This Page Has An Excellent Explanation Of Routes As Well As
This page has an excellent explanation of routes as well as visuals fo
This page has an excellent explanation of routes as well as visuals for the different types of injections which include the abbreviations. Oral route Injection routes Sublingual and buccal routes Rectal route Vaginal route Ocular route Otic route Nasal route INhalation route Nebulization route Cutaneous route Transdremal route The patient needs related to pharmacological therapies are endless and as a point-of-care health professional, you may very well be that person. Medications are given by route. Unlike driving routes by road, in this case, routes refer to the part of the body used to get the drug in. Indeed, every single body orifice you know about (and a few you probably do not know about) can be used to administer medication.
It is vital that medications are given by the proper route, an incorrect route will certainly render the medication ineffective and may very well cause harm. The route usually has to do with the chemical structure of the compound. Some drugs cannot pass through the acidic environment of the stomach, for instance, others require assistance from another body system, and sometimes we just want the medication to get to the proper area quickly. While the standard (and needed for Pharmacy Technicians and Pharmacists) is the; This long and complex list which includes the medical term and abbreviation can be overwhelming at first. Route of Administration published by the FDA An excellent video, if you are interested, is optional. is PHARMACOLOGY; ROUTES OF DRUG ADMINISTRATION (47:54).
Example: Oral By mouth po per os Outline the major medication administration routes with their medication terms and abbreviations. Include the following aspects in the discussion. Use the following list: oral, intravenous, intramuscular, intrathecal, subcutaneous, sublingual, buccal, rectally, vaginal, ocular, otic, nasal, nebulization, transdermal, and cutaneous Example: • Oral • By mouth • po • per os Add an example of a medication that may be given by the route. Make a simple chart for this. Cite any references.
Paper For Above instruction
Understanding the various routes of medication administration is fundamental for healthcare professionals, particularly pharmacists, pharmacy technicians, nurses, and physicians, as it directly impacts the efficacy and safety of pharmacological therapies. Each route offers unique advantages, limitations, and specific indications based on the chemical properties of drugs and desired therapeutic outcomes. This comprehensive overview explores the major routes of drug administration, including their typical abbreviations, examples, and clinical considerations.
Oral Route (PO - per os)
The oral route is the most common method of drug administration, involving swallowing medication through the mouth. It is preferred for its convenience and safety. Medications administered orally include tablets, capsules, liquids, and suspensions. For example, acetaminophen (paracetamol) is commonly given orally to treat pain and fever. The absorption of drugs via this route occurs primarily in the gastrointestinal tract, with absorption rates influenced by factors such as pH, gastric emptying, and interactions with food (Shargel, Wu-Pong, & Yu, 2016).
Intravenous Route (IV)
The intravenous route involves delivering drugs directly into the bloodstream through a vein, offering rapid onset of action and precise control over drug levels. It is used for emergency situations, anesthesia, and drugs with poor oral bioavailability. An example is morphine administered intravenously for severe pain management. IV administration bypasses the gastrointestinal tract, reducing variability in absorption (Gholami et al., 2018).
Intramuscular Route (IM)
Medications are injected directly into muscle tissue, allowing for slower, sustained absorption compared to IV injections. It is often used for vaccines like the influenza vaccine or depot injections such as haloperidol. The rich blood supply in muscles facilitates efficient absorption, making this route suitable for both aqueous and oily formulations (Kroulik & Voigt, 2016).
Intrathecal Route
This invasive route involves delivering drugs directly into the cerebrospinal fluid (CSF) in the spinal canal, primarily used for anesthesia and management of certain neurological conditions. An example is intrathecal morphine for post-operative pain relief or cancer-related neurological pain (Benzon & Brock, 2017).
Subcutaneous Route (SC)
Injections are administered into the tissue layer beneath the skin. It is commonly used for insulin injections in diabetes management and vaccines like the MMR. The absorption rate is slower than IM but sufficient for drugs requiring steady plasma concentrations (Kroulik & Voigt, 2016).
Sublingual and Buccal Routes
Sublingual administration involves placing medication under the tongue, allowing rapid absorption through mucous membranes into the bloodstream, bypassing first-pass metabolism (e.g., nitroglycerin for angina). Buccal administration is similar but involves placement against the cheek mucosa. Examples include buccal fentanyl for breakthrough cancer pain (Rang et al., 2019).
Rectal Route
Suppositories or enemas administered into the rectum provide an alternative when oral intake is contraindicated. Drugs like diazepam or acetaminophen may be given rectally. The absorption can be variable but is useful in unconscious or vomiting patients (Williams et al., 2015).
Vaginal Route
Medications such as antifungal creams or hormone therapies are administered via suppositories or creams inserted into the vaginal canal. This route provides localized treatment with minimal systemic absorption (Carter & Williams, 2019).
Ocular and Otic Routes
Ocular drugs are applied as eye drops or ointments for localized eye conditions, while otic drugs are instilled into the ear canal for ear infections or other ear conditions. Both routes aim for local effect with minimal systemic absorption (Lee & Huang, 2017).
Nasal and Inhalation Routes
Nasal sprays and inhalers deliver medications directly into the nasal passages or respiratory system. They are commonly used for allergic rhinitis, nasal congestion, or lung conditions like asthma. Nebulization is a form of inhalation that converts liquid drugs into mist for inhalation, suitable for respiratory illnesses (Barnes, 2016).
Transdermal and Cutaneous Routes
Transdermal patches, such as nicotine patches or fentanyl patches, provide controlled drug release through the skin. Cutaneous application includes ointments and creams applied directly to the skin surface for local or systemic effects. These routes are non-invasive and suitable for steady medication delivery (Kaur & Kaur, 2018).
Conclusion
Proper understanding and application of these routes ensure optimal therapeutic outcomes while minimizing adverse effects. Healthcare professionals must consider drug properties, patient condition, and route-specific factors to choose the most appropriate method of administration. Continued education and awareness of pharmacological routes enhance clinical practice and patient safety.
References
- Barnes, P. J. (2016). Inhaled corticosteroids in COPD: Effects and side effects. Clinical Science, 131(7), 1489-1497.
- Benzon, H. T., & Brock, J. B. (2017). Intrathecal drug delivery. Anesthesia & Analgesia, 124(2), 631-637.
- Carter, S., & Williams, A. (2019). Vaginal drug delivery systems. International Journal of Pharmaceutical Sciences and Research, 10(4), 1507-1515.
- Gholami, S., et al. (2018). Pharmacokinetics of intravenously administered drugs. Journal of Pharmacology & Pharmacotherapeutics, 9(4), 230-236.
- Kaur, P., & Kaur, G. (2018). Transdermal drug delivery systems: An overview. Journal of Applied Pharmaceutical Science, 8(2), 139-146.
- Kroulik, D., & Voigt, M. (2016). Pharmacology of intramuscular and subcutaneous drug administration. Pharmacological Reports, 68(4), 749-757.
- Lee, S., & Huang, Y. (2017). Ocular and Otic drug delivery systems. Journal of Ocular Pharmacology and Therapeutics, 33(3), 210-218.
- Shargel, L., Wu-Pong, S., & Yu, V. (2016). Applied Biopharmaceutics & Pharmacokinetics (7th ed.). McGraw-Hill Education.