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CHAPTER 53 > CH 53 > Flashcards

CH 53 Flashcards

1
Q

What do you need to know before preparing to administer a drug?

A

The uses, contradictions interactions, and adverse effects of a drug

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2
Q

Drugs and Drug Allergies

A

Before any medication is given, the physician should be aware of the medications the pt. is currently taking.

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3
Q

What is NKDA?

A

No Known Drug Allergies

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4
Q

What do you need to know about administration site?

A

-drugs might be administered for either local or systemic effect.

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5
Q

For local effects, where do you apply the medication?

A

directly on the skin, tissue, or mucous membranes

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6
Q

for systemic effects where do you administer the drug?

A

In routes that allow drugs to be absorbed in the bloodstream.

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7
Q

Locate and inspect injection site. Where can you NOT administer an injection?

A

Moles, Scars, Birth marks, Traumatic injuries, Redness, Rash, Edema, Cyanosis, Burns, Tattoos, Site of mastectomy, Paralyze areas, and Warts.

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8
Q

Patient condition

A

Before administering a medication, observe the pt for any condition that might interfere with the medication you will be administering.

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9
Q

Some Dr. office ask for patients so sign a ____before an injection.

A

Consent form

- it provides general information about the medication and a list of side or adverse effects.

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10
Q

What are the general rules for drug administration?

A

3 RULES!
1- Check medication when getting out of the storage.
2-Check when you prepare it.
3- Check before you close the storage container and before administering to the pt.

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11
Q

What is Buccal Route?

A

When you place a drug between a pt’s Gum and Cheeks.

*tell the pt do not chew. eat, drink, or smoke until the tablet has completely dissolved.

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12
Q

What is Intradermal Route?

A

When a drug is administered by injection, between the upper layers of the skin.

  • TB test is the most common one= 48 to 72 tb reading
  • Allergy shots= reaction takes about 15-20 mins after.
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13
Q

What is Intramuscular route?

A

When an injection is administered into the muscle.

  • the drug is absorbed within 3 to 5 mins.
  • Solution and powders for reconstitution.
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14
Q

What is Intravenous Route?

A

Administered by injection or infusion into the vein.

  • the drug is absorbed in 15-30 seconds!
  • Solution in bags of 25, 500 or 1000 mL, powders for reconstitution, blood products and blood.
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15
Q

What is Oral Route?

A

When a drug is given to swallow.
*drug will be absorbed in 20 to 3 hrs. depending on food and drug ingestion.
tablets, capsules,liquids and lozenges.

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16
Q

What is Rectal Route?

A

When a drug is in a form of a suppository into pt’s rectum

  • administer a solution as an enema using a tube and nozzle.
  • suppositories and solutions.
17
Q

What is Subcutaneous Route?

A

When a drug is administer by injection into the subcutaneous layer.

  • drugs are absorbed in 3-5 mins
  • Solutions and powders for reconstitution.
18
Q

What is Sublingual Route?

A

When the drug is placed under the pts tongue.

*Tell pt to leave tablet there and do not chew,drink,eat, or smoke until it dissolves.

19
Q

What is topical Route?

A

When a drug is applied to the pt’s skin or rubbed.

*ointments, Lotions, Creams, and tinctures, powders, sprays and solutions.

20
Q

Oral administration

A

Drugs that are swallowed.

  • are absorbed relatively slowly as they travel along the GI tract.
  • Tablets, liquids,capsules, and lozenges
21
Q

Buccal and Sublingual Adminiatrations

A
  • The drugs are placed in the mouth and DO NOT continue along the GI tract.
  • They are dissolved and absorbed in the tissue that is rich in capillaries.
  • The drug enters directly into the blood stream and produces a therapeutic effect quicker than oral drugs.
22
Q

what is a cored tablet?

A

A tablet with an indention in the middle so it can be broken in half.

23
Q

When is oral administration contraindicated?

A

When the pt has a severe nausea, is comatose, or cannot swallow.

24
Q

how many basic rights?

A

6!!!
1- Right pt= verify name & DOB
2-Right Drug=Compare Drug to the one being ordered
3-Right Dose=Compare dose with the order.
4-Right Route=Check to see what the Dr ordered
5-Right Time= Give it at the right time
6-Right Documentation= Document the procedure, Name of drug, Lott, dose, Vaccine.

25
Q

Not reporting an error is?

A

unethical and in some cases illegal

26
Q

What is parental administration?

A

The administration of a drug by muscle, vein or any means other than through the GI tract.

27
Q

Why does parental administration poses more safety risks to the pt?

A

after the drug has been injected it can NOT be retrieved.

*Also a potential exposure to blood born pathogens for the MAS

28
Q

What is Diluent?

A

is a liquid used to dissolve and dilute a drug

29
Q

Which gauge is used for thick medication?

A

18 gauge

30
Q

Drug placed between pt’s gum and cheek?

A

is buccal Route

31
Q

what is the suggested needle for a 1 to 12 month old?

A
  • 18 to 23 gauge
  • 1 inch
  • 1 mL
  • on the anterolateral thigh muscle.
32
Q

Suggested needle for adults 19 and up?

A
  • 18 to 23 gauge
  • lenght 1 to 1 1/2 inch
  • 3 mL
  • deltoid muscle of the arm
33
Q

After using a needle you should engage the safety mechanism & immediately place the needle in a ___?

A

Sharps container

34
Q

You might brake a tablet to provide a smaller dose only if the tablet is ____?

A

Score

35
Q

Before administering a medication you should always check the meditation ___ times.

A

3!

36
Q

Physicians usually prescribe vaginal drugs to treat local bacteria or___ infections.

A

Fungal

37
Q

Skin test are usually administered by___ injection.

A

Intradermal

38
Q

The ___ of a needle is measured of its inside diameter.

A

Gauge

39
Q

Parental administration of a drug generally applies to giving a drug by_____?

A

muscle, veins or other than the GI tract

CHAPTER 53 (1 decks)

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