ch 39: administration of medications Flashcards
EXAM 1 content
before administering medication, what should we do first?
- determine drug dosage based on bothy weight, height, & body surface area
- two identifiers
- preparing parents
- preparing child
where should we do an IM injection?
- if not walking –> vastus lateralis
- walking –> deltoid or ventrogluteal
what are the different types of IV devices?
- peripheral intermittent infusion device or lock
- central venous access devices
- PICCs (peripherally inserted central catheters)
what are the different types of central venous access devices?
- short term/non tunneled catheter: jugular or femoral
- long term tunneled: deeper in to vein
- implanted infusion ports (port catheters)
when inserting an IV on a child, where would you naturally put it?
antecubital
what are biopatches?
a patch at the site of insertion that is infused with CHG
what are the advantages of nasogastric, orogastric or gastrostomy administration?
we can administer meds around the clock without disturbing the child
what are the disadvantages of nasogastric, orogastric or gastrostomy administration?
risk of occlusion & clogging –> needs frequent flushing
what is the name of the gastric tubes used in peds?
Mic-key
what are the advantages in administering medications rectally?
another route when the oral route is difficult or contraindicated
what are the disadvantages in administering medications rectally?
they are less reliable
what is the technique in administering medications rectally?
use your pinky and pass both sphincters
when do we not use the rectal route?
when the child is less than 28 days old ( < 28 days)
what are the disadvantages of optic, otic, & nasal administration?
they wont stay still
what is the technique in giving eye drops to a child?
- let the child lie on their back & their head tilted backward
- put drops in lower eyelid
