Math Practice for Med Admin and Pharmacology Principles

Comprehensive vocabulary flashcards covering drug distribution systems, specific injection techniques (IM, SQ, ID), and protocols for topical and transdermal medication administration.

Kardex

A card kept in a flip file that contains patient information.

Floor or ward stock system

A system where commonly used medications are stored in the patient's care unit, medication room, or floor storage area.

Individual prescription order system

A system where a physician writes a prescription for a patient who obtains the medication themselves at a pharmacy.

Unit dose drug distribution system

A pharmacy-coordinated method of dispensing and controlling medications in an organized health-care setting.

Computer controlled dispensing system

Technology that stores, tracks, and dispenses medications precisely using the system for accuracy.

Long-term care unit-dose system

A system where individual doses of a resident's medication are pre-packaged.

Intramuscular (IM) Volume Limit

If you are to administer $> 3\,\text{mL}$ of solution, the dose must be broken up into different shots.

Z-track method

A technique for IM injections that prevents leakage or tracking into subcutaneous (SQ) tissue, typically used for medications that discolor or irritate the SQ layer.

Subcutaneous (SQ) medications

Medications injected through a short $25-29\,\text{guage}$ needle for slower, more sustained drug administration, with a maximum injection volume of $2\,\text{mL}$.

Lipodystrophy

An immune response or irritation caused by failing to alternate sites for repeat subcutaneous injections.

Intradermal medications

Medications used for diagnosis, allergy, or TB testing, administered in amounts of $0.01 - 0.05\,\text{mL}$ into the outer layers of the skin.

Intradermal Technique

Insert a $26-28\,\text{guage}$ needle on a TB syringe at a $15^{\circ}$ angle, approximately $1-2\,\text{mm}$ deep with the bevel upward.

Ear Medication Administration (Age Differences)

For a child, pull the lobe down and back; for an adult, pull the lobe up and back.

Transdermal medications

Medications delivered through an adhesive disc or measured dose of ointment that deliver constant, controlled medication directly into the bloodstream.

Nitroglycerin ointment protocol

The nurse must obtain the patient's baseline BP before application because a major side effect of this medication is a headache.

Fever effect on Transdermal absorption

If a patient has a fever, transdermal medication will be absorbed more quickly.