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Fundi Final

Stack #190927

QuestionAnswer
Prefilled Cartridges expell air before adminstration; eject excess medication before adminstration
Prefilled Syringe do NOT expell excess air before adminstrating
Directions: Mixing Medications air injected into both vials; medication in multidose vial is drawn into the syringe first
Intradermal Injections forearm, upper back under scapula, 1/4inch to 1/2 inch; 26-27 gauge needle, dosage = 0.5mL; angle: 10-15 degrees; adminstered into the dermis; longest absorption time; allery tests, tubercullin
Subcutanous Injections 25-30 gauge; 3/8inch-1 inch; 3/8inch-5/8inch most commonly used; into adipose tissue; slow absorption rate becuase of blood vessels; 45-90 degree angle; example: insulin or heparin; outer arm, abdomen, thigh; usually no more that 1 mL
Insulin Syringes 28-30 gauge; 5/16inch - 1/2inch length needle
Appropriate gauge is determinedd by the medication adminstered - bioogical/meds in aquoes solutions? - meds in oil based solutions? (needle size) 20 -25 gauge:18 - 25 gauge
Intramuscular Injections deliver medication into certain muscles faster onset of action - more blood vessels; ad: antibiotics, hormones, vaccines, hepatitis vac; 72 degree - 90 degree angel
Places of slow absorption abdomen - rapid; arm; thighs; upper ventral; dorso fluteal areas
Bad things about dorsogluteal site in subcutanoues alters drug absorption; pain temporary or permenant paralysis because of damages to sciatic nerve; no longer recommended for intramuscular injections
Excretion process of removing a drug or its metabolities from the body; kidneys excrete most drugs
Metabolism biotransformation; the change of a drug from its original formation to a new form; liver; primary site for drug metabolism
Distribution (depends on..) on blood flow to th tissue; the drugs availability to leave the bloodstream and drugs ability to enter the cells
Tablet small solid dose of medication compressed or molded
Transdermal Patch unit dose of medication applied directly to skin for diffusion through skin and absorption into the bloodstream
Syrup medication combined in a water and sugar solution
Suspension finely divided undissolved in a liquid medium should be shaken before use
Suppository easily melted medication preperation in a firm base such as gelatin that is inserted into the body (rectum, vagina, urethra)
Solution a dru dissolved in another substance
Powder single or mixture of finely ground drugs
Pill mixture of powder drug with a cohesive material
Ointment (unction) semisolid preperation containing a dug to be applied externally
Lozenge (troche) medication containing a drug in a flavored or sweetened dose; which dissolves in mouth and releases medication
Lotion drug particles in a solution for topical use
Liniment medication mixed with alcohol, oil, or soap which s rubbed onto the skin
Extended Release preperation for a medication that allow for slow and continous release over a period of time
Enteric Coated tablet or pill coated to prevent stomach irritation; cannot be crushed
Elixir medication in a clear liquid, containing water, alcohol, sweeteners and flavor
Capsule powder or gel form of an active enclosed in a gelatinous container
Pharamcodyanmics the effect the drug has on the body
Pharamacokinetics the effect the body has on the drug
Absorbed in basic enviroments (where) Intestines
Adverse Drug Effects are undesriable effects other than the intended theraputic effects of drugs
Allergic Effect an immune system response the body interprets the drug as foreign and forms antibodies against the drug
Drug Tolerance body becomes accusomed to the effects of a particular drug over a period of time; necessitating larger doses to produce the desried effect; narcotics and alcohol
Toxic Effect symptoms that carry risk for permanent damage or death; occur from a larger (over dose)
Idiosyncratic Effect peculiar response to a drug; (over, under, opposite, response) thought to be genetic
Drug Interactions one drug is affected by another drug, food, or substance taken at the same time; can be beneficial
Drug that can harm the fetus teratogenic drugs; some drugs are exreted through mammary glands
Serum drug levels are monitored to prevent and enhance toxicity; therapeutic effect
Half Life the amount of time it takes for 50% of the drug to be eliminated
Trough Level lowest concentration of the drug; usually measured 30 min before next dose of drug is due to be adminstered
Peak Level highest plasma concentration (measured when absorption is complete)
Theraputic Range concentration of the drug in the blood serum that produces the desired effect without causing toxicity
Subsequent Dose: drug dose smaller dose; given at regualr intervals to maintain the theraputic drug level
Loading Dose: drug dose larger does; to quickly reach a theraputic blood level of the drug
Hyponatremia < 135 MEQ/L of sodium; seizures, cramps, vomiting, anorexia, nausea
Hypernatremia > 145 MEQ/L of sodium; thirst, increase body temp, dry mouth
Hypokalemia < 3.5 MEQ of potassium; fatigue, nausea, vomiting, decrease bowel, polyuria
Hyperkalemia > 5.0 MEQ of potassium; muscle weakness, paralysis
Hypocalcemia < 8.5 mg/dl of calcium; seizures, mental, cramps
Hypercalcemia > 10.5 mg/dl of calcium; weakness, lethargy, constipation, kidney stones
Hypomagnesemia < 1.3 MEQ/L of magnesium; irability, mental change
Hypermagnesmia > 3-5 MEQ/L of magnesium; hypotension, decrease respirations, drowsiness
Hypophosphatemia < 2.5 mg/dl of phorophous; respiratory failure, seizures, joint stiffness
Hyperphosphatemia > 4.5 mg/dl
Respiratory Alkalosis low PaCO2 - increase pH, >7.45, decrease PaCO2, normal HCO3
Calcium range 8.5-10.5 mg/dl
Metabolic Alkalosis high bicarbonate; increase pH, >7.45, increase HCO3, normal PaCO2
Acidosis excess of H ions, loss of base ions, fallas below 7.35
pH of normal body fluid 7.35-7.45
PaO2 Range 80-100mg; acid <80; base >100
PaCO2 Range 35-45 mm/hg; acid <35; base >45
Alkalosis lack of H ions; gain of base; pH exceeds 7.45
Respirtory Acidosis Disturbances acute/chronic respiraoty disease; edema, atelectasis, CNS depression, twitching, dizziness, unconciousness, weakness, headache, asthma
HCO3 22-26 MEQ/L; Acid <22; Base >26
Metabolic Alkalosis vomiting, hypokalemia, renal loss, dizziness, hypertonic muscles, tingling of fingers and feet
Hypertonic solution has greater osmolarity than plasma; >295 mos/l
Hypotonic solutionis less osmolarity than plasma; <275 mos/l
Metabolic Acidosis disturbances diahrea, renal failure, headache, confusion, increase respiraoty rate and depth, nasuses, vomiting, peripheral vasodilation
Respiratory Alkalosis Disturbances hyperventilation, anxiety, hypoexmia, fever, spsis, sweating, dry mouth, lightheadness, convulsions
Metabolic Acidosis low bicarbonate; decrease pH; < 7.35; decrease HCO3; normal PaCO2
Respiratory Acidosis high PaCO2; decrease in pH; < 7.35; increase in PaCO2; normal HCO3
Sodium Range 135-145 meq/l
Phosophorus Range 2.5 - 4.5 mg/dl
Magnesium Range 1.3 - 3.5 meq/l
Potassium Range 3.5 - 5.0 meq/l
Calcium Milk, dairy products, canned fish, greens; 1000mg
Phosphorus milk, soft drinks, processed foods; 700 mg
Magnesium green leafy vegetables, nuts, beans, grains; 310-420mg
Sulfur Meat, eggs, milk, dried peas, beans, nuts
Sodium salt, processed foods; 1500mg
Potassium whole grains, fruits, leafy vegetables; 4700 mg
Chloride salt; 2300 mg
Iron liver, lean meats, grain breads, ceral; 2-18 mg
Iodine salt, seafood, food additives; 150 mg
Zinc oyesters, liver, meats, peas, beans, nuts; 8-11 mg
Manganese whole grains, nuts, dried pease, beans, fruit; 1.8-2.3 mg
Vitamin C citrus fruits, broccli, green peppers, strawberries, greens; 75-90 mg
Vitamin B complex liver, egg yolk, poultry, meats, sefood, green leafy veggies, yeast, banana, broccli, spinach, milk
Vitamin A liver, carrots, egg, yolk, fortified milk; 700-900 mg
Vitamin D sunlight, fortified milk, fish; 5ug
Vitamin E vegetable oils, wheat, whole grains; 15 ug
Vitamin K green leafy vegetables, intestines from gut; 90-125 ug
Created by: Kimmy0414
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