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The Pharmacy Technician 4E Chapter 7 Routes & Formulations
Chapter Outline ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Factors Influencing the Route of Administration ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Factor Affecting Selection of Route of Administration ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Drug Characteristics ,[object Object],[object Object],[object Object],[object Object],[object Object]
Ease of Administration ,[object Object],[object Object],[object Object],[object Object],[object Object]
Site of Action ,[object Object],[object Object],[object Object]
Onset of Action ,[object Object],[object Object],[object Object],[object Object]
Onset of Action ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Duration of Action ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Quantity of Drug ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Metabolism by the Liver or Excretion by the Kidney ,[object Object],[object Object],[object Object],[object Object]
Metabolism by the Liver or Excretion by the Kidney ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Oral Dosage Forms ,[object Object],[object Object],[object Object],[object Object]
Active vs. Inactive Ingredients ,[object Object],[object Object],[object Object],[object Object]
Oral Routes of Administration ,[object Object],[object Object],[object Object],[object Object],[object Object]
Dose Forms  ,[object Object],[object Object],[object Object],[object Object],[object Object]
Other Tablet Types ,[object Object],[object Object],[object Object]
Capsules   ,[object Object],[object Object],[object Object],[object Object],[object Object]
Buccal Administration ,[object Object],[object Object],[object Object]
Oral Dose Forms Modified Release Formulation ,[object Object],[object Object],[object Object],[object Object],[object Object]
Oral Dose Forms: Other formulations  ,[object Object],[object Object],[object Object],[object Object],[object Object]
Liquid Formulations ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Liquid Formulations Nonaqueous Solutions ,[object Object],[object Object],[object Object],[object Object],[object Object]
Liquid Formulations - Emulsions ,[object Object],[object Object],[object Object],[object Object]
Liquid Formulations - Gels ,[object Object],[object Object],[object Object],[object Object]
Other Delivery Systems ,[object Object],[object Object]
Effervescent Salts and Lozenges ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Other Delivery Systems ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Sublingual Administration   ,[object Object],[object Object],[object Object],[object Object]
Oral Dose Forms  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Advantages of the Oral Route ,[object Object],[object Object],[object Object]
Disadvantages of the Oral Route ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Disadvantages of the Oral Route ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Dispensing Oral Medications   ,[object Object],[object Object],[object Object],[object Object],[object Object]
Rectal Medications- Suppository ,[object Object],[object Object],[object Object],[object Object]
Rectal Dosage Forms ,[object Object],[object Object],[object Object],[object Object]
Rectal Formulations ,[object Object],[object Object],[object Object],[object Object],[object Object]
Parenteral Routes of Administration ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Parenteral Routes of Administration ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Parenteral Dose Forms ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Parenteral Dose Forms ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Parenteral Dose Forms ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Syringe Size Recommendations ,[object Object],[object Object],[object Object],[object Object],[object Object]
Advantages and Disadvantages of the Parenteral Route ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Parenteral Route ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Parenteral Route Characteristics ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Parenteral Route Disadvantages   ,[object Object],[object Object],[object Object],[object Object],[object Object]
Intravenous Formulations ,[object Object],[object Object],[object Object],[object Object],[object Object]
Intravenous Injections or Infusions ,[object Object]
Intravenous  Formulation Complications ,[object Object],[object Object],[object Object],[object Object]
Intravenous Formulations Devices ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Intramuscular Injections ,[object Object],[object Object],[object Object],[object Object],[object Object]
Intramuscular Injections ,[object Object],[object Object],[object Object]
Advantages and Disadvantages of the Parenteral Route ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Advantages and Disadvantages of the Parenteral Route ,[object Object],[object Object],[object Object],[object Object],[object Object]
Subcutaneous Injections ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Subcutaneous Injections ,[object Object],[object Object],[object Object],[object Object]
Subcutaneous Injections Insulin ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Intradermal Injections ,[object Object],[object Object],[object Object],[object Object]
Intradermal Injections ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Implants and Plasters ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Parenteral Topical Routes of Administration ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Ophthalmic Medications   ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Ophthalmic Ointments Formulation ,[object Object],[object Object],[object Object]
Ophthalmic Administration ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Ophthalmic Administration ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Ophthalmic Administration ,[object Object],[object Object],[object Object],[object Object],[object Object]
Contact Lenses & Ocular Inserts ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Intranasal Formulations ,[object Object],[object Object],[object Object]
Intranasal Formulations ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Intranasal Formulation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Inhaled Medications ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Inhaled Medications ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Inhaled Medications ,[object Object],[object Object],[object Object],[object Object],[object Object]
Inhaled Medications Proper Administration of Aerosolized Medications ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Transdermal Administration ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Basic Rule of Percutaneous Absorption ,[object Object],[object Object],[object Object],[object Object]
Topical Dose Forms   ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Ointments, Creams, Lotions, and Gels   ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Ointments, Creams, Lotions, and Gels ,[object Object],[object Object],[object Object],[object Object],[object Object]
Transdermal Patches   ,[object Object],[object Object],[object Object],[object Object],[object Object]
Dermal Formulations Advantages ,[object Object],[object Object],[object Object],[object Object]
Vaginal Formulations ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],uterus vagina
Vaginal Medications ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Vaginal Formulations ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Intrauterine Devices (IUDs) ,[object Object],[object Object],[object Object],[object Object],[object Object]
The Vaginal Ring ,[object Object],[object Object],[object Object]
Toxic Shock Syndrome (TSS) ,[object Object],[object Object],[object Object]
Otic Medications ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Otic Medications ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Terms to Remember ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Terms to Remember ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

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Editor's Notes

  1. When will drug begin to work
  2. Topical-local lidocaine, albuteral, zaditor
  3. Onset is when drug starts working Doa- how long it works
  4. Ex if a person is dehydrated and its not severe, the person can increase fluid intake BUT if its severe, the person will be hospitalized and given fluids IV
  5. After a drug is swallowed, it is absorbed by the digestive system and enters the hepatic portal system . It is carried through the portal vein into the liver before it reaches the rest of the body. The liver metabolizes many drugs, sometimes to such an extent that only a small amount of active drug emerges from the liver to the rest of the circulatory system . This first pass through the liver thus greatly reduces the bioavailability of the drug. Alternative routes of administration like suppository , intravenous , intramuscular , inhalational aerosol and sublingual avoid the first-pass effect because they allow drugs to be absorbed directly into the systemic circulation . http://en.wikipedia.org/wiki/First_pass_effect
  6. Cholestyramine-cholesterol KCL
  7. Buccal is cheek Sublingual- under tongue
  8. Do not confuse with EC ie enteric coated aspirin- this is coated so that it doesn’t dissolve until in small intestines Some ER tabs it is ok to split b/c the manufacturer has formulated it with a score in the middle of the
  9. IR refers to immediate release
  10. Self wetting agent that helps to make a drug extended release
  11. 15-20gtts per ml when calculating days supply
  12. Intrathecal analgesia is distinguished from epidural analgesia by catheter location within the neuraxis (see Fast Fact #85 ). In the former, the catheter lies within the subarachnoid space, where small quantities of medication have direct access to spinal drug receptor sites. In the latter, larger doses of medication (necessitated by epidural fat and vascular uptake) must diffuse across the dura to reach these receptors. Epidural vs. Intrathecal Analgesia   Potential advantages of intrathecal – relative to epidural – techniques are: Ease of catheter placement, particularly in the presence spinal pathology. Superior analgesia in the following settings: Presence of epidural pathology, e.g. metastatic disease, radiation fibrosis, vertebral compression. Widespread pain, multiple pain locations, and pain distant from catheter site, especially upper body. Pain poorly responsive to high-dose epidural therapy. Fewer catheter problems such as catheter migration or tip occlusion. Lower dose requirements may reduce side effects and lower drug costs. http://www.eperc.mcw.edu/fastFact/ff_98.htm
  13. PCA usually seen with morphine; it does max out at a certain amount so pt can not od
  14. Z-track injection is used for Imferon (Fe), Demerol
  15. Tb tests
  16. Ed Drugs/stent into urethra
  17. 15 drops per 1 ml
  18. Ocusert is an insert with active drug to be placed into the eye which delivers a specific amount of drug