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pharmocology 7&8

key terms on both chapters

Terms

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Buccal
Pertaining to the cheek. In drug administration, the buccal pouch is composed of the mucous-membrane side of the inner cheek and the posterior, lower gums.
Consent form
Grants permission to the health care facility and physician to provide treatment to the patient.
Otic
Pertaining to the ear.
Other diagnostic reports
Section of the patient's chart that contains reports of surgery, EEG, ECG, pulmonary function tests, radiography, etc.
Transdermal disk
A disk or patch that provides controlled release of a prescribed medication (e.g., nitroglycerin, clonidine, Ortho-Evra) through a semipermeable membrane for several hours to 3 weeks when applied to intact skin.
Clinical decision-making support systems (CDSS)
Interactive computer programs that directly assist physicians and other health professionals with decision-making tasks.
Unit dose drug distribution system
Use of single-unit packages of drugs, dispensed to fill each dose requirement as it is ordered.
Lotions
Usually aqueous (water-based) preparations that contain suspended materials. Commonly used as soothing agents to protect the skin and relieve rashes and itching.
Summary sheet
Portion of the patient's chart that lists the patient's general information, such as name, address, insurance carrier, etc.
Nebulae
Very small droplets of water or oil, usually sprayed from an atomizer.
Nursing history
Data collected about a patient's level of wellness, changes in life patterns, sociocultural role, and mental and emotional reactions to illness.
Adverse drug events (ADEs)
Serious complications resulting from pharmacological treatment.
Nursing care plan
The written or computer-generated document that evolves from planning.
Laboratory tests record
All laboratory test results are kept in one section of the chart.
Dry powder inhaler (DPI)
A device used to administer small amounts of powdered medicine by inhalation.
Individual prescription order system
Medication delivery system where medications are dispensed from the pharmacy upon receipt of a prescription or drug order for an individual patient.
Flow sheets
Condensed form for recording information for quick comparison of patient data.
Transcription
The practice of transferring a physician's order from the physician's order sheet onto the Kardex or MAR.
Verification
The practice of checking a medication order to make sure the type of drug, therapeutic intent, dose, and mathematical and physical preparation of the dose are all acceptable to give to the patient.
Nurses' notes
Section of the patient's chart where the nurse documents observations and actions taken, such as routine care given, abnormal findings, and client or family problems. There are many formats used.
Floor or ward stock system
Medication delivery system where all but the most dangerous or rarely used medications are stocked at the nursing station in stock containers.
Antigens
Any substance that will lead to the formation of antibodies.
Renewal order
Medication order that must be written and signed by the physician before the nurse can continue to administer the medication.
PRN order
Administer if needed. This order allows a nurse to judge when a medication should be administered, based on the patient's need and when it can be safely administered.
Long-term care unit dose system
Medication delivery cart designed with individual drawers to hold one patient's medication containers for 1 week.
Nurse practice act
A statute enacted by the state legislature or appropriate officers that delineates the legal scope of the practice of nursing within the geographic boundaries of the jurisdiction.
Progress notes
Frequent observations of the patient's health status made by the physician and other health care professionals.
PRN
meaning "as circumstances require."
Standing order
A medication that is to be given for a specified number of doses. Also may indicate that a drug is to be administered until discontinued at a later date.
Medication administration record (MAR) or medication profile
Section of the patient's chart listing all medications to be administered.
Stat order
A drug that is used on an emergency basis, to be administered as soon as possible, but only once.
Ophthalmic
Pertaining to the eye.
Graphic record
Record illustrating a patient's vital signs and other information to be used for ongoing assessment of a patient's status.
Aerosols
Medication that is inhaled through a flow of air or oxygen under pressure to disperse the drug throughout the respiratory tract.
Patch testing
A method used to identify a patient's sensitivity to contact materials (e.g., soaps, pollens, dyes).
Patient education record
Documentation of the health teaching provided to the patient, family, or significant others, including statements regarding the learner's mastery of the content presented.
Kardex
A large index-type card usually kept in a flip-file or a separate holder; it contains pertinent information such as the patient's name, diagnosis, allergies, schedules of current medications with stop dates, treatments, and the nursing care plan.
Ointments
Semisolid preparations of medicinal substances in an oily base such as lanolin or petrolatum.
Dressings
Material used to treat and cover wounds.
Consultation reports
Section of the patient record where specialists' summary of findings, diagnoses, and recommendations for treatment are recorded.
Medication profile
Section of the patient's chart listing all medications to be administered.
Standards of care
Guidelines developed for the practice of nursing.
Metered-dose inhaler
A device used to administer small amounts of aerosolized medicine by inhalation.
Case management
The coordination of patient care provided to individuals, their families, and significant others on a continuum, providing efficient transitions to services that may be needed after discharge.
Creams
Semisolid emulsions containing medicinal agents for external application.
History and physical examination form (H&P) form
Form used by the health care provider to record findings from the patient interview and physical examination.
Critical pathways
Comprehensive individualized plan of care that describes a multidisciplinary plan to track a patient's progress toward expected outcomes within a specified period. Also known as integrated care plans, care or clinical maps, and clinical trajectories.
Allergens
Antigenic substances that can produce an immediate hypersensitivity in the body.
Unscheduled medication orders
Separate sheet in a patient's medication administration record that lists PRN medications.
Physician's order form
Form used by the physician to order procedures and treatments for a patient.
Computer-controlled ordering and dispensing system
Computerized medication delivery system where single-unit packages are dispensed to the nurse for the patient.

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