Yu Chen

HP 170
Chapter 5 Review
Define each of the terms listed.
    1.(LO 5-1) Active When active ingredients are mixed with water, alcohol, or both, the resulting preparations are either solutions or suspensions
    2.(LO 5-1) Irrigation Any of these areas may also be rinsed with water containing drugs

    3.(LO 5-1) Inhalation In inhalation administration, medicine is sprayed or inhaled into the nose, throat, and lungs.
    4.(LO 5-1) Instillation Topical medications can be dropped into the eyes, ears, and nose 
    5.(LO 5-3) Outpatient A prescription blank is used to write medication orders for patients who are being discharged from the hospital or who are seeing the
provider in a medical office or clinic
    6.(LO 5-3) Provider’s order sheet When an order must be given verbally, as in an emergency situation, it should be written down and signed by the provider
within 24 hours.
    7.(LO 5-3) Routine order the ordered drug is administered until a discontinuation order is written or until a specified termination date is reached.
    8.(LO 5-3) Standing order outlines a specific condition in which a drug is to be administered.
    9.(LO 5-3) PRN order an order written by the provider for a drug to be given when a patient needs it.
  10.(LO 5-3) Stat order is a single order that is administered immediately, usually written for emergencies when a patient’s condition suddenly changes.

Match the abbreviation to the proper route.

____e_____  22.(LO 5-1) Under the tongue a.buc

____f_____  23.(LO 5-1) Under the skin b.PO
____c_____  24.(LO 5-1) Into the skin c.ID
____g_____  25.(LO 5-1) Into the muscle d.IV
____d_____  26.(LO 5-1) Into the vein e.subl
____b_____  27.(LO 5-1) By mouth f.subcut
____a_____  28.(LO 5-1) Inside the cheek g.IM

Match the appropriate abbreviation to each phrase.

___h______  29.(LO 5-2) Drop a.stat

___e______  30.(LO 5-2) Medications given as b.BID, QID, q4h, h.s.,
necessary a.m.
___b______  31.(LO 5-2) Administration times c.a.c., p.c.
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HP 170

____c_____  32.(LO 5-2) Before or after meals d.HCl, NaCl, H2O

____f_____  33.(LO 5-2) Discontinue e.ad lib., PRN
____a_____  34.(LO 5-2) Immediate, one-time order f.DC, d/c
____g_____  35.(LO 5-2) Nothing by mouth g.NPO
_____d____  36.(LO 5-2) Chemical symbols h.gt

Describe the solid forms.

  48.(LO 5-1) Troche are tablets designed to dissolve in the mouth rather than be swallowed. They may be flat, round, or rectangular and are used for their local
effects.
  49.(LO 5-1) Suppository is molded into a shape suitable for insertion into the vagina, urethra, or rectum. After insertion, the suppository dissolves against the
warm mucous membranes of these openings and releases the drug. 
  50.(LO 5-1) Sustained-release capsule The doses have special coatings that dissolve at different rates so that medicine is released into the stomach gradually.
  51.(LO 5-1) Scored tablet Tablets may be scored, which allows for breakage into halves. drug powders pressed or molded; designed to be swallowed

Fill in the blanks with the word or phrase that best completes each statement.
  55.(LO 5-1) All suspensions must be __shaken____ before use.
  56.(LO 5-1) When a drug dissolves in water or alcohol, the result is called a(n) __solution______.
  57.(LO 5-1) When a drug does not dissolve in liquid, the preparation is called a(n) __suspension_____.
  58.(LO 5-1) __Enteric____ -coated capsules and tablets prevent stomach irritation by dissolving only when they reach the intestine.
  59.(LO 5-1) Liquid suspensions for external application to the skin to relieve pain and swelling are known as liniments___.
  60.(LO 5-1) Suppositories may be inserted into the _vagina__, the __rectum_____, or the __urinary bladder_____.
  61.(LO 5-1) A diagnosed alcoholic should not be given any __alcohol__ solutions.
  62.(LO 5-1) Sustained-release capsules are also called _delayed time release__.
  63.(LO 5-1) Oral medicines are made to taste good to help _children_____ as well as older adults____ take them.
  64.(LO 5-1) Elixirs of phenobarbital or Benadryl Allergy are __sweetened___ to help children and older adults take them better.
  65.(LO 5-1) In sublingual and buccal administrations, no __food or liquid___ is permitted until the medication is dissolved.

  66.(LO 5-1) Applying local medications to the skin or the mucous membranes is known as the ___topical___ route.
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HP 170
  67.(LO 5-1) Injecting medications into the body with a needle and syringe is known as the __parental___ route.
  68.(LO 5-1) Parenteral medications and equipment must be _sterile_____; otherwise, there is danger of infection.

Translate these providers’ orders. Use your knowledge of medical abbreviations to give their meanings.
 80.(LO 5-1) Keflex 250 mg caps q6h po Keflex 250-milligram capsule by mouth every six hours
 81.(LO 5-1) Lotrimin AF cream bid × 2 weeks twice a day for 2 weeks.
 82.(LO 5-1) Bacitracin ophth. oint. in the right eye tid for conjunctivitis Apply Bacitracin ophthalmic ointment in the right eye, three times a day for
conjunctivitis 83.

Answer the questions in the space provided.

  93.(LO 5-3) What must be counted or measured at the beginning of each shift? Controlled substances
  94.(LO 5-3) List two examples of controlled substances. Demerol 50 mg for injection is packaged in a box of 10 prefilled syringes. Oral narcotics such
as Percodan may come in single-dose packages in a box of 25. 
  95.(LO 5-3) Where should controlled substances be stored? In a securely locked cabinet of substantial construction.
 Controlled substances are packaged in either single doses or multiple doses.
 99.(LO 5-4) List the seven rights of medication administration. Right drug, Right dose, Right patient, Right route, Right time, Right technique, Right
documentation
100.(LO 5-2) List two rules for giving the correct medication.  1.Compare before taking it from the shelf or drawer where it is stored.
  2.Compare as you remove the ordered amount of the drug from the container.

101.(LO 5-6) List three reasons why the patient chart is an important document. They chart their observations, plans of action, treatments, and results, with a
number telling which particular problem they are working on. The list of problems includes any social and psychological factors in the patient’s life that may
have an effect on treatment. The POMR is designed to make sure that all members of the healthcare team are aware of what the others are doing and planning for
the patient. In this way, the patient receives coordinated care.

Drug Calculations—Fill in the blank with the answer.

105.(LO 5-3) The provider orders clozapine (Clozaril) 50 mg orally bid. Using the medication label for Clozaril, you should administer __2__ tablets to
your patient.
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HP 170

106.(LO 5-3) The provider orders erythromycin (Ery-Tab) 500 mg orally daily. Using the medication label for Ery-Tab, prepare to administer ___2_ tablets to
your patient.

107.(LO 5-3) The provider orders trimethobenzamide (Tigan) 200 mg to be administered intramuscularly. Using the medication label for Tigan, administer
___2__ mL to your patient.

Multiple Choice—Circle the correct letter.

108.(LO 5-3) Which is a correct abbreviation to use in medication administration?
a. AD
b. OS
c. q.
d. p.c.
109.(LO 5-3) Which abbreviation is defined correctly?
a. PRN—permission required and necessary
b. NKA—necessary knowledge acquired
c. n.p.o.—nothing by mouth
d. c/o—comments offered
110.(LO 5-4) Which is the most common type of drug order to follow?
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HP 170
a. Routine order
b. Standing order
c. PRN order
d. Verbal order
111.(LO 5-1) You administer which of the following types of medications for a patient with asthma?
a. Liniment
b. Aerosol
c. Magma
d. Syrup