ATI 8 - Safe Admin of Meds

Question 1

type of cups

Answer 1

use rigid, plastic cup

-not paper cups

Question 2

T/F mix med w formula

Answer 2

FALSE
avoid mixing or putting in a bottle
-infant might NOT take entire feeding

Question 3

position for infant vs small child receiving oral meds

Answer 3

infant: semi-reclining

small child: upright position

Question 4

where to administer medication

Answer 4

upright positionside of mouth in small amounts

Question 5

how to promote swallowing in infants

Answer 5

stroke under chin while holding cheeks together

Question 6

how to provide atraumatic care

Answer 6

• mix med in small amt of sweet nonessential food (applesauce or sherbet)
• offer juice, soft drink, or snack after admin
• use nipple to allow sucking after med admin
• add flavoring to med
• reward w prize or sticker afterwards

Question 7

how to admin med via feeding tube

Answer 7

• confirm placement
• use liquid formulation
• DO NOT add med to formula bag
• flush tubing after admin of each medication

Question 8

positions for optic med

Answer 8

supine or sitting

• extend head + look up
• pull lower lid down
• apply to conjunctiva

Question 9

ointment admin

Answer 9

fr inner to outer canthus

-preferably before naptime or bedtime

Question 10

how to provide atraumatic care - OPTIC meds

Answer 10

-if infant’s eyes are clenched closed, place drops in nasal corner (will enter when they open their eyes)
-apply light pressure to lacrimal conjunctiva for 1 min
(to prevent weird taste)
-play games as distraction

Question 11

otic med admin position

Answer 11

prone or supine

-w affected ear upward

Question 12

pull pinna DOWN + back for…

Answer 12

kids younger than 3 yo

Question 13

how to provide atraumatic care - OTIC meds

Answer 13

• warm refrigerated meds to room temp
• massage outer area for few secs after admin
• play games as distraction
• praise child after

Question 14

nasal admin positions (infant vs child)

Answer 14

infant: football hold
child: head hyperextended

Question 15

how to provide atraumatic care - nasal

Answer 15

insert tip into naris vertically

• then angle it before admin
• play gammes

Question 16

before admin of nasal med, remove ____

Answer 16

mucus

Question 17

use a __ for aerosol admin

Answer 17

mask

Question 18

atraumatiic care - aerosol

Answer 18

allow parents to hold child during tx

-use distraction

Question 19

how far to inser rectal med

Answer 19

small child: < 0.5in

older child: 1 in

Question 20

after rectal admin…

Answer 20

hold buttocks together for 5 - 10 min

Question 21

if giving half dose of rectal med..

Answer 21

cut lengthwise

Question 22

T/F perform rectal admin quickly

Answer 22

TRUE

-be quick and use distraction

Question 23

when applying a topical/transdermal med…

Answer 23

apply to the body or major muscle

-try to hide it from small childer

Question 24

infant/child will require _____ before injections

Answer 24

to be secured

Question 25

when selecting injection site, consider the following:

Answer 25

• med amt, viscosity, type
• muscle mass, condition, access of site, potential for contamination
• tx course + number of injectn
• age + size

Question 26

admin INTRADERMAL location, degree, + needle

Answer 26

• inside surface of forearm
• 15 degree
• TB needle w 26-30ga + bevel

Question 27

admin SUBCUTANEOUS location, degree, + needle

Answer 27

• lateral of upper arm, abdomen, anterior thigh
• inject vol less than 0.5mL
• 1 mL syringe
• 26-30 ga
• 90 (45 degree if thin)

Question 28

admin INTRAMUSCULAR location, degree, + needle

Answer 28

ventrogluteal or deltoid for kids; vastus lateralis for infant/small child

• 22-25 ga, 0.5-1 in needle
• 0.5mL for bb, 2mL for kids

Question 29

best positions for intramuscular injections

Answer 29

supine, side-lying, prone

Question 30

atraumatic care for injections

Answer 30

• lidocaine for 60min prior
• use smallest gauge
• therapeutic hugging
• secure firmly to decr mvmt
• encourage parent to hold child after
• sucrose pacifiers for infants