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Chapter 4
Vocabulary
44
Health Care
Beginner
01/09/2016

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Term
drug cycle
Definition
absorption, distribution, metabolism, and excretion
Term
topical route
Definition
Route of administration in which the drug is applied directly to the mucous membranes, skin, eyes, or ears. The therapeutic effect of the drug involves the local area only.
Term
transdermal route
Definition
The drug is applied to the skin, but the therapeutic effect is always felt systemically and not at the site of administration.
Term
oral route
Definition
Route of administration in which a drug is place in the mouth and swallowed.
Term
sublingual route
Definition
Route of administration in which the drug (in the form of a tablet or film) is placed under the tongue and allowed to disintegrate slowly and dissolve in saliva.
Term
buccal route
Definition
Route of administration in which the drug (usually in a tablet form) is placed between the cheek and the lower teeth and is allowed to disintegrate slowly and dissolve in the saliva.
Term
intranasal route
Definition
Route of administration in which a liquid drug is sprayed into the nose.
Term
inhalation route
Definition
Route of administration that involves inhaling a drug that is in a gas, liquid, or powder form. The drug is absorbed through the alveoli of the lungs.
Term
nasogastric route
Definition
Route of administration in which a liquid drug is given through a nasogastric tube that is passed from the nose through the esophagus to the stomach. This route is used to administer drugs to patients who cannot take oral drugs.
Term
gastrostomy or jejunostomy route
Definition
Also used to administer drugs to patients who cannot take oral drugs. These routes use a surgically implanted feeding tube to deliver liquid drugs directly into the stomach or jejunum.
Term
vaginal route
Definition
Route of administration in which a topical drug is placed into the vagina.
Term
intravesical route
Definition
Route of administration in which a drug is placed into the bladder; used to treat the pain and burning of inflammation and infection in the bladder, given through a catheter.
Term
rectal route
Definition
Route of administration in which a drug is placed into the rectum; reserved for situations in which the patient is vomiting or unconscious and the drug can't be given orally or through injection.
Term
parenteral route
Definition
Theoretically includes all routes of administration other than the oral route. In actual clinical usage, parenteral administration commonly includes these routes: intradermal, subcutaneous, intramuscular, and intravenous.
Term
intradermal route
Definition
Involves using a syringe to inject a liquid drug into the dermis, the layer of skin below the epidermis or skin surface; used for allergy skin tests and Mantoux test that screens for tuberculosis.
Term
subcutaneous route
Definition
Involves using a syringe to inject liquid drug into the subcutaneous tissue (the fatty layer of tissue just beneath the dermis of the skin but above the muscle layer); example would be a diabetic patient injecting insulin.
Term
intramuscular route (also known as hypodermic injection)
Definition
Involves the injection of a liquid drug into the belly of the muscle (area of greatest mass); the muscles are well supplied with blood vessels, and drugs injected intramuscularly are absorbed more quickly than with subcutaneous administration; examples are Demerol for extreme pain and ampicillin for bacterial infection.
Term
intravenous route
Definition
Involves the injection of a liquid drug into a vein, the therapeutic effect is seen immediately because this route bypasses the step of absorption from the tissues or from the intestine.
Term
Intravenous route uses:
Definition
-administer drugs
-correct a decreased volume of body fluids
-correct a decreased level of electrolytes or glucose
-provide nutritional support to patients who are NPO or who are temporarily unable to take in sufficient nutrients or fluids
Term
port
Definition
A self-sealing rubber stopper in the IV tubing. It can be used again and again. Liquid drugs are injected through it into an intravenous line or needle is inserted into it to administer a piggyback IV bag. A herapin lock also contains a port.
Term
infusion pump
Definition
Often used to more accurately control the rate of flow of an IV.
Term
extravasation
Definition
Condition when intravenous fluids are accidentally administered into the subcutaneous tissues instead of into the vein because the needle is not in the vein.
Term
vesicant
Definition
An intravenous drug that is known to be very irritating, causing blisters or tissue death, when it accidentally goes into the subcutaneous tissue.
Term
intra-arterial
Definition
This route is used for administration of a chemotherapy drug directly into the area of a cancerous tumor.
Term
intra-articular
Definition
This route is used to administer a drug into a joint (example: a corticosteroid drug to decrease pain and inflammation).
Term
intracardiac
Definition
This route is only used during emergency resuscitation associated with cardiac arrest.
Term
central venous line
Definition
This route is used continuously to administer intravenous fluids or drugs to critically ill patients or intermittently to administer chemotherapy drugs to patients with cancer.
Term
endotracheal tube
Definition
This route is used to administer drugs through an endotracheal tube inserted through the mouth and into the trachea; useful if there is no established intravenous access.
Term
implantable port
Definition
This is a special intravenous access device used to administer a chemotherapy drug to treat cancer. The port is a thin metal or plastic reservoir that is placed in the patient's subcutaneous tissue.
Term
intrathecal and epidural
Definition
These routes are used to administer drugs into the cerebrospinal fluid that circulates around the spinal cord.
Term
intraperitoneal
Definition
This route is used to administer drugs or fluids into the abdominal cavity (that is lined with peritoneum).
Term
umbilical artery or vein
Definition
This route is accessible only in newborn infants before the umbilical cord has dried.
Term
Pharmacokinetics
Definition
The study of how drugs move through the body in the processes of absorption, distribution, metabolism, and excretion.
Term
absorption
Definition
Involves the movement of a drug from the site of administration through tissues and into the blood; 3 steps: disintegrate, dissolve, and absorb
Term
distribution
Definition
After the drug has been absorbed, it is distributed throughout the body via circulatory system; as a drug enters the blood, some of the drug binds to circulating plasma proteins.
Term
plasma proteins (albumin)
Definition
The major protein in the plasma (liquid portion) of the blood. It's a large molecule that exerts osmotic pressure. It binds with drugs and keeps them from being excreted by the kidneys.
Term
receptor
Definition
Structure on the cell membrane that bonds to substances in the body (neurotransmitters, hormones, antigens) or to substances introduced in the body (drugs, chemicals). Binding to a substance causes the receptor to be stimulated or to be blocked so that other substances cannot bind to it.
Term
metabolism (biotransformation)
Definition
The third step in the drug cycle. Metabolism gradually transforms or metabolizes the drug from its original active form to a less active, or even inactive, form. This process is accomplished in the liver, the principal organ of metabolism, by the action of liver enzymes.
Term
first-pass effect
Definition
Initial metabolism of a drug by liver enzymes when the drug is given by the oral route. The drug is absorbed from the intestines into the portal vein to the liver. The drug must first pass through the liver before it can enter the general circulation. For some drugs, the first-pass effect is so extensive that most of the drugs dose is immediately metabolized, and the drug must be given by a different route of administration in order to be therapeutic.
Term
metabolite
Definition
The inactive form of a drug after undergoing metabolism. It's a waste product that must be removed from the body. In contrast, some drugs are administered in an inactive form and remain inactive until they are metabolized by the liver. Then this metabolite form of a the drug becomes the active form.
Term
prodrug
Definition
A drug that becomes active only after it's metabolized by the liver. The prefix pro- means before, and prodrug refers to the drug that's administered before the active drug is produced.
Term
excretion
Definition
The necessary last step in ridding the body of waste products (inactive metabolites) and removing active drugs that aren't metabolized by the liver.
Term
water-soluble drugs
Definition
A drug whose molecules are excreted in the urine because they're attracted to the water content of urine.
Term
fat-soluble drugs
Definition
A drug whose molecules are attached to the lipid (fat) structure of the renal tubule wall. Then the drug's molecules pass through the tubule wall and into the blood of a nearby capillary, without being excreted in urine.
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