Administration Counseling

Question 1

Otic Preparations: Administration

Answer 1

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

Question 2

Why are otic suspensions preferred over solutions?

Answer 2

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

Question 3

Opthlamic Preparations: Supsension/Sln Administration

Answer 3

• 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

Question 4

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

Answer 4

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

Question 5

Contact Lenses?

Answer 5

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

Question 6

Can artificial tear or lubricating drops be used with contacts?

Answer 6

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

Question 7

What if pt can’t pull eyelid out comfortably?

Answer 7

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

Question 8

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

Answer 8

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

Question 9

Opthalminc Ung: Administration

Answer 9

• 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

Question 10

What is the primary purpose for an eye ung?

Answer 10

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

Question 11

Sublingual, troche, ODT

Answer 11

• 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

Question 12

Gums

Answer 12

• 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

Question 13

Oral Lozenge

Answer 13

• 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

Question 14

Nitroglycerin

Answer 14

• 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

Question 15

Disposal of oral lozenge

Answer 15

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

Question 16

Topical Products: General Admin

Answer 16

• 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

Question 17

Formulation and Absorption Rate

Answer 17

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

Question 18

When is skin most absorbent

Answer 18

after showering/bathing

Question 19

Makeup

Answer 19

Remove it

Question 20

Sprays: Admin

Answer 20

• 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

Question 21

Patches: Admin

Answer 21

• 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

Question 22

BC patch

Answer 22

DO NOT TAPE

Question 23

Vaginal Prep (General)

Answer 23

• 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

Question 24

Vaginal Creams/Suppositories

Answer 24

• 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

Question 25

NuvaRing

Answer 25

* 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)

Question 26

What is NuvaRing Slips Out

Answer 26

* No longer than 3 hours or else back up * Rise with lukewarm water and place back in

Question 27

Rectal Preps (General)

Answer 27

* Defecate first, don't force * Wash and dry hands before and after

Question 28

Rectal Suppositores, creams, ointments

Answer 28

* 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

Question 29

Which side should I lay on?

Answer 29

Left side because colon turns left first

Question 30

What if suppository needs to be cut in half?

Answer 30

Cut longwise

Question 31

Enema: Administration

Answer 31

* 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

Question 32

Enema Pearls

Answer 32

* 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