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(Ebook) Understanding Pharmacology: Essentials For Medication Safety by M. Linda Workman Linda A. LaCharity ISBN 9781455739769, 1455739766 Download

The document is an overview of the ebook 'Understanding Pharmacology: Essentials for Medication Safety' by M. Linda Workman and Linda A. LaCharity, which covers essential pharmacological concepts and medication safety practices. It includes detailed chapters on drug regulation, administration, dosage calculations, and various drug therapies for different health conditions. The ebook is designed for nursing professionals and students to enhance their understanding of pharmacology and improve medication safety.

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0% found this document useful (0 votes)
135 views51 pages

(Ebook) Understanding Pharmacology: Essentials For Medication Safety by M. Linda Workman Linda A. LaCharity ISBN 9781455739769, 1455739766 Download

The document is an overview of the ebook 'Understanding Pharmacology: Essentials for Medication Safety' by M. Linda Workman and Linda A. LaCharity, which covers essential pharmacological concepts and medication safety practices. It includes detailed chapters on drug regulation, administration, dosage calculations, and various drug therapies for different health conditions. The ebook is designed for nursing professionals and students to enhance their understanding of pharmacology and improve medication safety.

Uploaded by

rokerrokkeid
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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(Ebook) Understanding Pharmacology: Essentials

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Understanding Pharmacology

Essentials for Medication Safety

2 EDITION

M. Linda Workman, PhD, RN, FAAN

Linda LaCharity, PhD, RN

2
Table of Contents

Cover image

Title page

Copyright

Dedication

About the Authors

Reviewers and Advisory Board

Preface
Chapter Organization

Learner-Friendly Instructional Design

Teaching and Learning Package

Acknowledgments

Special Features

Unit I General Aspects of Pharmacology

Chapter 1 Drug Regulation, Actions, and Responses


Drug Therapy

Ways in Which Drugs Affect the Body (Pharmacodynamics)

How the Body Uses and Changes Drugs (Pharmacokinetics)

Life Span Considerations

Drug Interactions

Get Ready for Practice!

Chapter 2 Safely Preparing and Giving Drugs


Overview

The Eight Rights of Safe Drug Administration

Types and Interpretation of Drug Orders

3
Drug Errors

Principles of Administering Drugs

Giving Enteral Drugs

Giving Parenteral Drugs

Giving Percutaneous Drugs

Get Ready for Practice!

Unit II Mathematics for Pharmacology and Dosage Calculation

Chapter 3 Mathematics Review and Introduction to Dosage Calculation


Why Do Health Professionals Need Mathematics?

Math Check

Getting Started

Talking About Numbers: A Whole Number Versus a Part of a Number

Solving Dosage and Calculation Problems

Get Ready for Practice!

Chapter 4 Medical Systems of Weights and Measures


Overview

Math Check

Measuring Systems Temperature: Fahrenheit and Celsius

Apothecary System for Drug Measurements

Household System for Liquid and Dry Measurements

Two-Step Drug Dosage Calculations

Get Ready for Practice!

Chapter 5 Dosage Calculation of Intravenous Solutions and Drugs


Overview

Get Ready for Practice!

Unit III Pharmacology for Multisystem Application

Chapter 6 Anti-Inflammatory Drugs


Review of Related Physiology and Pathophysiology

Types of Anti-Inflammatory Drugs

Get Ready for Practice!

Chapter 7 Drugs for Pain Control


Pain

Review of Related Physiology and Pathophysiology

4
General Issues Related to Analgesic Drug Therapy

Opioids (Narcotics)

Nonopioid Pain-Control Drugs

Get Ready for Practice!

Chapter 8 Anti-Infectives: Antibacterial Drugs


Review of Related Physiology and Pathophysiology

Antibacterial Therapy

General Issues in Antibacterial Therapy

Types of Antibacterial Drugs

Antibacterial Drug Resistance

Get Ready for Practice!

Chapter 9 Anti-Infectives: Antiviral Drugs


Viral Infection

Retroviral Infection

Get Ready for Practice!

Chapter 10 Anti-Infectives: Antitubercular and Antifungal Drugs


Tuberculosis

Fungal Infections

Get Ready for Practice!

Chapter 11 Drugs That Affect the Immune System


Overview of the Immune System and Immunity

Immunosuppressive Therapy

Get Ready for Practice!

Chapter 12 Anticancer Drugs


Review of Related Physiology and Pathophysiology

Types of Cancer Treatment

Get Ready for Practice!

Unit IV Drug Therapy for Endocrine Problems

Chapter 13 Drug Therapy for Diabetes


Overview

Review of Related Physiology and Pathophysiology

Types of Drugs for Diabetes

Get Ready for Practice!

5
Chapter 14 Drug Therapy for Thyroid and Adrenal Gland Problems
Overview

Hypothyroidism

Hyperthyroidism

Adrenal Gland Hypofunction

Adrenal Gland Hyperfunction

Get Ready for Practice!

Unit V Drug Therapy for Problems of the Circulatory and Cardiac


Systems

Chapter 15 Drugs That Affect Urine Output


Diuretics

Overactive Bladder

Get Ready for Practice!

Chapter 16 Drug Therapy for Hypertension


Overview

Review of Related Physiology and Pathophysiology

General Issues for Antihypertensive Therapy

Types of Antihypertensive Drugs

Get Ready for Practice!

Chapter 17 Drug Therapy for Heart Failure


Overview

Review of Related Physiology and Pathophysiology

Treatment for Heart Failure

General Issues in Heart Failure Therapy

Types of Drugs Used to Treat Heart Failure

Get Ready for Practice!

Chapter 18 Drug Therapy for Dysrhythmias


Review of Related Physiology and Pathophysiology

General Issues Related to Antidysrhythmic Therapy

Types of Antidysrhythmic Drugs

Drugs for Tachydysrhythmias

Unclassified Antidysrhythmic Drugs

Get Ready for Practice!

Chapter 19 Drug Therapy for High Blood Lipids


Overview

6
Review of Related Physiology and Pathophysiology

General Issues for Antihyperlipidemic Therapy

Types of Lipid-Lowering Drugs

Get Ready for Practice!

Chapter 20 Drugs That Affect Blood Clotting


Overview

Review of Related Physiology and Pathophysiology

General Issues for Anticoagulant Therapy

Types of Drugs That Affect Blood Clotting

Get Ready for Practice!

Unit VI Drug Therapy for Respiratory System Problems

Chapter 21 Drug Therapy for Asthma and Other Respiratory Problems


Overview

Review of Related Physiology and Pathophysiology

Types of Drugs for Asthma and COPD

Other Serious Respiratory Disorders

Types of Drug Therapy for Pulmonary Artery Hypertension

Get Ready for Practice!

Unit VII Drug Therapy for Gastrointestinal System Problems

Chapter 22 Drug Therapy for Gastrointestinal Problems


Overview

Nausea and Vomiting

Constipation

Diarrhea

Get Ready for Practice!

Chapter 23 Drug Therapy for Gastric Ulcers and Reflux


Overview

Review of Related Physiology and Pathophysiology

General Issues for Drugs for PUD and GERD

Types of Drugs for PUD and GERD

Other Drugs Used to Treat Ulcers

Get Ready for Practice!

Chapter 24 Drug Therapy with Nutritional Supplements

7
Overview

Review of Related Physiology and Pathophysiology

Get Ready for Practice!

Unit VIII Drug Therapy for Nervous System Problems

Chapter 25 Drug Therapy for Seizures


Overview

Review of Related Physiology and Pathophysiology

Treatment of Seizures

Types of Antiseizure Drugs

Get Ready for Practice!

Chapter 26 Drug Therapy for Alzheimer's and Parkinson's Diseases


Overview

Alzheimer's Disease

Parkinson's Disease

Get Ready for Practice!

Chapter 27 Drug Therapy for Psychiatric Problems


Overview

Depression

Anxiety

Psychosis

Get Ready for Practice!

Chapter 28 Drug Therapy for Insomnia


Insomnia

Get Ready for Practice!

Chapter 29 Drug Therapy for Eye Problems


Overview

Review of Related Physiology and Pathophysiology

General Issues for Local Eye Drug Therapy

Types of Drugs for Glaucoma

Get Ready for Practice!

Unit IX Drug Therapy for Problems of the Musculoskeletal System

Chapter 30 Drug Therapy for Osteoporosis, Arthritis, and Skeletal Muscle Relaxation

8
The Musculoskeletal System

Osteoporosis

Arthritis

Muscle Spasms

Get Ready for Practice!

Unit X Drug Therapy for Problems of the Reproductive System

Chapter 31 Drug Therapy for Male Reproductive Problems


Benign Prostatic Hyperplasia

Get Ready for Practice!

Chapter 32 Drug Therapy for Female Reproductive Issues


Menopause

Contraception

Get Ready for Practice!

Appendix A Medication Administration Skills*

Bibliography

Index

The Joint Commission's Official “Do Not Use” List*

9
Copyright

3251 Riverport Lane


St. Louis, Missouri 63043

UNDERSTANDING PHARMACOLOGY: ESSENTIALS FOR MEDICATION SAFETY, SECOND


EDITION ISBN: 978-1-4557-3976-9
Copyright © 2016, by Elsevier Inc. All rights reserved.

No part of this publication may be reproduced or transmitted in any form or by any means,
electronic or mechanical, including photocopying, recording, or any information storage and
retrieval system, without permission in writing from the publisher. Details on how to seek
permission, further information about the Publisher's permissions policies and our arrangements
with organizations such as the Copyright Clearance Center and the Copyright Licensing Agency,
can be found at our website: www.elsevier.com/permissions.

This book and the individual contributions contained in it are protected under copyright by the
Publisher (other than as may be noted herein).

Notices
Knowledge and best practice in this field are constantly changing. As new research and experience
broaden our understanding, changes in research methods, professional practices, or medical
treatment may become necessary.
Practitioners and researchers must always rely on their own experience and knowledge in
evaluating and using any information, methods, compounds, or experiments described herein. In
using such information or methods they should be mindful of their own safety and the safety of
others, including parties for whom they have a professional responsibility.
With respect to any drug or pharmaceutical products identified, readers are advised to check the
most current information provided (i) on procedures featured or (ii) by the manufacturer of each
product to be administered, to verify the recommended dose or formula, the method and duration
of administration, and contraindications. It is the responsibility of practitioners, relying on their
own experience and knowledge of their patients, to make diagnoses, to determine dosages and the
best treatment for each individual patient, and to take all appropriate safety precautions.
To the fullest extent of the law, neither the Publisher nor the authors, contributors, or editors,
assume any liability for any injury and/or damage to persons or property as a matter of products
liability, negligence or otherwise, or from any use or operation of any methods, products,
instructions, or ideas contained in the material herein.

Previous edition copyrighted 2011.

International Standard Book Number: 978-1-4557-3976-9

Senior Content Strategist: Nancy O'Brien


Content Development Manager: Ellen Wurm-Cutter, Laurie Gower
Content Development Specialist: Heather Rippetoe, Laura Goodrich
Publishing Services Manager: Jeff Patterson
Senior Project Manager: Jodi M. Willard
Design Direction: Renee Duenow

Printed in the United States of America

10
Last digit is the print number: 9 8 7 6 5 4 3 2 1

11
Dedication

To David, Emmy, and Violet, who complete my rainbow.


M. Linda Workman

To my mother, the late Routh Annette Jenkins. An extraordinary woman and the inspiration for
my research and the shaping of my career.
Linda LaCharity

12
About the Authors
M. Linda Workman, a native of Canada, received her BSN from the University of Cincinnati
College of Nursing and Health. She later earned her MSN and a PhD in Developmental Biology
from the University of Cincinnati. Linda's more than 30 years of academic experience include
teaching at the diploma, associate degree, baccalaureate, and master's levels. Her areas of teaching
expertise include medical-surgical nursing, pharmacology, physiology, and pathophysiology. Linda
has been called the “Mr. Rogers” of nursing education for her ability to creatively present complex
physiologic concepts in a manner that promotes student retention of the information. She has been
recognized nationally for her teaching expertise and has received Excellence in Teaching awards
from Raymond Walters College, the University of Cincinnati, and Case Western Reserve University.
Currently she consults with a variety of nursing programs on teaching and curricular issues and co-
authors a medical-surgical nursing textbook (Ignatavicius and Workman: Medical-Surgical Nursing:
Patient-Centered Collaborative Care) and a genetics textbook.
Linda LaCharity received her BSN from Kent State University's College of Nursing. During her
career in the U.S. Army Nurse Corps, she earned an MN from the University of Washington in
Seattle. Linda earned her PhD from the University of Cincinnati. She worked as a staff nurse and
nurse manager in adult medical-surgical and critical care settings supervising RNs, LPN/LVNs, and
nursing assistant staff. Linda's academic experience includes teaching EMTs and critical care nurses
for the military and across the curriculum at the University of Cincinnati (BSN, MSN, Accelerated
BSN/MSN, and PhD). Her area of teaching expertise in both classroom and patient care settings is
adult health. She was director of the Accelerated Program and an Assistant Professor in the College
of Nursing at the University of Cincinnati in Cincinnati, Ohio. Retired in 2013, she continues to
write textbooks.

13
Reviewers and Advisory Board
REVIEWERS

Chris Bridgers PharmD


Saint Joseph's Hospital
Atlanta, Georgia

Andrew D. Case BSN, MSN


Professor of Human Anatomy, Physiology, and Pharmacology
Southeast Community College
Lincoln, Nebraska

Diane K. Daddario MSN, ACNS-BC, RN, BC, CMSRN


Clinical Nursing Instructor
Pennsylvania College of Technology
Williamsport, Pennsylvania

Michael Dorich PhD, CST, CAHI


Program Director, Surgical Technology
Pittsburgh Technical Institute
Oakdale, Pennsylvania

Gail E. Dunham MSN


Professor of Nursing
Mid Michigan Community College
Harrison, Michigan

Sally Flesch RN, BSN, MA, EdS, PhD


Coordinator, Professor
Practical Nursing Program
Black Hawk College
Moline, Illinois

Cathy Maddry MSN, MA, RN, Alumnus CCRN


Department Head
Heath Occupations
Northwest Louisiana Technical College
Minden Louisiana

Mary E. Stassi RN-BC


Health Occupations Coordinator
St. Charles Community College
Cottleville, Missouri

Claudia Stoffel MSN, RN, CNE


Practical Nursing Program Coordinator
West Kentucky Community and Technical College
Paducah, Kentucky

Audrey Tolouian MSN, BSW, (EdD)


Clinical Instructor, School of Nursing
University of Texas

14
El Paso, Texas

Erin Yesenosky MSN


Nursing Instructor
Greater Altoona Career & Technology Center
Altoona, Pennsylvania
ADVISORY BOARD

Nancy Bohnarczyk MA
Adjunct Instructor
College of Mount St. Vincent
New York, New York

Sharyn P. Boyle MSN, RN-BC


Instructor, Associate Degree Nursing
Passaic County Technical Institute
Wayne, New Jersey

Nicola Contreras BN, RN


Faculty
Galen College
San Antonio, Texas

Dolores Cotton MSN, RN


Practical Nursing Coordinator
Meridian Technology Center
Stillwater, Oklahoma

Sharon Gordon MSN, RN, CNOR-E


Practical Nursing Faculty
Lehigh Carbon Community College
Schnecksville, Pennsylvania

Nancy Haughton MSN, RN


Practical Nursing Program Faculty
Chester County Intermediate Unit
Downingtown, Pennsylvania

Shelly Hovis MS, RN


Director, Practical Nursing
Kiamichi Technology Centers
Antlers, Oklahoma

Dawn Johnson RN, MSN, Ed


Practical Nurse Program Director
Great Lakes Institute of Technology
Erie, Pennsylvania

Kristin Madigan RN, MS


Nursing Faculty
Pine Technical and Community College
Pine City, Minnesota

Hana Malik RN, MSN, FNP-BC


Academic Director
Illinois College of Nursing
Lombard, Illinois

Barb Ratliff RN, MSN

15
Associate Director of Health Programs
Butler Technology and Career Development Schools
Hamilton, Ohio

Faye Silverman RN, MSN/Ed, PHN, WOCN


Director of Professional Nursing
Kaplan College - North Hollywood Campus
North Hollywood, California

Russlyn A. St. John RN, MSN


Professor and Coordinator, Practical Nursing
Practical Nursing Department
St. Charles Community College
Cottleville, Missouri

Fleur de Liza Tobias-Cuyco BSC, CPhT


Dean, Director of Student Affairs, and Instructor
Preferred College of Nursing
Los Angeles, California

16
Preface
The authors of this text are nurses and educators with many decades of clinical and teaching
experience. Our concept of what is needed in a pharmacology textbook is derived from the desire to
create a book that will help students identify the most important content areas for safe drug
administration and patient teaching. With this goal in mind, we developed a unique format based
on four focus areas:
• Why specific drugs are prescribed as therapy for common health problems
• How different drugs work to induce their intended responses
• What critical actions and assessments to perform before and after administering drugs
• Which points are most important to teach patients about their drug therapy
Using these focus areas, we present pharmacology content in a framework that promotes in-
depth learning versus rote memorization, which is truly essential in understanding the principles of
pharmacology and safe drug administration. Interwoven within the textbook are areas that
highlight specific safety issues with regard to medication administration. The impetus for this
inclusion are the recommendations championed by the American Association of Colleges of
Nursing, collectively known as the Quality and Safety Education for Nurses (QSEN) practice
standards. Although this initiative is nursing based, the focus on safety must be a major directive
for all health care professionals involved in the prescribing, preparing, dispensing, and
administering aspects of drug therapy. Specific actions related to safety are noted with “QSEN”
throughout the text.

17
Chapter Organization
The textbook has been expanded to accommodate requested information in content areas not
presented in the first edition. These areas now include immunizations and drugs affecting the
immune system, drug therapy for adrenal gland problems, nutritional supplements, drug therapy
for musculoskeletal problems, and drug therapy for common problems of the male and female
reproductive systems. The text has been reorganized into 10 units totaling 32 chapters to streamline
access to specific content areas. Unit I provides an overview of general content important for safe
medication administration. Unit II provides essential mathematical concepts and practice for safe
dosage calculation. Unit III focuses on content that has application to many body systems, such as
inflammation, infection, pain, and cancer. The remaining seven units are divided by the body
system most closely associated with the specific drug therapy. For example, Unit V, Drug Therapy
for Problems of the Circulatory and Cardiac Systems, is further divided into six chapters that
include drug therapy affecting urine output, hypertension, heart failure, dysrhythmias, high blood
lipids, and blood clotting. We believe this content arrangement synchronizes the information for
students when they are studying specific health problems and issues. Although information
regarding normal physiology and pathophysiology is still presented, this information has been
streamlined to promote the pharmacology focus of the text.
Our presentation style for the content of this text is direct, active, and clear. Health care terms and
related physiological mechanisms are explained in clear, straightforward, everyday language to
promote better student understanding and application of the content in the clinical setting.
Photographs and other illustrations have been selected and developed to better explain drug
administration techniques, drug actions, and appropriate health care interventions.
Chapter Objectives presented at the beginning of each chapter focus the student on “need to
know” information, clarifying which issues have the highest priority for safe drug administration.
A list of Key Terms includes phonetic pronunciations, definitions, and page numbers where each
term is first used.
The mathematics review chapters (Chapters 3, 4, and 5) are written in a self-paced, guided-study
format and contain easy-to-understand explanations and examples. Try This! boxes provide more
than 150 practice questions within these chapters, in addition to the end-of-chapter review material.
Answers to these exercises are found at the end of the chapters.
In-text drug tables outline the most common drugs used to treat highlighted disorders and
diseases. Generic and trade names and common dosage ranges for adults and children are included.
Discussion sections on “What To Do Before,” “What To Do After,” and “What to Teach
Patients” about each highlighted drug or drug category emphasize the important aspects of drug
administration, monitoring, follow-up, and patient teaching.
Life Span Considerations sections receive particular attention in most chapters. Differences in
actions, the risks for side effects, precautions, or dosing for pediatric patients, pregnant or
breastfeeding patients, or older adults are presented as appropriate for each drug class.
A Get Ready for Practice! section at the end of each chapter features Key Points, Additional
Learning Resources, Review Questions, and Critical Thinking Activities.
• Key Points emphasize selected need-to-know content from the chapter to help students study for
tests and certification/licensure exams.
• Additional Learning Resources sections refer students to related review material in the
accompanying Study Guide and on the Evolve website at
http://evolve.elsevier.com/Workman/pharmacology/.
• Review Questions correspond item-by-item with the Objectives at the beginning of the chapter.
Drug calculation questions are also included in this section. Answers to the Review Questions are
located on the Evolve site. These review questions are divided by basic and advanced level
concepts.
• Critical Thinking Activities are true-to-practice case studies that present issues and problems
requiring clinical decision making related to individual patients receiving pharmacologic therapy.

18
Answer guidelines to the questions are available on the secure Evolve instructor website at
http://evolve.elsevier.com/Workman/pharmacology/.

19
Learner-Friendly Instructional Design
One of the most innovative features of this text is its unique instructional design. A single column
presents the narrative, and a wide margin is used to reinforce important concepts and prevent
medication errors with special boxed features. This wide margin also allows generous space for
note-taking. Special learning features found in the wide margin include the following:

Drug Alert! boxes help reinforce crucial actions or interventions, teaching, and drug administration
information. Each of these boxes is classified into one of five categories: Teaching, Interaction,
Administration, Dosage, or Action/Intervention.

Memory Jogger boxes highlight and summarize essential information, including major categories
of drugs and the diseases they are used to treat.

Clinical Pitfall boxes focus on information vital for safe practice and medication administration.

Common Side Effects boxes focus on individual drug groups and feature unique icons that
promote rapid recognition.

Do Not Confuse boxes highlight look-alike/sound-alike drug names.

Did You Know? boxes help students link pharmacology content to the world around them.

Cultural Awareness boxes emphasize important cultural considerations related to pharmacology.

We believe you'll find that the authors and publisher have crafted a balance of these features to
minimize wasted space and at the same time promote in-depth learning versus rote memorization.

20
Exploring the Variety of Random
Documents with Different Content
101 (102). V, 6 reaching to the wing margin; abdomen narrow,
more than twice as long as the thorax.

Part of Psilidæ, XXXIX


102 (101). V, 6 not nearly reaching margin; D rather broad.

Part of Sepsidæ, XLVI


103 (100). V, 4 much bent towards V, 3. Brown species.

Part of Micropezidæ, XL (genus Calobata)


104 (99). Legs normal; D comparatively short and broad, never
contracted at base.

Part of Ortalidæ, XLI


105 (76). V, 1a absent or rudimentary, much thinner than V, 1b,
which latter ends at or before the middle of the fore margin.
106 (107). Hind C, I (5) thickened and shorter than the next joint.

Borboridæ, LVI
107 (106). Hind metatarsus longer than and not thicker than C,
I(6).
108 (115). X, 51 absent, X, 52 present (i.e. only one X-vein on V, 5
and that placed beyond X, 4 (plate V, 36).
109 (110). Legs long and thin; abdomen very long.

Part of Micropezidæ, XL (genus Micropeza)


110 (109). Legs short and strong; D oval or elliptical.
111 (112). A, III (6) absent; A, IV (5) round, or, if lengthened,
then A in profile is triangular.

Chloropidæ, LI
112 (111). A, III (6) present; A, IV (5) generally long or oval; A in
profile never triangular.
113 (114). Head square; face strongly convex (plate VII, 21); O,
1
6 absent. Not orange coloured species.

Ephydridæ, XLIX
114 (113). Head round or semi-circular; face not arched (plate
VII, 19); O, 61 present, or, if absent, then the species orange
coloured.

Part of Drosophilidæ, L.
115 (108). X, 51 present, or, if absent, then X, 52 also absent (i.e.,
either two X-veins or no X-veins on V, 5) (plate V, 33, 38).
116 (117). Scutellum of the male extraordinarily long and squared
off behind; costa thickened from the end of V, 1 to the wing tip.

Part of Phycodromidæ (genus Thyreophora)


117 (116). B, I (6) usually short, and somewhat triangular; costa
normal.
118 (133). Mouth bristles present.
119 (122). Fronto-orbital bristles absent.
120 (121). Wings without a black spot near the tip.

Piophilidæ, XLVII
121 (120). Wings with a black spot near the tip.
Part of Sepsidæ, XLVI
122 (119). Fronto-orbital bristles present.
123 (128). X, 52 before middle of wing (both X, 4 and X, 52 near
the base and exceedingly near together) or no X-vein on V, 5.
124 (127). X, 52 immediately under X, 4 (or nearer the base), or
X, 51 and X, 52 both absent (plate V, 38).
125 (126). Arista bare or nearly so.

Part of Phytomyzidæ, LIV


126 (125). Arista with long hairs on one side.

Astiadæ, LV
127 (124). X, 52 present and placed further from base than X, 4.

Part of Agromyzidæ, LIII


128 (123). X, 52 at or beyond the middle; X, 4 and X, 52 neither
very near to the wing base nor to one another.
129 (130). Arista bare; body short and broad.

Milichidæ, LII
130 (129). Arista plumose, combed, or pubescent, or, if bare, then
the body always narrow and long.
131 (132). Arista thinly but long haired, plumose, or combed.

Part of Drosophilidæ, L
132 (131). Arista thickly and short haired, pubescent, or bare.

Geomyzidæ, XLVIII
133 (118). Mouth bristles absent.
134 (137). O, 51 and O, 61 large and very prominent.
135 (136). Antennæ moderately long or very long, male genitalia
not prominent.

Part of Psilidæ, XXXIX


136 (135). Antennæ short; male genitalia prominent, and club-
shaped.

Part of Sepsidæ, XLVI (genus Tetanura)


137 (134). O, 51 and O, 61 small and not very prominent.
138 (139). Light grey or silvery species.

Part of Agromyzidæ, LIII


139 (138). Orange or brownish-red species.

Part of Opomyzidæ, XLV


140 (26). Wings with two short very thick veins (in fore-basal
region) whence spring a few very fine unbranched veins. X-veins
absent (plate V, 35).

Phoridæ, LVII
141 (1) (52-3/4). Body of a horny or leathery nature; head sunk
into a hollow in the thorax (plate VI, 35). No proper proboscis or
palpi; claws very large (plate VI, 36). Perfect insect parasitic.

EPROBOSCIDEA—
142 (145). Head fairly large; wings sometimes shed or absent.
143 (144). Eyes, ocelli, scutellum, halteres, and wings all absent;
last tarsal joint combed with bristles.

Braulidæ, LIX
144 (143). Eyes and scutellum present; last tarsal joint with well
developed claws.

Hippoboscidæ, LVIII
145 (142). Head small, when at rest thrown back upon the
dorsum; always wingless.

Nycteribidæ, LX
INDEX

Air-sacks, breathing by, 46


Anthomyida, 10, 17
Asilus crabroniformis, 55
Aphides, plant-lice, etc., 8

Beelzebub, Lord-of-flies, 2
Bibionidæ, semi-blindness of, 108
Birds, food for, 80
Black death, 2
Blood-sucking flies, kinds of—
genus, chrysops, 24
genus, hæmatobia, 16
genus, hæmatopota, 23
genus, lyperosia, 17
genus, tabanus, 23
genus, therioplectes, 23
Blood-sucking midges and gnats
—common species—
ceratopogon pulicaris, 108
ceratopogon bipunctatus, 108
ceratopogon varius, 108
(also others of the same genus and of the allied genus,
anopheles)
culex pipiens, 108
Blue-bottles, 12, 18, 33, 36, 51
Borborus equinus, 34
Bot-fly of the horse, 26
Breeze-flies, "blinden," 10, 23, 29, 69
Bridgewater Treatises, 1

Cabbage-fly, 17
Calliphora erythrocephala } see blue-bottles
Calliphora vomitoria } see blue-bottles
Celery-fly, 17
Chelifers, 55
Chrysops cæcutiens, 24
Chrysops relicta, 24
Conops flavipes, 22
Contagion, fly-borne, 84
Cordylurida, 10
Cow-dung fly, the yellow, 19
Crane-flies, or Daddy-long-legs, 109
Cremation of refuse, 41, 61, 65, 70
Cyrtoneura simplex, 17

Dipteræ, nearly 3,000 species, 10


Dragon-flies, 55
Drone-flies, 20, 22
Dun-flies, see Gad-flies
Dust-bins, preferably open, 65, 70
Dust destructor furnace, imperative, 65

Economic value of the fly, 41


Egg-traps, domestic refuse as, 65, 72
Empidæ, 54
Empusa muscæ, 56
Eristalis tenax, 21
Exclusion from rooms, 76

Fannia canicularis, 7
Fannia scalaris, 14, 18
Filth-flies, 51
Fleas, 108
Flecked flesh, 29
Fly chart, the Wingate, 88
Fly-traps, 66
Forest (or spider) fly, 22
Fungus-flies, 51
Futurist's Credo, 39

Gad-flies, 23
Garden pests, vegetarian, 17
Gargantuan jokes, 32
Gastrophilus, see Œstrus
Gentles, apparatus for breeding, 80
Gentles, green, 82
Glossina morsitans, 62
Green-bottle flies, 20
Grey blow-flies, 19

Hæmatobia stimulans, 16
Hæmatopota crassicornis, 23
Hæmatopota italica, 23
Hæmatopota pluvialis, 23
Hibernation, 15, 80
Hippoboscidæ, 22
Horse-flies, see Forest-flies
House-fly fungus, 56
House-fly, larva of, 35
House-fly, wing pattern of, 12
Hover-flies, 20
Human intestinal myiasis, 25, 26
Humble Creatures, 1, 34
hydrotæa dentipes, 17
hydrotæa irritans, 17

Instar, pupa, or chrysalid, 40

Larvæ, see Maggots


Lesser house-fly, larva of, 36
Lesser house-fly, wing pattern, 12
Louse-fly, tick, or ked, 22
Lucilia Cæsar, 20
Lucilia sericata, 20
Lyperosia irritans, 17

Maggots, feeding in company, 36


Maggots, insectivorous, 21
Maggots, jumping or hopping, 111, 112
Maggots, myiasic possibilities, 28, 37, 82
Maggots, parasitic on lepidoptera, etc., 111
Maggots, predaceous, 109
Maggots, "rat-tail," 21
Maggots, "star-tail," 109
Meal-worms, 80
Merodon narcissi, 21
Messengers of peril, 78
Metamorphosis, 37
Microdon, 22
Musca corvina, 14, 17
Muscina stabulans, 18, 27

Nostril-fly of the sheep, 4, 26, 28

Ocelli, visual importance of, 45


Odour of humanity, attracted by, 33
Œstrid flies, egg-laying aggressions, 31, 69
Œstrus hominis, discredited, 28
Œstrus (Gastrophilus) equi, 27
Œstrus (Gastrophilus) hæmorrhoidalis, 26
Œstrus nasalis 4
Œstrus ovis, 28
(Œstrus ovis hypoderma) bovis, see worble-flies
(Œstrus ovis hypoderma) lineatum, see worble-flies
Onion-fly, 17
Owl-midges, moth-like, 109

Pestering flies, commoner kinds of—


cyrtoneura simplex, 17
fannia canicularis, 7
fannia scalaris, 18
musca domestica, 7
musca corvina, 17
muscina stabulans, 18
and other Anthomyidæ
Poisons, effective insecticide, 73
Polietes lardaria, 18
Pond blood-worms, 108

Robber-flies, 54, 109


Root-fly, the, 17

Sarcophaga carnaria, 19
Scatophaga stercoraria, 19
Scavenging services, 78
Scenopinus fenestralis, 110
Sex differentiation, 45
Soldier-flies, 22, 109
Spiders, flies parasitic on, 110
Stable-fly, 12, 13, 16, 51
Stable manure, 67
Stomoxys calcitrans, 12, 13, 16, 51
Stratiomyidæ, 22, 109
Swallow, attracted to breed, 53
Syrphidæ, 20
Syrphus, 21

Tabanidæ, 10, 22, see also blood-sucking flies


Tachinidæ, 10, 19
Therioplectes, see blood-sucking flies
Tipulidæ, 109
Traps for flies, some ineffective, 72
Turnip-fly, a beetle, 17

Veins of wings, 11
Voltairean atheism, controversy of, 5
Volucella, 21

Warning signals, flies as, 78


Westminster Hospital and myiasis, 28
Window-fly, the, 110
Window screens, 77
Wingate's nomenclature symbols, 12
Wing patterns contrasted, 12
Worble-flies, 26, 28, 69

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