Volume 1 Chapter 10 Pt. 1

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amerelman
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10390
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Volume 1 Chapter 10 Pt. 1
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2010-03-14 16:00:01
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Volume 1 Chapter 10 Pt 1
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Volume 1 Chapter 10 Pt. 1
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  1. Medications/Drugs
    Agents used in the diagnosis, treatment or prevention of disease
  2. Six Rights of Drug Administration
    • Person
    • Drug
    • Dose
    • Route
    • Time
    • Documentation
  3. Standard Precautions
    Measures used to decrease your risk of exposure to blood and other bodily fluids
  4. Asepsis (Medical Asepsis)
    A condition free of all pathogens
  5. Local
    Limited to one area of the body
  6. Systemic
    Throughout the body
  7. Sterile
    Free of all lifeforms. Highest level of Asepsis
  8. Medically Clean
    Careful handling of equipment and self to prevent contamination
  9. Disinfectant
    Cleaning agent that is toxic to living tissue
  10. Antiseptic
    Cleaning agent that is not toxic to living tissue
  11. Needle handling precautions
    • -Minimize use in moving ambulance
    • -Properly dispose of all sharps
    • -Recap needles only as last resort
  12. Sharps Container
    Rigid, puncture-resistant container clearly marked as biohazard
  13. Medication Documentation Information
    • -Indication for use
    • -Dosage and Route
    • -Patient response (positive or negative)

    -Document vitals and condition before and after medication administration
  14. Topical Medications
    Material applied to and absorbed through the skin or mucous membranes
  15. Routes of Drug Administration
    • Percutaneous (Skin or mucous membranes)
    • Pulmonary (Inhaled)
    • Enteral (Through the GI tract)
    • Parenteral (Other routes, IV, IO, etc)
  16. Percutaneous Routes
    • Transdermal
    • Mucous Membrane
  17. Transdermal
    Absorbed through the skin
  18. Mucous Membrane Sites
    • Tongue (Sublingual)
    • Cheek (Buccal)
    • Eye (Aural)
    • Nose (Nasal)
    • Ear (Ocular)
  19. Sublingual
    Beneath the tongue
  20. Buccal
    Between cheek and gums
  21. Ocular Medication
    Drug administered through the mucous membranes of the eye

    • o.d. = right eye (oculus dexter)
    • o.s. = left eye (oculus sinister)
    • o.u. = both eyes (oculus uterque)
  22. Nasal Medication
    Drug administered through the mucous memrbrane of the nose
  23. Medication Atomization Device (MAD)
    Device that produces a fine aerosol mist that permits wide and even distribution of a medication across the nasal mucosa
  24. Aural Medication
    Drug administered through the mucous membranes of the ear and ear canal
  25. Inhalation
    Drawing of medication into the lungs along with air during breathing
  26. Injection
    Placement of medication in or under the skin with a needle and syringe
  27. Pulmonary Medication Mechanisms
    • Nebulizer
    • Metered dose inhaler
    • Endotracheal tube
  28. Nebulizer
    • Inhalation aid that disperses liquid into aerosol spray or mist
    • -Mouthpiece
    • -Medication reservoir
    • -Oxygen port
    • -Relief valve
    • -Oxygen tubing
    • -Oxygen source
  29. Metered Dose Inhaler (MDI)
    Handheld device that produces a medication spray for inhalation
  30. Endotracheal Tube Route Medications
    • Oxygen
    • Naloxone
    • Atropine
    • Vasopressin
    • Lidocaine
    • Epinepherine
  31. Enteral
    Through the GI Tract
  32. Enteral Routes
    • Oral
    • Gastric tube
    • Rectal
  33. Oral Forms
    • Capsules
    • Tablets
    • Pills
    • Enteric/coated capsules
    • Elixirs
    • Emulsions
    • Lozenges
    • Suspensions
    • Syrups
  34. Hepatic Alteration
    Change in a medications chemical composition that occurs in the liver
  35. Suppository
    Medication packaged in a soft pliable form for insertion into the rectum
  36. Enema
    A liquid bolus of medication that is injected into the rectum
  37. Bolus
    Concentrated mass of medication
  38. Parenteral
    Outside of the GI tract
  39. Syringe
    • Plastic tube with which liquid medications can be drawn up, stored and injected
    • Has a barrel, plunger and needle adapter
  40. Hypodermic Needle
    • Hollow metal tube used with the syringe to administer medications
    • Has a hilt, shaft and bevel
  41. Gauge
    The size of a needle's diamaeter. Typically 18-27 ga
  42. Types of parenteral drug containers
    • Glass ampules
    • Single and multidose vials
    • Nonconstituted drug vials
    • Prefilled syringes
    • Intravenous medication fluids
  43. Information on labels
    • Name of medication (generic and trade)
    • Expiration date
    • Total dose and concentration
  44. Ampule
    Breakable glass vessel containing liquid medication
  45. Vial
    Plastic or glass container with a self-sealing rubber top
  46. Nonconstituted Drug Vial
    Vial with two containers, one holding a powdered medication and the other holding a liquid mixing solution
  47. Prefilled/Preloaded Syringes
    Syringe packaged in a tamper-proof container with the medication already in the barrel
  48. Medicated Solution
    Parenteral medication packaged in an IV bag and adminstered as an IV infusion
  49. Infusion
    Liquid medication delivered through a vein
  50. Parenteral Routes
    • Intradermal injection
    • Subcutaneous injection
    • Intramuscular injection
    • Intravenous access
    • Intraosseous infusion
  51. Intradermal
    • Within the dermal layer of the skin
    • (10-15 degrees with bevel up)
  52. Subcutaneous
    • The layer of loose connective tissue between the skin and muscle
    • (45 degrees)
  53. Intramuscular
    • Within the muscle
    • (90 degrees)
  54. Intramuscular Sites
    • Deltoid
    • Dorsal Gluteal
    • Vastus lateralis
    • Rectus femoris

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