ATI Oral Medications

Question 1

Unit Dose System

Answer 1

Each dose of medication is packaged separately.

Question 2

Pharmacy Bulk System

Answer 2

A labeled container that hold multiple doses.

Question 3

Sublingual

Answer 3

Under the tongue.

Instruct client to keep medication in place until it dissolves.

Question 4

Buccal

Answer 4

Between gum and cheek.

Alternate sides with each dose to avoid mucosal irritation.

Question 5

Troche

Answer 5

Lozenge, allow to dissolve, do not crush, chew, or swallow.

Question 6

Elixir

Answer 6

A mixture of water, alcohol, sweetener, and medication.

Question 7

Syrup

Answer 7

A mixture of water, concentrated sugar, and medication.

Question 8

Suspension

Answer 8

Small particles of medication that do not dissolve fully in water. Suspensions must be shaken or stirred before measuring and administration.

Question 9

Solution

Answer 9

Medication dissolved in water or 0.9% sodium chloride.

Question 10

Liquid Measuring Devices

Answer 10

Measuring Cup = 5- 30 mL
Medicine Spoon = 1 - 10 mL
Oral Syringe

Use spoon, syringe, or dropper for any amount less than 5 mL.

Question 11

Basic information included on all MARs

Answer 11

Client’s identifying information
Current date
Prescription information
Time of medication admission

Question 12

Information included on pharmacy bulk system label

Answer 12

Generic and brand names
Use for medication
How much is in the container.
The concentration of medication.
Directions for use.
How to store the medication.

Question 13

Forms of solid medications

Answer 13

Tablet, enteric coated tablet, troche, capsule, caplet

Question 14

Forms of liquid medications

Answer 14

Elixir, syrup, suspensions, solution

Question 15

Routes for oral medications

Answer 15

Swallowed, sublingual, buccal, and dissolved in the mouth

Question 16

Tablets that can be divided

Answer 16

Only scored tablets can be divided.

Question 17

Solid medications that cannot be crushed

Answer 17

Capsules, extended release, time release, enteric coated, delayed release, very unpleasant tasting, irritating to mucus membranes

Question 18

Client instructions when administering a troche

Answer 18

Do not eat or drink for 5 minutes before or after the troche has fully dissolved. Client should allow troche to completely dissolve in the mouth.

Question 19

Client instructions before administering a buccal medication

Answer 19

Place medication between cheek and gum and allow to fully dissolve.

Question 20

Client instructions before administering a sublingual medication

Answer 20

Place medication under the client’s tongue and instruct to keep in place until the medication is full dissolved.

Question 21

Where does an enteric coated medication get absorbed?

Answer 21

In the small intestine.

Question 22

Action taken prior to dispensing a liquid medication suspension.

Answer 22

Shake or stir well immediately prior to administration