ATI 8 - Safe Admin of Meds Flashcards
type of cups
use rigid, plastic cup
-not paper cups
T/F mix med w formula
FALSE
avoid mixing or putting in a bottle
-infant might NOT take entire feeding
position for infant vs small child receiving oral meds
infant: semi-reclining
small child: upright position
where to administer medication
upright positionside of mouth in small amounts
how to promote swallowing in infants
stroke under chin while holding cheeks together
how to provide atraumatic care
- 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
how to admin med via feeding tube
- confirm placement
- use liquid formulation
- DO NOT add med to formula bag
- flush tubing after admin of each medication
positions for optic med
supine or sitting
- extend head + look up
- pull lower lid down
- apply to conjunctiva
ointment admin
fr inner to outer canthus
-preferably before naptime or bedtime
how to provide atraumatic care - OPTIC meds
-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
otic med admin position
prone or supine
-w affected ear upward
pull pinna DOWN + back for…
kids younger than 3 yo
how to provide atraumatic care - OTIC meds
- warm refrigerated meds to room temp
- massage outer area for few secs after admin
- play games as distraction
- praise child after
nasal admin positions (infant vs child)
infant: football hold
child: head hyperextended
how to provide atraumatic care - nasal
insert tip into naris vertically
- then angle it before admin
- play gammes
before admin of nasal med, remove ____
mucus
use a __ for aerosol admin
mask
atraumatiic care - aerosol
allow parents to hold child during tx
-use distraction
how far to inser rectal med
small child: < 0.5in
older child: 1 in
after rectal admin…
hold buttocks together for 5 - 10 min
if giving half dose of rectal med..
cut lengthwise
T/F perform rectal admin quickly
TRUE
-be quick and use distraction
when applying a topical/transdermal med…
apply to the body or major muscle
-try to hide it from small childer
infant/child will require _____ before injections
to be secured
when selecting injection site, consider the following:
- med amt, viscosity, type
- muscle mass, condition, access of site, potential for contamination
- tx course + number of injectn
- age + size
admin INTRADERMAL location, degree, + needle
- inside surface of forearm
- 15 degree
- TB needle w 26-30ga + bevel
admin SUBCUTANEOUS location, degree, + needle
- lateral of upper arm, abdomen, anterior thigh
- inject vol less than 0.5mL
- 1 mL syringe
- 26-30 ga
- 90 (45 degree if thin)
admin INTRAMUSCULAR location, degree, + needle
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
best positions for intramuscular injections
supine, side-lying, prone
atraumatic care for injections
- lidocaine for 60min prior
- use smallest gauge
- therapeutic hugging
- secure firmly to decr mvmt
- encourage parent to hold child after
- sucrose pacifiers for infants
