Drug Applications

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Questions and Answers

What is synergism?

2 or more drugs shows more efficacy when they are consumed together (exp. Tuberculosis drugs)

What is antagonism?

The effect of the drug is reduced by another drug (exp. Naloxone reduces narcotic drugs' effects)

What are four basic stages of drug metabolism in the human body?

Absorption, transport (distribution), change (disintegration) and excretion (elimination)

How should be the storage of narcotic (addictive) drugs?

<p>They should be kept in double locked cabinets and should be given and taken with a signature (exp Green or red prescribed drugs)</p> Signup and view all the answers

Which of the following is not one of the 10 rights of medication administration?

<p>Right hospital (A)</p> Signup and view all the answers

Can a medication be applied without a physician order?

<p>Except emergencies, medication administration without a physician order is legally prohibited.</p> Signup and view all the answers

Which drug application route has the fastest and slowest absorption rate?

<p>Fastest=Intracardiac (15 seconds) Slowest=Oral (30-90 minutes)</p> Signup and view all the answers

How much is 1 cc?

<p>1 cc=1ml=10 dizy=100 units=20 drops</p> Signup and view all the answers

What are the local administration sites?

<p>Epidermal, conjuctival sac, external ear Canal, intravaginal, intranasal</p> Signup and view all the answers

Which administration site can be both local and systemic?

<p>Rectal</p> Signup and view all the answers

What are systemic application sites?

<p>Enteral, parenteral, inhalation and transdermal (TTS)</p> Signup and view all the answers

What should we do before medication application to the eye?

<p>We should do eye care from inside to outside, (clean with sterile or normal water)</p> Signup and view all the answers

What are parenteral administration routes?

<p>Intravenous, Intramuscular, Intradermal, Subcutaneous</p> Signup and view all the answers

What are enteral application sites?

<p>Buccal, rectal, sublingual, oral</p> Signup and view all the answers

Why is sublingual drug administration is so effective?

<p>Because oral mucosa is rich in lymph and blood vessel so drug can easily go to the circulation and effects quickly.</p> Signup and view all the answers

What are advantages of inhalation?

<p>Directly goes to the target organ, less side effects, faster effect and low dose</p> Signup and view all the answers

How much drug we can give via Subcutaneous injection?

<p>Maximum 1 mililiter</p> Signup and view all the answers

What type of drugs are administered via Subcutaneous injection?

<p>Anticoalugants, insulin and some hormones</p> Signup and view all the answers

Where Subcutaneous injection sites?

<p>Abdominal area, under the scapula, front lateral part of the thigh (laterofemoral), lateral part of the upper arm, dorsogluteal area</p> Signup and view all the answers

Why should we do rotation for frequent SC injection patients?

<p>To prevent tissue damage</p> Signup and view all the answers

Which administration routes we should remove the bubbles in syringe?

<p>Intravenous and Intramuscular</p> Signup and view all the answers

Which technique is used in Subcutaneous injection?

<p>Air lock technique</p> Signup and view all the answers

Which technique is used in IM injection?

<p>Z technique</p> Signup and view all the answers

In Which degrees we should perform SC injection?

<p>45-90°</p> Signup and view all the answers

In what conditions we use Intradermal injection?

<p>For bcg vaccines, allergy tests and local anesthetics</p> Signup and view all the answers

Where are intramuscular injection sites?

<p>Deltoid muscle, dorsogluteal muscles, ventrogluteal muscle, vastus lateralis and rectus femoris</p> Signup and view all the answers

Why is the ventrogluteal muscle the safest and least painful IM injection site?

<p>Patient can be positioned easily and complication risk is very low, less painful</p> Signup and view all the answers

What kind of medications we can give via IV administration?

<p>Water soluble drugs</p> Signup and view all the answers

What are infiltration and extravasation?

<p>Infiltration means a fluid does not irritate the tissue, extravasation means fluid irritates the tissue</p> Signup and view all the answers

Flashcards

Synergism

Enhanced drug efficacy when two or more drugs are taken together.

Antagonism

One drug reduces the effect of another drug.

Drug Metabolism Stages

Absorption, distribution, metabolism (disintegration), and excretion (elimination).

Storage of Narcotic Drugs

Double-locked cabinets with signed records of administration.

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Medication Orders

Medication administration without a physician's order is legally prohibited, except in emergencies.

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Local administration sites

Local administrations includes epidermal, conjuctival sac, external ear canal, intravaginal, intranasal

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Systemic Application Sites

Enteral, parenteral, inhalation, and transdermal.

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Eye medication preparation

Clean from inside to outside with sterile or normal water.

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Parenteral routes

Intravenous, Intramuscular, Intradermal, Subcutaneous

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Enteral administration sites

Buccal, rectal, sublingual, oral

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Advantages of inhalation

Goes directly to target organ, fewer side effects, faster effect, low dose.

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Subcutaneous injection volume

Maximum 1 milliliter

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Drugs for Subcutaneous injection

Anticoagulants, insulin, some hormones

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Subcutaneous injection sites

Abdominal area, under the scapula, front lateral part of the thigh, lateral part of the upper arm, dorsogluteal area

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Rotation of SC injection sites

To prevent tissue damage.

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Remove bubbles from syringe

Intravenous and Intramuscular

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Subcutaneous injection technique

Air lock technique

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IM injection technique

Z technique

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SC injection angle

45-90°

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Uses for intradermal injections

Bcg vaccines, allergy tests, local anesthetics.

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IM injection sites

Deltoid, dorsogluteal, ventrogluteal, vastus lateralis, rectus femoris.

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Ventrogluteal advantages

Patient positioning is easy, less painful, and lower complication risk.

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IV medication types

Water-soluble drugs

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Infiltration vs. Extravasation

Infiltration means a fluid does not irritate the tissue, extravasation means fluid irritates the tissue

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Fastest/Slowest Absorption

Fastest Intracardiac, Slowest Oral

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Rectal Route

Rectal administration site can be used locally or systemically.

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Sublingual Administration

Because oral mucosa is rich in lymph and blood vessel so drug can easily go to the circulation and effects quickly.

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10 rights of medication

Which of the following is not one of the 10 rights of medication administration?

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Volumetric relationship

1 cc=1ml=10 dizy=100 units=20 drops

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