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????. ??????????????? ??????????? ??????????????????? ???????????????? ???????????????? ????????????????? . ????. ??? ?? ????? ????? ????????? ???? ??????? ??? ????? ???? ???? . . ??? ????? ??? ??? ????? ?????? ??? ????
E N D
2. ???? ???????????????
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????????????????
????????????????
?????????????????
3. ???? ??? ??
?????
?????
?????????
????
???????
??? ?????
????
????
4. ??? ?????
???
???
?????
??????
??? ????—????
5. ???? ?? 12-1 ?????
?? 12-2 ?????
?? 12-3 ?????
?? 12-4 ?????
6. ???? ????? pharmacokinetics
???? stat orders
???? standing orders
???? single orders
???? air-bubble technique
Z ??? z-tract technique
??? inhalation
??? instillation
7. ????<?>
????? sublingual; SL
????? oral administration; PO
????? rectal administration
????? skin application
????? intramuscular injection; IM
????? hypodermic injection; hypo (subcutaneous injection; SC)
????? intradermic injection; ID (intracutaneous injection; IC)
8. ??? ?? ?????
1.?????????
2.????
3.????
4.????
5.????
?????
????? (pharmacokinetics) ???????????? (absorption)??? (distribution)??? (biotransformation) ??? (excretion) ???(? 12-1)
10. ??
????
???????:
???? > ???? > ???? > ???? > ????
???? (?12-1)
???????????
????
?????
?????????
????
????????,???????????
12. ??
?????
?????
??????????????
????
???? (blood brain barrier)
???? (placenta barrier)
??-???? (blood-testis barrier)
????????
???????????????
??????
???
?????????,????????
13. ??
????
????
?????????????????????
????
????????????????????????
????
?????????????????????????????
??
????????????
14. ?????????
????????
1.????????????????,?????????
2.????????????,????????:
????
?????
??
??
????
????
??
15. 3.??????????,??????????:
????:
???? (standing orders)
???? (stat orders)
???? (single orders)
?????
????
????
4.???????,????????
5.???????????
16. ?????????
1.???????????????????,??????????
2.???????????????
3.????????????
4.?????????????????,???????
5.????????,???????????
17. ??????????
1.???????????????
2.????????????????
3.?????????????????,??????(? 12-2),???????
4.?????????????,??????????,?????????
5.??????????
6.????????,???????????
??:
???(?)???(?)???
???????
??(?)????(?)???
??:???????????????????
19. ??????????
7.????????????,?????,????????
8.??????????,????????????:
(1)??????????
(2)?????????
(3)?????????????????????
(4)??????????????????????
(5)???????????
(6)????????????,??:??????
(7)?????????,?????????
9.?????????????????
10.?????????????
20. ????
??
??
1.?????? (Stock Supply System)(? 12-2?)
2.?????? (Individual Cubicle System)
3.?????? (Unit Dose System)(? 12-2?)
4.?????? (Self-medication System)
??????????
1.?????
2.?????
23. ???????
?????
?????? (nonproprietary; general name)
???
??? (chemical name)
??? (brand name)
?????
????:??????????
???
??
??
??
24. ???????
1.????
?? (stimulation)
?? (inhibition)
?? (immunity)
??
???
2.???
?????????,?????????
3.????
??????????????
4.????
?????????????????,?????
25. ??????? <?>
5.???
??????????????
6.???
?????????,??????????????????
7.???
?????????,?????????????
8.????
?? (addition) :1+1=2
?? (synergism) :1+1>2
?? (antagonism) :1+1<2
26. ?????????
??:
1.???????:
(1)?????? (Clark‘s rule)
(2)???? (Fried‘s rule)
27. 2.?~??????:
(1)???? (Young’s rule)
(2)????? (Cowling’s rule)
(3)??????? (surface area) (? 12-3)
30. 3.??:
(1) 60~80 ? = ???? x 4/5
(2) 80 ??? = ???? x 1/2
31. ??
?????????
??
???????,??????
????
????????????????????????,??????????
????
???????,???????????????,???????,?????????? (addiction)
32. ????
?????????????,???????????,??????????,?????????,?????? (placebo)
????
?????????:
???? < ???? < ???? < ???? < ????
?????
??????????????,???????
?????
????????????,????????
33. ????(? 12-4)
???? (A.C.)
???? (P.C.)
??????
34. ?????????????????
1.?????????(??? 12-5)
36. 2.?????????(??? 12-6)
37. ??? ????? ????
????
????
????????????
???
?????????
?????????
???
?????????????????
38. ????
????
?????????,??????????
????
?????????????????????????
???????
??????????????????????
??????
39. ????
?????
???
1.???????????????,??????
2.???????,?????????????????????????????????????????(? 12-7)
3.??????????????????????????
4.??????????,????????????
5.????????,????????????,??????????????
6.??????????????,???????????,????????????????
41. ???<?>
7.?????????????????? (MAR)(? 12-8)?????? (kardex)(? 12-9)????(? 12-10)?,???????? (unit dose administration),?????????????,??????????
8.???????????:
(1)??:??????????,?????????
???:???(?)???(?)?
???:???(?)?????
???:???(?)????(?)?
(2)??:
???????????????????
46. ???
1.???,??????????????,??????,????????
2.???,??????????,????
3.??????????
4.????????
5.???????????????????????
6.????????????,????,???????????
47. ???<?>
7.???????,?????????????
8.?????,???????????????????
9.?????????????(? iodine),?????,?????
10.???????????,?????????????
11.???????,???????,??????????????,??????????
48. ?????
???
1.????????
2.?????????????????,?????????????????????????
3.??????????,??????????????????????,??????,?????????
4.?????????????,??????,?????????,?????????,??????????????
5.???????????,?:?????????????????????,?? MAR ????
49. ???
6.???????????,?:???????????????????
7.?????????????,??????????????,?:???????,????????
8.???????,??????:
(1)???????????????????????
(2)?????????,???????????,?????? ?
(3)??????????????,??????
(4)??????????????
(5)????????????????????,?:?????????(? 12-12)?
51. ???<?>
9.???????????,????????????????????:
(1)???????????????
(2)?????????????????????????
(3)??????????????
(4)????????????????????
(5)??????????????,??????
(6)????????????
52. ??
?????,????
???????????,??????? MAR ???????????,???;????????????????,?????????,???????????
???????,?:?????????????????????,??????????,?????????????????????,?????????????
53. ??? ?????
54. ???
??
??? (oral administration) ???????,????????,???????
55. ????
1. ????????
2.???????????:
(1)??????,??????????
(2)??????,???????
(3)???,???????,??????,??????????????,???????,????,??????????????(? 12-4),???????
(4)??????????????,???????,30???????????
(5)????????????,??????????????,?????????,????????????
57. ????
3. ???????
4.?????????,????????????????????????
5.??????????,???????????????,?????
6.????????????,???????
7.??????????????(? 12-14)
8.????????????????
60. ???
??
??????
1.?? (needle) (? 12-6) (? 12-7)
2.?? (syringe) (? 12-8)
3.????(? 12-9)
64. ????
1.????????????????,?????????????
2.??????????????????,????????????????,?????????
3.??????????????:
????
????
?????????
65. ????<?>:
4.???????????????:
-????
-????
-???
-????
5.????????
66. ????<?>:
6.??????????
7.????????????????
-????????????(? 12-10)
-????,?????????,?????????,?????,??????????,???????????(? 12-11)
69. ????
???? (intramuscular injection; IM)
????: (? 12-12)
????? (deltoid muscle)
???? (vastus lateralis muscle)
??? (dorsogluteal muscle) (? 12-13)
1.???
2.???
??? (ventroguluteal muscle)
75.
????:
1.???:?? 2~3 ml ????20~24G ?????? 11/2~3 ?
2.???:?????? 2~3 ml ??,????? ? 10 ml
3.???????:?????? 90o??
4.????????: (? 12-14)
(1)???? (air -bubble technique)
(2)Z ??? (Z-tract technique)
5.???????
78. ????(hypodermic injection; Hypo ? subcutaneous injection; SC)(? 12-15)
79. ????:
1.???:???????? 1~3 ml ??,25~27G ??????1/2~5/6?
2.???:??? 1~3 ml
3.???????:?????? 45~90(? 12-16)
(1)25G,5/6???: 45??????????2/3
(2)27G,1/2???: 90???????????? ?
81. -??????????:
?? (heparin):??????
??? (insulin):?????
-?????????(? 12-17)
????????? 2 ???
82. ????(intradermic injection; ID ? intracutaneous injectiion; IC)
1.????(? 12-18)
2.????:
(1)???:?? 1 ml ??,??????? 0.1 ml
(2)????:?????? 5~15o,???????? 0.8 ?????(? 12-19)
85. ????<?>:
(3)????:
*??????
*??????
*????????,???????
*???????
*penicillin ????(? 40 ? I.U. ??)(? 12- 20)
*??????????,??????:
-??????? (P.S.T.) (? 12-15)
-?????? (T.T.)
89. ????
??13???
??????
??? (Inhalation) (? 12-21)
????
????
?????(Rectal Administration) (? 12-22)
????
????????,????? 2.5~3 ????? 1~2 ?
????? 15 ??,???????
90. -????? (Vaginal Administration)
1.??:
(1)??????,??????????(? 12-23)
(2)?? 15 ??
2.????????:
(1)??????,????? 2 ~3 ?
(2)?? 15 ??
94. ??? (Instillation)
???? (Eye Instillation)
?????????? 1~2 ?(? 12-24)
???????????????????
???????,?????????
?????????????,??? 5 ????
95. ???? (Ear Instillation)
??????????,???????????(? 12-25) (? 12-26)
????? 10 ??,???????,????????
97. ???? (Nasal Instillation) (? 12-27)
????? (Bladder Instillation)
????? (Skin Application)
????? (Sublingual; SL)
98. ??? ?????????? ????
???,70 ?,???,? 20 ??????,?????????????????,???????????????????????????????????,??????????????,????????????????????????????,???????,???????????????????????,?????,??????????????,??????????????????,?????????????????,????????,???????,?????????,????????,??,?????????????????
99. ????? ??:92?1?20?