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Pharm 585 > Administration Counseling > Flashcards

Administration Counseling Flashcards

1
Q

Otic Preparations: Administration

A
  1. Shake suspensions first
  2. Wash hands with soap and water
  3. Hold/roll ear drop container in hands to warn drops
    • ​to prevent irritation/dizziness
  4. Lie on you side or tilt the affected ear up
  5. For adults, hold earlobe up and back
  6. For kids, hold earlobe down and back
    • Ear canals not as open
  7. Drop medicine into ear canal
  8. Do NOT insert applicatior tip into ear or touch ear or fingertips
  9. Keep ear tilted for 2 minutes. Sterile cotton plug may be used to prevent leaking
  10. Wash hands with soap and water
  11. Wipe off aplicattor after use. Do not rinse with water
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2
Q

Why are otic suspensions preferred over solutions?

A
  • Solutions have lower pH and can cause more discomfort
  • If there is a perforation in tympanic membrane, a suspension is preffered over solution
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3
Q

Opthlamic Preparations: Supsension/Sln Administration

A
  • Wash hands with soap and water before using drops
  • Gently pull lower lid of affected eye downward
  • Tilt head backward or lie down and look up at ceiling
  • Instill 1 drop inside lower lide while looking up. Do NOT touch dropper to eye, finger or other surfaces
  • Keep eye closed and tip head down for 2-3 min
  • Wait 5 min between drops
  • Replace cap on eye drop bottles and wash hands
  • Ung prevent eye drops from entering
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4
Q

Why should you avoid blinking after instilling eye drops? What is another technique for prevention of this?

A
  • Lose product
  • Close eyes and push against bridge of nose for 1 min
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5
Q

Contact Lenses?

A
  • Remove contact lens before instilling drops
    • Exception: Rewetting drops that are designed for contacts
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6
Q

Can artificial tear or lubricating drops be used with contacts?

A
  • Artificial tears have preservatives that can build up on contact lenses
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7
Q

What if pt can’t pull eyelid out comfortably?

A

Place the drops in teh corner of the eye where the tear duct is then open eye up

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8
Q

____drops can be placed in the ____ but ____ drops can never be placed in the ____

A

Eye drops can be placed in the ear, but ear drops can never be placed in the eye

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9
Q

Opthalminc Ung: Administration

A
  • Washing hand thouroughly before use
  • Tilt head back or gaze up
  • Gently pull down the lower lid to make a pouch
  • Place 1/4 to 1/2 inch of ung in sweeping motion in lower lid by squeezing the tube gently and then slowly release the eyelid
  • Close eye for 1-2min and roll eyeball in all direction
  • Blurred vision may occur temporarily
  • Remove excessive ung aroudn the eye or ointment tube tip with a tissue
  • Wait 10 min between ung
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10
Q

What is the primary purpose for an eye ung?

A
  • Prolong drug contact time in eye
  • Kids (cry a lot)
  • Night Time
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11
Q

Sublingual, troche, ODT

A
  • Do not chew, crush or swallow
  • Let dissolve in mouth or under tongue (as directed)
    • Hold toche between gum and cheek
  • May need to be stored more carefully due to unstable nature
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12
Q

Gums

A
  • Do not chew like regular gum
  • Chew until you fell a slightly tingly and then park in cheek. When feel craving, chew and then park
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13
Q

Oral Lozenge

A
  • Do not suck or bite
  • Most require parking or rubbing on cheek for a certain amount of time
  • Discard any extra at the end of specified time
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14
Q

Nitroglycerin

A
  • Store in original container away from heat and light
  • Dissolve 1 tab under the tounge every 5 min up to 3 times. Call 911 after 5 min of no relief from one NTG table dose
  • Keep on them at all times
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15
Q

Disposal of oral lozenge

A
  • Dissolve all remaining med with hot tap water before throwing away
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16
Q

Topical Products: General Admin

A
  • Break seal with poker
  • Wash/dry hands and wash/pat dry affected area
  • Apply thin layer and gently rub in
    • Exception: Burns, put thick layer on
  • Not cover the area
17
Q

Formulation and Absorption Rate

A
  • solns/aresols, lotions, gels, creams, ointments
  • Fast………………………….Slow
18
Q

When is skin most absorbent

A

after showering/bathing

19
Q

Makeup

A

Remove it

20
Q

Sprays: Admin

A
  • Shake
  • Hold 6-10” from aa for aerosol powder or 4-6” for sln
  • Point nozzle toward area and spray thin film
  • Rub into skin if desired
  • Do not inhale
  • Do not use near heat
  • Alway wash hands after application
21
Q

Patches: Admin

A
  • Usually never cut patches
    • some exceptions, like lidoderm
  • Rotate site to decrease irritation
  • Do not place on areas that rub or bend
  • Avoid placing over tattoos
  • Can be worn in shower
  • To apply
    • Wash hands
    • Remove from pouch immediatly prior to use
    • Remove backing
    • Place on nonhair, clean, dry area (not on recently shaven)
    • Press patch with palm of hand for at least 10 sec
    • Avoid repositioning
    • Wash hands
    • Remove patch at specified time
    • Fold patch over itself so that drug side is not exposed; place in wrapper or original package for disposal so pets/kids won’t touch it in trash
22
Q

BC patch

A

DO NOT TAPE

23
Q

Vaginal Prep (General)

A
  • Can be used while mesturating, but don’t use tampons
  • Can have sex, but may degrade condom
  • Used at night to prevent leakage, can use panty liner
  • squatting position, lying on one side and bending on led, lying on back with knees to chest
24
Q

Vaginal Creams/Suppositories

A
  • Wash hands
  • Fill applicatior
    • Screw top of applicator onto top of tube
    • Squeeze the tube from the bottom and to right amount
    • Rmove the applicator tform the tube and put the lid back on the tube
  • Insert into vaginal cavity like tampon (2-3 inches or as far as comfortable)
  • Depress plunger all the way
  • Wash applicator with warm, soapy water
25
Q

NuvaRing

A
  • Wash and dry hands
  • Remove ring
  • Hold ring between thumb and index finger, press sides together
  • Gently push the folded ring into vagina. If there is discomfort, slide it in further (exact position not important)
  • Leave ring for the time indicated
  • To remove:
    • Hook index finger under the forward rim or hold the rim between index and ring finger
    • Gently pull it out
    • Put in trash (NOT IN TOILET)
26
Q

What is NuvaRing Slips Out

A
  • No longer than 3 hours or else back up
  • Rise with lukewarm water and place back in
27
Q

Rectal Preps (General)

A
  • Defecate first, don’t force
  • Wash and dry hands before and after
28
Q

Rectal Suppositores, creams, ointments

A
  • Unwrap, fill applicator, etc
  • Insert medication from sitting position on toilet or lie on one side and lift top leg
  • Insert 1 inch or so. Just so sphincter muscle won’t push it back out
29
Q

Which side should I lay on?

A

Left side because colon turns left first

30
Q

What if suppository needs to be cut in half?

A

Cut longwise

31
Q

Enema: Administration

A
  • Lie on left side with knees pulled to chest or sit on you knees and lean forward so you are resting on your elbows or lie on back with knees pulled to chest
  • Lubricate enema tip and anal area
  • Gently intsert enema tip 2-3 inches into rectum
  • Allow solution to flow in slowly
  • Retain enema solution 30 min or until definite lower abdominal cramping is felt
32
Q

Enema Pearls

A
  • Last resort, have they tried anything else
  • How long has it been used
  • Have bathroom acess
  • Squeeze slowly
  • Snake it in with lube
  • Get as much in as you can

Pharm 585 (13 decks)

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