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54 Terms

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Analgesics

·      Pain reliever w/o loss of consciousness

·      Tylenol/acetaminophen

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Anesthetics

·      Loss of sensation/ general or local

·      Propofol

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Antianxiety Agents (benzodiazepines)

·      Mild tranquilizer

·      Valium or Versed

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Anti- arrhythmics

·      Treats abnormal heart rhythms

·      Adenosine

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Anticonvulsants

·      Prevents and/or controls seizures

·      Carbamazepine

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Antibiotics

·      Destroys microorganisms

·      PCN or Cipro

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Anticholinergics (antispasmodics)

·      Reduces GI motility or secretions in the respiratory/bronchodilator group

·      Prevents involuntary movement of smooth muscles

·      Ditropan

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Anticoagulants

·      Inhibits blood clotting

·      Heparin, Coumadin

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Antidepressants

·      Stimulates for brain chemicals (serotonin, dopamine)

·      Mood altering

·      Zoloft, Paxil, Cybalta

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Antihistamines

·      Blocks excess histamine secretion

·      Benadryl and Claritin

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Antiulcer agents

·      Suppresses gastric acid and/or treats helicobacter pylori which causes infections that result in repeat ulcers

·      Pepcod, Prevacid, Zantac

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Antihypertensives

·      Reduces high blood pressure

·      Lopressor, Lisinopril

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Anti-inflammatory’s (NSAID)

·      Reduces inflammation

·      Advil/ibroprofen, Motrin, Aleve/naproxen

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Antipsychotics

·      Used to treat severe mental disorders (schizophrenia) heavy “calming” effect

·      Haldol, Seroqel

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Bronchodilators

·      Relaxes and dilates the respiratory pathways allowing for easier breathing

·      Albuterol, saravent, Advair, epinephrine

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Corticosteroids

·      Anti-inflammatory (steroidal hormone)

·      Solu-Cortef, Decadron

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Coagulant- control hemorrhage

·      Clot formation (thickens the blood)

·      Mephyton

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Diuretics

·      Increases urine output

·      Lasix

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Antiemetics

·      Prevent nausea and vomiting

·      Zofran, Reglan

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Hormones

·      Increases secretion of activity

·      Premarin

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Laxatives

·      Promotes bowel movement

·      Dulcolax

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Sedatives

·      Induces relaxation and calmness

·      Diazepam, Ativan

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Stimulants

·      Dopamine stimulates the myocardium for increased cardiac output

·      Ritalin, Adderall

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Thrombolytics

·      Dissolve blood clots

·      Activase

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Vasoconstrictors

·      Constricts blood vessels; raises blood pressure

·      Norepinephrine

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Vasodilators

·      Dilates blood vessels

·      Also lowers blood pressure

·      Nitroglycerin

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·      Patient age

·      Health status

·      Time of day

·      Emotional state

·      Other drugs in the body

·      Genetic variations

·      Disease state of the body

Factors that influence Drug Action

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Minimal sedation

- Pt will respond normally to verbal commands

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Moderate sedation

also conscious sedation- depressed response but will respond normally to verbal commands

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Deep sedation-

patient cannot be easily aroused, will respond purposefully after repeated painful stimuli

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General anesthesia

LOC, cannot be trusted to keep breathing

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·      Right drug

·      Right amount

·      Right patient

·      right time

·      Right route (Orally, needle injection, etc)

·      (Right documentation)

The 6 rights of drug administration

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Cap

Capsule

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Gtt

Drop

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Elix

Elixir (fluid medicine)

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Supp

Suppository (up the butt or vagina)

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Susp

Suspension (in some kind of liquid, powder added to it) have to shake it

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Tab

Tablet (can be broken into halves)

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TOP

topical (ointment)

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R

rectal

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Subcu

Subcutaneous (just under the skin)

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Transdermal

through the skin (patches)(wear gloves)

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Oral

needs to go through the intestine, GI tract

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Solutions

- Iv bag, IV injections, sterilization

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Intramuscular

90 degrees into the muscle

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Subcutaneous

angle at 45 degrees

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ID (intradermal)-

 within the dermis, 10-15 degrees

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Epidural

- to have a baby to numb

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Intraosseous

into the bone

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Intraventricular

- injection into the heart or brain

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Intracapsular (arthrograms)-

injecting contrast into the capsule of the joint

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Buccal

should rest inside the pocket of the cheek or mouth

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Sublingual

capsule under the tongue

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·      Patient name, room number, address, and ID number

·      Drug name

·      Dosage

·      Dosage form

·      Route of administration

·      Date order is written

·      Signature of prescriber

Characteristics of Valid Prescription