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Fundamentals Of Nursing
Potter and Perry Chapter 35 and 41
108
Nursing
Undergraduate 1
09/10/2010

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Term
Absorption
Definition
Passage of substances across and into tissues.
Term
Adverse Effects
Definition
A severe response to medication.
Term
Anaphylatic Reactions
Definition
Reactions characterized by sudden constriction of bronchiolar muscles, edema of the pharynx and larynx, and severe wheezing and shortness of breath.
Term
Biotransformation
Definition
Change that occurs under the influence of enzymes that detoxify, degrade, and remove biologically active chemicals.
Term
Buccal
Definition
Pertaining to the indside of the cheek or the gum next to the cheek.
Term
Concentration
Definition
Substance, particularly a liquid, that has beens strengthened and reduced in volume through evaporation or other means.
Term
Detoxify
Definition
To remove a poison or its effects from a patient.
Term
Idiosyncratic Reaction
Definition
Individual sensitivites to drug effects; caused by inherited or other bodily consititution factors.
Term
Infusions
Definition
Introduction of a substance such as a fluid, drug, electrolyte, or nutrient directly intoa  vein by means of gravity flow.
Term
Inhalation
Definition
To breathe in or draw in with the breath.
Term
Injection
Definition
Act of forcing a liquid into the body by means of a needle and syringe.
Term
Instillation
Definition
Procedure in which a fluid is slowing introduced into a cavity or passage of the body and allowed to remain for a specific length of time before being withdrawn or drained.
Term
Intraarticular
Definition
Within a joint.
Term
Intracardiac
Definition
Within the myocardium
Term
Intradermal
Definition
Within the dermis of the skin.
Term
Intramuscular
Definition
Tissue within the interior of a muscle.
Term
Intraocular
Definition
Eye medication delivery involving inserting a medication, similar to a contact lens, into a patient's eye.
Term
Intravenous
Definition
Pertaining to the inside of a vein.
Term
Irrigations
Definition
Process of washing out a body cavity or wounded area with a stream of fluid.
Term
Medication Allergy
Definition
Severe or mild reaction to medication.
Term
Medication Error
Definition
Any event that could cause or lead to a patient receiving inappropriate medication therapy or failing to receive appropriate medication therapy.
Term
Medication Interaction
Definition
One medication alters the action of another.
Term
Medication Reconciliation
Definition
Comparison of two medication lists to ensure that the nurse is aware of all medications prescribed for a patient.
Term
Metered-Dose Inhaler
Definition
Inhaler designed to produce local effects such as bronchodilatation.
Term
Metric System
Definition
Decimal system of measurement based on the meter as the unit of length, the gram as the unit of weight or mass, and the liter as the unit of volume.
Term
Narcotics
Definition
Drug substance, either derived from opium or produced synthetically, that alters perception of pain and that with repeated use may result in physical and psychological depence.
Term
Nurse Practice Acts
Definition
Statutes enacted by the legislature of any state that delineate the legal scope of the practice of nursing within the geographical boundaries of the jurisdiction.
Term
Ophthalmic
Definition
Medications for eye cconditions such as glaucoma.
Term
Parenteral Administration
Definition
Injecting a medication into body tissues.
Term
Peak (Concentration)
Definition
Highest Serum Concentration.
Term
Pharmacokinetics
Definition
Study of how drugs enter the body, reach their site of action, are metabolized, and exit from the body.
Term
Polypharmacy
Definition
Use of a number of different drugs by a patient who may have one or several health problems.
Term
Prescription
Definition
Written by the prescriber for clients who are to take medications outside the hospital.
Term
Serum Half-Life
Definition
Time needed for excretion processes to lower the serum drug concentration by half.
Term
Side Effects
Definition
Any reaction or consequence that results from medication or therapy.
Term
Solutions
Definition
Mixture of one or more substances dissolved in another substance. The molecules of each of the substances disperse homogeneously and do not change chemically.  A solution may be a liquid, gas, or solid.
Term
Subcutaneous
Definition
Injection into tissues just below the dermis of the skin.
Term
Sublingual
Definition
Route of medication administration in which the medication is placed underneath the patient's tongue.
Term
Synergistic Effect
Definition
When two drugs act synergistically, the effect of the two drugs combined is greater that the effect that would be expected if the individual effects of the two drugs acting alone were added together.
Term
Therapeutic Effect
Definition
Desired benefits of a medication, treatment, or a procedure.
Term
Toxic Effects
Definition
Resulting from an excess amount of medication in a patient's blood, these effects may be caused by the excessive use of medication, overdose, impaired excretion, or idiosyncratic reaction to the medication itself.
Term
Transdermal Disk
Definition
Method of applying medication topically; also known as a patch.
Term
Verbal Order
Definition
Physician's order given the the nurse, usually over the telephone.
Term
Z-Track Method
Definition
Technique for injecting irritating preparations into muscle without tracking residual medication through snesitive tissues.
Term
Acidosis
Definition
An increase of hydrogen ions producing a lower pH.
Term
Active Transport
Definition
Movement of materials across the cell membrane by means of chemical activity that allows the cel to admit larger molecules that would otherwise be possible.
Term
Aldosterone
Definition
Substance released by the adrenal cortex in response to increased plasma potassium levels or ass a part of the renin-angiotensin-aldosterone mechanism to counteract hypovolemia.
Term
Alkalosis
Definition
A decrease of hydrogen ions producing a higher pH.
Term
Angiotensin
Definition
Substance produced by renin tha causes some vasoconstriction.
Term
Anion Gap
Definition
Difference between concentrations of serum cations and anions; determined by measuring the concentrations of sodium cations and chloride and bicarbonate anions.
Term
Anions
Definition
Negatively charged electrolytes.
Term
Antidiuretic Hormone (ADH)
Definition
Substance stored in the posterior gland that is released in response to changes in blood osmolarity.
Term
Arterial Blood Gas (ABG)
Definition
The oxygen and carbon dioxide content of arterial blood, measured by various methods to assess the adequacy of ventilation and oxygenation and the acid-base status of the body.
Term
Atrial Natiuretic Peptide (ANP)
Definition
Hormone secreted from atrial cells of the heart in response to atrial stretching and increase in circulating blood volume. Identified as a diuretic that causes sodium loss and inhibits the thirst mechanism.
Term
Autologous Transfusion
Definition
Transfusion procedure in which blood is removed from a donor and stored for a time before it is returned to the donor's circulation.
Term
Buffer
Definition
Substance or group of substances that can absorb or release hydrogen ions to correct an acid-base imbalance.
Term
Cations
Definition
Positively charged electrolytes.
Term
Colloid Osmotic Pressure
Definition
Pressure that tends to keep fluid in the intravascular compartment.
Term
Colloids
Definition
Blood and blood components.
Term
Concentration Gradient
Definition
Difference between two concentrations.
Term
Crystalloids
Definition
Intravenous (IV) fluid and electrolyte therapy.
Term
Dehydration
Definition
Excessive loss of water from the body tissues, accompanied by a disturbance of body electrolytes.
Term
Diffusion
Definition
Movement of molecules from an area of higher concentration to an area of lower concentration.
Term
Edema
Definition
Abnormal accumulation of fluid in interstitial spaces of tissues.
Term
Electrolytes
Definition
Element or compound that, when melted or dissolved in water or another solvent, dissociates into ions and is able to carry an electrical current.
Term
Erythema
Definition
Redness or inflammation of the skin or mucous membranes that is a result of dilation and congestion of superficial cappillaries, such as sunburn.
Term
Extracellular Fluids
Definition
Portion of body fluids composed of intersitial fluid and blood plasma.
Term
Filtration
Definition
Process by which water and diffusible substances move together in response to fluid pressure.
Term
Fluid Volume Deficict (FVD)
Definition
ALteration characterized by the loss of fluids and electrolytes in an isotonic fashion.
Term
Fluid Volume Excess (FVE)
Definition
Alteration characterized by the abnormal retention of fluids and electrolytes in an isotonic fashion.
Term
Hemolysis
Definition
Breakdown of red blood cells and release of hemoglobin as may result from the administration of hypotonic intravenous solutions that cause progressive swelling and rupture of the erythrocytes.
Term
Homeostasis
Definition
State of relative constancy in the internal environment of the body, maintained naturally by physiological adaptive mechanisms.
Term
Hydrostatic Pressure
Definition
Pressure exerted by a liquid.
Term
Hypernatremia
Definition
Greater than normal concentration of Sodium in extracellular fluid that can be caused by excess water loss or an overall sodium excecss.
Term
Hypertonic
Definition
Situation in which one solution has a greater concentration of solute than another solution
Term
Hypokalemia
Definition
One of the most common electrolyte imbalances, in which an inadequate amount of potassium circulates in extracellular fluid.
Term
Hyponatremia
Definition
A lower than normal concentration of sodium in the blood serum. 
Term
Hypotonic
Definition
Situation in which one solution has a smaller concentration of solute than another solution.
Term
Hypovolemia
Definition
Decreased circulatory blood volume resulting from extracellular fluid losses.
Term
Infiltration
Definition
Dislodging an intravenous catheter or needle from a vein into the subcutaneous space.
Term
Infusion Pumps
Definition
Device that delivers a measured amount of fluid over a period of time.
Term
Insensible Water Loss
Definition
Loss of fluid from the body by evaporation, such as that which normally occurs during respiration.
Term
Interstitial Fluid
Definition
Fluid that fills the spaces between most of the cells body and that provides a substantial portion of the liquid enviroment of the body.
Term
Intracellular Fluids
Definition
Liquids within a cell membrane.
Term
Intravascular Fluid
Definition
Blood plasma.
Term
Ions
Definition
Atoms or groups of atoms that have acquired an electrical charge through the gain or loss of an electron or electrons.
Term
Isotonic
Definition
Situation in which two solutions have the same concentration of solute.
Term
Metabolic Acidosis
Definition
Abnormal condition of high hydrogen ion concentration in the extracellular fluid caused by either a primary increase in hydrogen ions or a decrease in bicarbonate.
Term
Metabolic Alkalosis
Definition
Abnormal condition characterized by the significant loss of acid from the body or by increased levels of biocarbonate.
Term
Milliequivalents per Liter
Definition
Unit of measurement representing the number of grams of the specific electrolyte dissolved in a liter of plasma.
Term
Oncotic Pressure
Definition
Total influencce of a protein on the osmotic activity of plasma water.
Term
Osmolality
Definition
The osmotic pressure of a solution. Expressed as osmols, miliosmols per kilogram of the solution.
Term
Osmolarity
Definition
Osmotic pressure of a solution. Expressed in osmols or milliosmols per liter of the solution.
Term
Osmols
Definition
Quanity of a substance in solution in the form of molecules, ions, or both that have the same osmotic pressure.
Term
Osmoreceptors
Definition
Receptor that is sensitive to fluid concentration in the blood plasma and that regulates the secretion of antidiuretic hormone.
Term
Osmosis
Definition
Movement of a pure solvent through a semipermeable membrane from a solution with a lower solute concentration to one with a higher solute concentration.
Term
Osmotic Pressure
Definition
Drawing power for water, which depends on the number of molecules in the solution.
Term
Phlebitis
Definition
Inflammation of a vein.
Term
Respiratory Acidosis
Definition
Abnormal condition characterized by increased arterial carbon dioxide concentration, excess carbonic acid, and increased hydrogen ion concentration.
Term
Respiratory Alkalosis
Definition
Abnormal condition characterized by decreased arterial carbon dioxide concentration and decreased hydrogen ion concentration.
Term
Sensible Water Loss
Definition
Water loss that occurs through excess perspiration.
Term
Solute
Definition
Substance dissolved in a solution.
Term
Solution
Definition
Mixture of one or more substances dissolved in another substance.
Term
Solvent
Definition
Any liquid in which anotehr substance can be dissolved.
Term
Transcellular Fluid
Definition
Fluid from other fluids by a cellular barrier and consists of cerebrospinal, pleural, gastrointestinal, intraocular, peritonela, and synovial fluids.
Term
Transfusion Reaction
Definition
Systemic response by the body to the administration of blood incompatible with that of the recipient.
Term
Vascular Access Devices (VADs)
Definition
Catheters, cannulas, or infusion ports designed for long-term repeated access to the vascular system.
Term
Venipuncture
Definition
Technique in which a vein is punctured transcutaneously by a sharp, rigid stylet or by a needle attached a syringe.
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