve nasal and sinus congestion or upper respiratory tract disorders


 


Diuretics


 Action: Promote excretion of excess fluid in the body

 

Primary Uses: Increase urinary output


 


Expectorant


 Action: Liquefy secretions in the bronchial tubes so that they can be coughed out

 

Primary Use: Releve upper respiratory tract congestion


 


Hematopoietic Agents


 Action: Promote red blood cell production

 

Primary Uses: Treats anemia


 


Hemostatic Agents


 Action: Control bleeding

 

Primary Uses: Control blood-clotting disorder


 


Hormone Replacement Agents


 Action: Replace hormone


Primary Use: Maintain adequate hormone levels


 


Hypnotics (Sedatives)


 Action: Induce sleep

 

Primary Uses: Treat insomnia


 


Lipid-Lowering Agents


 Action: Reduce blood cholesterol levels


Primary Uses: Manage high blood cholesterol


 


Miotics


 Action: Contracts the pupils

 

Primary Use: Counteract pupil dilation


 


Mydriatic Agents (Anticholinegic)


 Action: Dilates the pupils

 

Primary Use: Ophthalmologic examinations


 


Narcotics


 Action: Depress the CNS

 

Primary uses: Relieve pain


 


Oral Hypoglycemic Agents


 Action: Reduce blood glucose level


Primary Uses: Manage diabetes mellitus 2


 


Osteoporosis Agents


 Action: Promote the use of calcium

 

Primary Uses: Reverse progression of osteoporosis.

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decimal


 another way to write a fraction when the denominator is 10, 100, 1000, and so on


 


denominator


 bottom number of a fraction; shows the number of parts in a whole


 


fraction


 part of a whole


 


improper fraction


 fraction that has a value equal to or greater than 1


 


mixed number


 number written with both a whole number and a fraction


 


numerator


 top number of a fraction; shows the part


 


percent


 decimal fraction with a denominator of 100


 


proper fraction


 fration that has a value less than 1


 


proportion


 a mathematical equation that expresses the equality between two ratios


 


ratio


 the relationship of one number to another expressed by whole numbers (1:5) or as a fraction (1/5)


 


solute


 substance dissolved in a solvent; usually present in a lesser amount


 


solution


 homogeneous mixture of two or more substances


 


solvent


 liquid portion of a solution that is capable of dissolving another substance


 




 

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Terms




Definitions


 


accurately


 correctly, without error


 


addiction


 dependent on use of a substance or object


 


administration


 the act of giving medication


 


adverse


 opposed or unfavorable; harmful or injurious


 


apothecary


 pharmacist or druggist licensed to dispensed medicines


 


calculate


 to determine by using math or reasoning


 


calculation


 something deduced by calculating


 


centimeters


 metric unit measurement for length one-one hundred of a meter


 


contraindicated


 to make inadvisable medically


 


controlled


 regulated by law with regard to possession or use


 


dependency


 being dependent on something or addicted


 


dispense


 to give out, as into prepare and give medicine


 


documentation


 written verification or evidence that serves as a record


 


dosage


 strength or amount of medication prescribed


 


education


 information about or training in a particular field or subject, knowledge


 


effect


 result; anything brought about by a cause or agent


 


effects


 results; things brought about by a cause


 


formula


 mathematical relation or rule expressed, recipe


 


formulary


 collection of formulas or set format


 


generic


 without a brand name, not protected by trademark registration


 


habituation


 tolerance to the effects of a drug acquired through continued use; that to which you are accustomed


 


idiosyncratic


 any personal mannerism or peculiarity; individual hypersensitivity, such as to a drug or food


 


inhalation


 breathed into the lung


 


instruction


 method of teaching; direction or order


 


intolerance


 inability to tolerate; unable to be given a medication or treatment without adverse side affects


 


kilogram


 metric unit of measurement for weight


 


lethal


 deadly


 


measurement


 a figure, extent or amount obtained by measurement


 


medication


 chemical substance to treat or heal an illness or condition


 


metric


 decimal system of weights and measures, based on meters and liters


 


millimeters


 metric unit of measurement for length, one-one thousandth of a meter


 


narcotic


 a drug that in moderate doses dull the senses, relieves pain but in excessive doses causes stupor , coma or convulsions (as codeine, methadone, or morphine)


 


parenteral


 given by injection


 


pediatric


 referring to a child under the age 18


 


pharmacist


 professional licenses to dispense medications


 


physician


 professional who treats illnesses and medical conditions


 


precautions


 measure taken in advance to prevent something dangerous, unpleasant or inconvenient from happening


 


prescription


 a written direction for the preparation, compounding and administration of a medicine


 


quantities


 specified amounts or numbers of something


 


responsibility


 the state of having a duty to deal with something; a thing required to do as part of a job, role or legal obligation


 


schedules


 an official list of drugs that are subject to the same legal controls and restrictions


 


strength


 degree of potency or effect or of concentration


 


sublingual


 under the tongue


 


substances


 something such as a methamphetamine, alcohol, etc., that is deemed harmful and usually subject to legal restriction


 


synthetic


 not organic; man-made


 


topical


 applied on the surface of the skin


 


verification


 process of establishing the truth, accuracy or validity of something


 


volume


 measured liquid amount


 


conversion


 changed or transformed from one thing to another


 


treatment


 action or manner of treating a patient medically or surgically