Ch. 34.2 Medication Administration

Question 1

Enteral feeding

Answer 1

refers to intake of food via the gastrointestinal (GI) tract. (mouth, esophagus, stomach, and intestines)

Question 2

Topical administration

Answer 2

refers to administration of drugs onto the surface of the skin or of membranous linings of eye, ear, nose, respiratory tract, urinary tract, vagina and rectum

Question 3

Sublingual:

Answer 3

Medication placed under the tongue; is dissolvable.

Question 4

Buccal: Medication

Answer 4

placed between the upper or lower molar teeth and cheek area; is dissolvable – some sources refer to sublingual and buccal as oral.

Question 5

systemic effects

Answer 5

are defined as those effects occurring in tissues distant from the site of contact between the body and the medical device or biomaterial.

Question 6

Inhalation

Answer 6

Medications are absorbed rapidly
Usually used for respiratory disease
Pt understanding is important as these medications are used to manage airway. Rescue medications are for immediate relief and are short acting, Maintenance inhalers are used daily to prevent respiratory distress. They must be used correctly to be effective.
spacer; The spacer traps medication released from the MDI; the patient then inhales the drug from the device. Allows more time to the patient to inhale the medication and allows more medication to be absorbed

Question 7

Rectal Meds

Answer 7

Rectal medications are relatively safe because they rarely cause local irritation or side effects. They are contraindicated in patients with recent surgery on the rectum, bowel, or prostate gland; rectal bleeding or prolapse; and very low platelet counts.

Question 8

MDI

Answer 8

metered dose inhaler
• An MDI is a small handheld device that disperses medication into the airways through an aerosol spray or mist by activation of a propellant.

Question 9

BAi

Answer 9

breath-actuated metered-dose inhalers

Question 10

DPI

Answer 10

dry powder inhalers
• DPIs hold dry powdered medication and create an aerosol when the patient inhales through a reservoir containing medication.
• DPIs require little manual dexterity.
• The device is breath activated; there is no need to coordinate puffs with inhalation.

Question 11

Nebulization

Answer 11

• is a process of adding medications or moisture to inspired air by mixing particles of various sizes with air.
• Droplets in the mist are much finer than those created by MDIs or DPIs.
• A face mask or a mouthpiece held between the teeth delivers nebulized mist.
• Ex. broncodialators, corticosteroids

Question 12

Irrigation

Answer 12

Medications used to wash out a body cavity, delivered with a stream of solution (sterile water, saline, or antiseptic)
Asepsis or clean technique, depending on location

Question 13

Bladder irrigations

Answer 13

• a procedure used to flush sterile fluid through your catheter and into your bladder

… 3 way foley…. 3L bag bladder irrigation (normal saline)
Connect to input so that a slow constant flow of saline is cleansing out bladder. May be used for bleeding, increased sediment and mucous

Question 14

Parenteral administration

Answer 14

administration of medications by injection

Question 15

Subcutaneous injection

Answer 15

Injection into tissues just under the dermis of the skin

Question 16

Intramuscular (IM) injection:

Answer 16

: Injection into the body of a muscle

Question 17

Intradermal (ID) injection:

Answer 17

Injection into the dermis just under the epidermis

Question 18

Intravenous (IV) injection or infusion:

Answer 18

Injection into a vein

Question 19

Lurer-Lok

Answer 19

• secure stew like connection
• requires a needle that twists in place and prevents the needle from slipping out of the syringe. It is the most common type of syringe. A non Luer-Lok is also called a slip tip.

Question 20

Slip Tip slip

Answer 20

or push-on connection

Question 21

Eccentric Tip

Answer 21

off center tip used for surface veins or artery injections

Question 22

Catheter tip:

Answer 22

longer and tapered slip tip designed for irrigation or with tubing

Question 23

Tuberculin syringes

Answer 23

are 1ml syringes that are useful for preparing small doses. They have an attached needle

Question 24

Ampules

Answer 24

glass container with a constricted neck that contains a single liquid dose of medication
Top must be snapped off at the coloured ring and filter needle must be used to prevent aspirating glass fragments into the syringe.
The needle is changed once the medication is drawn up.
Use for medications that need to be protected from light, air, humidity.
If there is a dot, should be facing upwards when snapped. Use an unopened alcohol swab to grasp the top and break away.

Question 25

Vials

Answer 25

– may be single does or multi dose. Have a cap that protects the robber stopper. May be a powder that will have special instructions describing how it is to be reconstituted with saline or distilled water. May need to roll gently to fully dissolve powder
Multidose vials need a label that record the time of opening. If mixed date of mixing and concentration are necessary as well.