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MEDICATION ADMINISTRATION Topic 2 TERMINOLOGY INDICATIONS An illness or disorder for which a drug has a documented specific usefulness. CONTRAINDICATIONS A factor that makes dangerous or undesirable the administration of a drug or the performance of an act or procedure in the care of a specific patient. SIDE EFFECT A side effect occurs when a medication causes unintended, secondary effects ( that may be predictable ) Side effects may be harmless or injurious. If the side effects are serious enough to negate the beneficial effects of medication’s therapeutic action, the prescriber may discontinue the medication. ADVERSE REACTIONS/AFFECTS These are generally unexpected effects of the medication. They may be related to the pharmacological effect or they may be related to the individual taking the medication. The trade name, brand name or proprietary name is the name under which a manufacturer markets a medication Is the name by which the chemist knows it, it provides an exact description of the drug’s chemical composition. Is the name given by the manufacturer who first developed the drug. To prevent confusion and to reduce medication errors, medication orders should be written using the generic name Lets look at an example D – (- ) –a amino – r – benzyl penicillin trihydrate Amoxycillin trihydrate Alphamox, Cilamox, and Amoxyn. THERAPEUTIC EFFECT The therapeutic effect of the drug is the intended use of the drug, that is , its desired effect. E.g. Panadol for a headache, the therapeutic effect is pain relief. All health facilities should have as part of their quality improvement programs a system in place or reporting medication errors. Please check where these are kept. Pharmacology – the science of the action of drugs on the body Pharmacodynamics – the biochemical & physiological effect of drugs Pharmacokinetics – the movement of drugs in the body Toxicology – the scientific study of poisons Agonists – drugs that produce a predictable response Antagonists – a drug that exerts an opposite action to that of another Interaction – when one drug modifies the action of another Stability – maintenance of a constant state despite adverse conditions Compatability – a drug’s ability to be administered without effect on another Precautions – actions to be taken prior to avoid risk/ensure a good result Action - the accomplishment of an effect Dosage – the determination & regulation of the size, frequency, & no. of doses Administration – the giving out Drug – any medicinal substance Overdose – administration of an excessive dose Dispensing – to make up & give out Ac = before meals Bid/bd = twice a day h= hour pc= after meals prn= whenever there is a need / when necessary m = mane n = nocte IV = intravenous SC = subcutaneous IM = intramuscular mist = mixture asap = as soon as possible qqh = every 4 hours po = by mouth ( orally ) qid= four times a day tds= three times a day q2h= every 2 hours q4h=every 4 hours stat=give immediately