# Shared Flashcard Set

## Details

Medication Calculation
Pharmacology Textbook Ch 5
86
Nursing
08/20/2012

Term
 Roman Numerals:I = V =X =L =C =D =
Definition
 I=1V=5X=10L=50C=100D=500
Term
 What are the names of the metric system units?
Definition
 millicentidecibaseDecaHectoKilo
Term
 King Henry Doesn't __ Drink Chocolate Milk
Definition
 KiloHectoDecaBaseDeciCentiMilli______Micro
Term
 unit of length
Definition
 meter
Term
 unit of weight
Definition
 gram
Term
 unit of volume
Definition
 liter
Term
 3 question to always ask/steps to solving a problem
Definition
 -Is conversion needed?-Set up problem-Does it make sense?
Term
 ounces in a medium sized glass
Definition
 8 oz
Term
 ounces in a coffee cup
Definition
 6 oz
Term
 1 oz = ? Tbsp
Definition
 2 Tbsp
Term
 2 Tbsp - ? mL
Definition
 30 mL
Term
 1 Tbsp = ? mL
Definition
 15 mL
Term
 1 tsp = ? mL
Definition
 5 mL
Term
 1 inch = ? cm
Definition
 2.54 cm
Term
 BSA Calculation
Definition
 square root of (weight in lbs x ht in inches)/3131
Term
 What place should all problems be rounded to?
Definition
 tenth (except BSA and drip rate)
Term
 What place should BSA be rounded to?
Definition
 hundredth
Term
 What place should drip rate be rounded to?
Definition
 ones
Term
Definition
 -less expensive-less assistance-easily stored
Term
Definition
 1. variations in absorption due to:-food in GI tract-PH variations of GI secretions2. irritation of the gastric mucosa by certain drugs3. destruction or partial inactivation of the drugs by liver enzymes.
Term
 Quinidine
Definition
 antiarrhythmic drug
Term
 Quinine
Definition
 antimalarial drug
Term
 celebrex
Definition
 analgesic
Term
 Celexa
Definition
 antidepressant
Term
 Cerebyx
Definition
 anticonvulsant
Term
 Percodan
Definition
 oxycodone and aspirin
Term
 percocet
Definition
 oxycodone and acetaminophen
Term
 hydroxyzine
Definition
 antianxiety
Term
 hydralazine
Definition
 antihypertensive
Term
 most commonly used drug in BSA calcultions
Definition
 antineoplastic
Term
 Important points of nasogastric feeding tube meds
Definition
 -Do not mix with feeding solution-Mix with 1 oz warm water unless otherwise specified
Term
 Meds that must be mixed differently when giving through NG tube
Definition
 Metamucil and TR or SR
Term
 Reasons that meds cannot be taken by mouth (PO)
Definition
 inability to swallowdecrease LOCinactivation of drug by gastric juices
Term
 What must be written on a label of a medication?
Definition
 When the drug is to be discardedinitials
Term
 What time frame does a vile usually need to be used?
Definition
 96 hours
Term
 What information is on a drug label?
Definition
 -generic and brand name of drug-drug does in weight and amount (ie., mg/mL)-expiration date-directions for adminiatration-directions for reconstitution and dosing instructions if powdered.
Term
 What are needleless syringes used for?
Definition
 -intermittent infusion therapy-irrigation of or intermittent infusion device for patency-administration of IV meds through the IV tubing device.
Term
 What are some uses of tuberculin syringes?
Definition
 pediatric dosesheparin dosesdoses less than 1 mL
Term
Definition
 25, 26
Term
Definition
 3/8, 1/2, 5/8
Term
 Subcutaneous needle gauges
Definition
 23, 25, 26
Term
 Subcutaneous needle lengths
Definition
 3/8, 1/2, 5/8
Term
 Intramuscular needle gauges
Definition
 19, 20, 21, 22
Term
 IM needle lengths
Definition
 1, 1 1/2, 2
Term
 Why are drugs injected subQ?
Definition
 they are absorbed more slowly because there are fewer blood vessels in the fatty tissue.
Term
 Why are some drugs injected IM?
Definition
 the drug may irritate the subQ layer and cause sloughing.
Term
 What type of injection are insulin and heparin?
Definition
 SubQ
Term
 Why should aspiration or massage of a subQ injection site be avoided? (Especially with heparin)
Definition
 it could cause small-vessel bleeding.
Term
 At what angle is insulin administered?
Definition
 45- 60- 0r 90-degree angle.
Term
 At what angle is heparin administered?
Definition
 60- to 90- degree angle.
Term
 What factor affects the angle of administration of insulin?
Definition
 Amount of fatty tissue. Obese persons may receive it at 90-degree angle, very thin persons may receive it at 45- to 60-degrees.
Term
 Why type of insulin is cloudy?
Definition
 NPH
Term
 What type of insulins are clear?
Definition
 Regular or crystalline
Term
 What type of insulin can be given IV as well as subQ?
Definition
 Regular (Human/Humulin)
Term
 What are the three categories of insulin?
Definition
 1. Fast acting (regular and lispro [Humalog])2. intermediate-acting (Humulin N3. Long-acting(Lantus)
Term
 What types of insulin cannot be mixed with Regular?
Definition
 LantusDetemir (Levemir)both are slo onset or intermediate/longacting
Term
 What are the six steps of mixing insulin?
Definition
 1. Clean the rubber tops of the insulin bottles2. Draw up sufficient air to inject into the NPH insulin and inject it, avoid letting needle end touch the insulin3. Draw up sufficient air to inject into the regular insulin.4. Inject air into regular insulin and draw out regular insulin5. Insert needle into NPH insulin and withdraw sufficient NPH insulin.6. Administer immediately. Do not allow mixture to sit.
Term
 What needle gauges are typically used for thick solutions that are given IM?
Definition
 19 or 20.
Term
 What needle gauges are used for thin solutions given IM?
Definition
 20 or 21
Term
 What to do if the type and amount of diluent is not on the drug label or insert
Definition
 contact the pharmacist
Term
 how much fluid (mL) is usually in one dose of medication?
Definition
 1 to 2
Term
 What is done with unused drug solutions in ampules?
Definition
Term
 What are the steps for mixing two drugs in the same syringe from two different vials?
Definition
 1. Draw air into the syringe to equal the amount of solution to be withdrawn from the first vial. Inject it into the first vial. Do not allow needle to come into contact with solution. Remove needle.2. Invert second vile and inject sufficient air. Withdraw desired amount of solution.3. Change needle unless entire volume in first vile will be used.4. Withdraw desired amount of solution from inverted first vile.
Term
 What are the steps for mixing two drugs in a prefilled cartridge from a vial
Definition
 1. Check drug dose and amount of solution in the prefilled cartridge. expel excess solution.2. Draw air into the cartridge to equal the amount of solution to be withdrawn from vial. Invert vial and inject air.3. Withdraw the desired amount of solution from the vial. Be sure needle remains in the fluid and do not take more than is needed.
Term
 If a drug is administered directly into the vein, if there is a risk of irritating the vein how much fluid is is it diluted with (minimum)?
Definition
 50 to 100 mL
Term
 What are the benefits of continuous IV infusion?
Definition
 replaces fluid loss, maintains fluid balance, serves as vehicle for drug administration.
Term
 Benefits of intermittent IV infusion
Definition
 Used only to give IV drugs
Term
 drop factor
Definition
 number of drops per mL
Term
 macrodrip set
Definition
 10 to 20 gtt/mL
Term
 microdrip set
Definition
 60 gtt/mL
Term
 Why would a microdrip be preferred over a macrodrip?
Definition
 IV flow rates less than 100 mL per hour or if client is a child
Term
 KVO: what it meansrate of itreason for it
Definition
 keep vein openrate of 10 mL/hreason: potential emergency situation
Term
 If a drug needs to be added to an infusion bag, when should it be added and why?
Definition
 Before infusion bag is connected to the patient, because the drug can be concentrated at the bottom of the bag and patient will receive a lot of medicine at one time.
Term
 What should be done with the bag if drugs are injected into it before use?
Definition
 It should be refrigerated.
Term
 reasons for using a secondary IV set
Definition
 small volumes of 50, 100 or 250 or for children.
Term
 amount used to flush drug out of line
Definition
 15 mL of IV solution
Term
 IV Push
Definition
 Medication given by direct IV routeGiven to clients with poor muscle mass or decreased circulation or for a drug that is poorly absorbed from the tissues. Given in place of IM injection.
Term
 rate of electronic IV regulators
Definition
 ml/hr
Term
 volumetric regulator
Definition
 a flow control for electronic IV regulator; delivers a specific volume of fluid at a specific rate in mL per hour.
Term
 nonvolumetric regulator
Definition
 infuses at a drop rate in drops per minute
Term
 common IV infusion problems
Definition
 kinked tubing, infiltration, free flow IV rates
Term
 common problems with IV infusion devices
Definition
 fluid overload, incorrect programming, thrombus formation, infiltration
Term
 objective of a PCA
Definition
 TO PROVIDE A UNIFORM SERUM CONCENTRATION OF DRUG
Term
 benefits of a PCA
Definition
 less oversedationpatient feels in greater controlless narcotic is used
Term
 reasons for pediatric drug dosage differences
Definition
 immature kidney and liver function, slow gastric emptying time in infants, decreased gastric acid secretion in kids younger than 3 years; less body fat and more body water
Term
 What type of drug may need to be given to children in larger doses?
Definition
 water soluble because of larger concentration of water in body composition
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