Chapter 34 Flashcards
What are some medications that cannot be crushed?
-Sublingual medications, enteric-coated medications, and sustained-release preparations
Taken orally; do not crush these!
Enteric- coated
Taken orally; can be split/ scored
Scored tablets
Between the cheek & the gum
Buccal
Under the tongue
Sublingual
Place on top of the tongue
orally dissolving tablet (ODT)
What are some routes of topical medication
-Drops (eyes or ears)
-Ointments, pastes, or lotions
-Rectal suppositories
-Transdermal medication
-Should be applied to a hairless area
-Left in place, or as a paste that is spread on a small area of skin
-Inhalants
Why are inhalants used?
-To relieve inflammation of the mucous membrane in acute colds and sinusitis.
-To relieve inflammation of the larynx.
-To soften thick, tenacious mucus and relieve coughing from many causes.
-To warm and moisten the air when following operation such as a tracheotomy.
What are vaginal medications used for?
-Cleanse the vagina for surgery
-Reduce bacterial growth
-Remove odors and discharge
-Apply heat or cold to inflamed tissues
-Absorb medication into local mucosa
What are rectal medications used for?
-Prevent vomiting
-Soothe hemorrhoids
-Prevent bladder spasms
-Promote bowel evacuation
-Reduce fever
Allison is getting ready to administer her patient’s medication through a feeding tube. Which types of medications cannot be crushed or administered through a feeding tube?
A)Buccal, sublingual, and liquid
B)Liquid, sublingual, and enteric-coated
C)Sublingual, enteric-coated, or sustained-release
D)Liquid, sustained-release, and suppository
C)Sublingual, enteric-coated, or sustained-release
Paige is getting ready to administer eardrops to a 2-year-old girl. When administering eardrops, it is important to remember to:
A)pull the earlobe downward to straighten the canal.
B)pull the earlobe upward to straighten the canal.
C)pull the earlobe toward the back of the head to straighten the canal.
D)None of the above
A)pull the earlobe downward to straighten the canal.
Allison’s patient is going to surgery. What will happen to her patient’s medication orders?
A)They will go with the patient at all times throughout the surgery.
B)New orders will probably be added after surgery.
C)All orders are canceled and new orders must be rewritten after surgery.
D)All orders are canceled and new orders must be rewritten after surgery except routine medications.
C)All orders are canceled and new orders must be rewritten after surgery.
Order is to written to treat specific symptoms experienced by the patient on an as needed
PRN
Immediate
STAT
Per OS, which means by mouth
PO
Medications are instilled in the form of eye drops or ear drops or applied as ointments, pastes, or lotions to the skin or mucous membrane
Topical
Refers to drugs packaged in single, individual doses
Unit- dose
Time release pellets put into a capsule
Spansules
eye medications may be in the form of drops, ointment, or an eye disk
Opthalmic
Ear medication is primarily used in children to decrease the pain of otitis media but also may be used to treat external otitis and to soften cerumen
Otic
_____ and nasal sprays come in containers labeled with directions for use
Metered-dose inhalers (MDIs)
A vaginal irrigation is called a ____. Topical solution is introduced into the vaginal cavity.
Douche
Through the skin, medications are supplied in a sustained release patch that is applied to clean, dry, hairless skin and left in place, or as a paste that is spread on a small area of skin.
Transdermal
_____ be sed to investigate a sentinel event, which is an occurrence that causes a patient’s death or serious injury
Root cause analysis