question

Which of the following represents an equivalent value for a cubic centimeter?

answer

1 cc = 1 ml

question

The term parenteral refers to:

answer

Sites located outside the gastrointestinal tract

question

Which of the following situations causes a drug to be absorbed at a slower rate?

answer

Taking the medication pc

question

What is the name given to an adverse reaction that is harmless and often tolerated by the patient to obtain the therapeutic effect of the drug?

answer

Side effect

question

The early symptoms of an anaphylactic reaction include:

answer

Hives, angioedema, erythema, disorientation

question

What is the usual treatment for an anaphylactic reaction?

answer

Epinephrine injection

question

What is the term for the slanted edge at the top of a needle?

answer

Bevel

question

If a vial requires mixing before the medication is administered, the medical assistant should:

answer

Roll the vial between the hands

question

Symptoms of active tuberculosis include all of the following except:

answer

Abdominal pain

question

The Mantoux tuberculin test is performed using:

answer

intradermal adminstration

question

What is the abbreviation for three times a day?

answer

tid

question

What is the abbreviation for immediately?

answer

stat

question

The study of drugs is know as

answer

Pharmacology

question

ampule

answer

A small sealed glass container that holds a single dose of medication

question

Anaphylactic reaction

answer

A serious allergic reaction that requires immediate treatment

question

Autoimmune disease

answer

A condition the in which the bodes immune system produces antibodies that attack the bodies own cells

question

Chemotherapy

answer

The use of chemicals to treat disease; most often used to refer to the treatment of cancer using antineoplastic medications

question

Controlled drug

answer

A drug that has restrictions placed on it by the federal government because of its potential for abuse

question

Dose

answer

The quantity of a drug to be administered at one time

question

Gauge

answer

The diameter of the lumen of needle used to administer medication

question

Drug

answer

A chemical used for the treatment prevention or diagnosis of disease

question

Hemophilia

answer

An inherited bleeding disorder caused by a deficiency of a clotting factor needed for proper coagulation of the blood

question

Immune globulins

answer

A blood product consisting of pooled human plasma containing antibodies

question

Infusion

answer

The administration of fluids, medications, or nutrients into a vein

question

Inhalation administration

answer

The administration of medication by way of air or other vapor being drawn into the lungs

question

ntradermal injection

answer

Introduction of medication into the dermal layer of the skin

question

Intramuscular injection

answer

Introduction of medication into the muscular layer of the body

question

ntravenous therapy

answer

The administration of a liquid agent directly into a patients vein where it is distributed throughout the body by way of the circulatory system

question

Oral adminstration

answer

administration of medication by mouth

question

parenteral

answer

administration of medication by injection

question

Prescription

answer

A physicians order authorizing the dispensing of drugs by pharmacist

question

Subcutaneous injection

answer

Introduction of medication beneath the skin, into the subcutaneous or fatty layer of the body

question

Sublingual administration

answer

Administration of medication by placing it under the tongue

question

Topical administration

answer

Application of a drug to a particular spot, usually for a local action

question

Transfusion

answer

The administration of whole blood or blood products through the intravenous route

question

Vial

answer

A closed glass container with rubber stopper that holds medication

question

Wheal

answer

Small raised area of the skin

question

Parenteral Route

answer

Medications given subcutaneously, intramuscularly and intravenously are absorbed more rapidly and completely than medications given orally.

question

Subcutaneous Tissue

answer

Located where bones and blood vessels are not near the surface of the skin. These include the upper lateral part of the arms, the anterior thigh the upper back and the abdomen

question

Patients who allergy injections must wait medical office

answer

15-20 minutes after the injection to be observed for an allergic reaction

question

Veins most commonly used for IV therapy

answer

Peripheral veins of the arm and hand

question

IV Therapy outpatient ambulatory settings

answer

Medical office and clinics, urgent care centers, ambulatory infusion clinics and patients home

question

Advantages Outpatient IV therapy

answer

More convenient for patient and reduces medical costs through earlier discharge from the hospital or by avoiding hospitalization altogether

question

IV therapy provided

answer

Oncology office

question

Outpatient IV therapy

answer

Patient and reduces medical costs through earlier discharge avoiding hospitalization altogether also may more comfortable at home environment also faster healing

question

Outpatient IV therapy provides alternative

answer

Patients with acute or chronic illness

question

Before MA can perform IV therapy

answer

Check the laws of his or her state determine if legally permissible perform procedure also must acquire proper training

question

Before prescribing outpatient IV therapy physician must.

answer

Patients condition warrants the use of IV therapy No alternative routes are feasible or appropriate to delivery therapy.

question

After determine the need outpatient IV therapy

answer

Appropriate medication or fluid and treatment plan, orders laboratory tests to monitor the patients progress and assess the patient after IV therapy

question

If patient receives IV therapy at outpatient settings

answer

Scheduling the necessary services and providing patient with IV therapy instructions as length of time any dietary restrictions whether to wear loose fitting comfortable clothing Whether someone needs transport the patient to and from the appointment.

question

Iv therapy onsite

answer

special room to deliver includes lounge chair to provide patient with comfort

question

Iv therapy administrator outpatient settings

answer

administration of IV medications Replacement of fluids and electrolytes administration of nutritional supplements administration of blood products emergency administration of IV medication and fluids

question

Iv route

answer

a rapid systemic response to the medication is desired Therapeutic blood levels of the medication need to be maintained. The medication is destroyed by stomach acids, digestive enzymes or both the medication is toxic and could damage the lining of the gastrointestinal tract the medication is painful or irritating when given by other parenteral routes(IM or SC injection)

question

IV route provides

answer

rapid and effective method for administering medication to a patient also provides more accurate dosing than other routes because the medication enters the body directly from the circulatory system

question

IV medication can be administered by three methods

answer

direct iv injection intermittent IV administration continuous IV administration

question

Direct IV injection

answer

IV push it involves the administration of medication as a single dose into the vein over short time usually less than 10 mins it usual administrator through vascular access device that is already in place produces immediate and predictable results way good for life saving medication in emergency

question

intermittent IV administration

answer

specific amount of time (rate of infusion) at specific intervals must be diluted 25 to 250Ml

question

Intermittent IV administration of ceftriax one rocephin

answer

reconstituted then diluted in 50- 100ml of an IV fluid such as sterile water or 0.9% sodium chloride

question

administering IV medication

answer

15 minutes to several hours

question

intermittent infusion of ceftriaxone

answer

15-30 minutes recommend rate of infusion for IV infliximab at least 2 hrs

question

Patient with lyme disease

answer

once a day for 14 days in this instance the interval of time between dose 24 hours or 1 day

question

Continuous IV administration

answer

IV drip used hospital or home setting it involves infusion of medication over continuous period of time 4-24 hours it used to maintain constant therapeutic blood level of the medication diluted in a large quantity 250 to 1000ml 0.9% sodium chloride normal saline or 5% dextrose in water

question

IV antibiotic therapy

answer

prevent the infection from spreading and to avoid the development of serious complications concentrations quickly permitting it go work on infection immediately

question

Examples of infections prescribe IV antibiotic therapy in an outpatient settings

answer

osteomyelitis cellulitis endocarditis, bacterial meningitis, lyme disease, bacterial pneumonia bacterial septicemia, pyelonephritis, pelvic inflammatory disease aids related infections severe urinary tract infections and non healing wound infections

question

IV chemotherapy

answer

few minutes to administer or several hours may be given on daily weekly or monthly basis also depends what type cancer patients overall health ability to tolerate medications

question

Monoclonal antibodies

answer

treat inflammatory disease infliximab remicade

question

TNF

answer

causes inflammation in the body but in too large amounts it attacks healthy tissues

question

IV infliximab therapy

answer

administered in outpatient settings treatment of crowns disease, rheumatoid arthritis, ulcerative colitis, ankylosing spondylitis and psoriatic arthritis

question

IV anagesic therapy

answer

migraine headaches and cancer related pain and pain associated with AIDS conditions

question

IV narcotic anagesics

answer

ambulatory IV pump at home

question

PCP Pump

answer

patient controlled analgesia

question

Used of PCA pump

answer

He or she presses at button attach to PCA pump the PCA pump is programmed to deliver a predetermined dose of narcotic analgesic to relieve pain provide overmedication or locking device for security medication

question

Condition cause depletion of fluids and electrolytes

answer

vomiting and diarrhea excessive perspiration from fever or hot water and starvation

question

IV fluid therapy

answer

patients diagnosis (eg. prolonged diarrhea other coexisting medical conditions length of the current illness patients body size and weight physician findings from the physical examination Laboratory test results

question

Examples used replace fluids

answer

electrolytes 0.9% sodium chloride and ringers solution

question

IV fluids are administered by continuous in outpatient settings

answer

urgent care centers infusion clinics patients home

question

Medical office does not

answer

typical administer IV fluids and electrolytes except in emergency situation

question

Enteral nutriton

answer

delivery of nutrients through tube inserted into the gastrointestinal tract

question

Examples IV administration of nutritional supplements

answer

ulcerative colts, crohns disease,short bowl syndrome celiac disease pancretitis esophageal cancer, AIDS related malnutrition

question

Parental IV nutrition

answer

often outpatient settings infusion clinics and the patient home

question

IVIG dose

answer

patients weight medication infused slowly over many hours the number frequency depends patient condition

question

IVIG treatment

answer

once a month wheres the patient autoimmune disease only boost their immune system

question

Hemophilia

answer

inherited bleeding disorder characterized by deficiency clotting factor needed for proper coagulation of the blood sites bleeds joints and muscle it delayed irreversible damage affected tissues even to death

question

Intravenous clotting factors

answer

receive at home making more convenient and easier for them to manage their condition

question

benefit establishing IV access

answer

myocardial infarction and stroke anaphylactic reaction diabetic emergencies and heat related injuries such as heatstroke

question

Adverse Reaction

answer

An unintended and undesirable effect produced by a drug

question

Clinical Indication

answer

Any patient where intravenous access is indicated (significant trauma or mechanism, emergent or potentially emergent medical condition

question

Slowest Routes

answer

1. Enteral 2. Subcutaneous 3. Intramuscular 4.Topical

question

Fastest Routes

answer

1. Endotracheal 2. Subingual 3. Pulmonary 4. Intraosserous 5. Intravenous

question

Bigger the gauge

answer

More fluid can be delivered

question

14 or 16 gauge catheters

answer

large vein

question

Administer medications

answer

18 or 20 gauge catheter

question

Hypotonic solutions

answer

Fluid is pulled into the interstitial fluid compartment. Have less osmolarity than serum (i.e. It has less sodium ion concentration than serum). Water is pulled from the vascular compartment into the interstitial fluid compartment.

question

Isotonic soltonic

answer

Helpful in hypotensive or hypovolemic patients

question

4 Rights

answer

. Do I have the right patient? 2. Do I have the right solution? 3. Do I have the right drug? 4. Do I have the right route?

question

Micro drip Sets

answer

Allow 60 drops (gtts)/ ml into the drip chamber. Good for medication administration or pediatric fluid delivery

question

Macro drip Sets

answer

Allow 10 to 15 drops (gtts)/ ml into the drip chamber. Great for rapid fluid delivery.

question

formula is used to calculate drip rates.

answer

Volume in ml) x (drip set) gtts -------------------------------- = ------- (Time in minutes) min

question

To determine drip rate per minute:

answer

1. Figure the desired amount of fluid to go in over one hour. 2. Divide this number by your drip factor (1, 4 or 6) to get your drip rate.

question

Which of the following systems is used most often to prescribe and administer medication?

answer

Metric

question

Which of the following is a unit of volume?

answer

Liter

question

Which of the following parts of a prescription indicates the information included on the label?

answer

Signatura

question

The early symptoms of an anaphylactic reaction include:

answer

Hives, angioedema, erythema, disorientation

question

Which of the following needles has the largest lumen?

answer

18 G

question

Hypodermic syringes are calibrated in:

answer

Cubic centimeters

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