CMA 1 Flashcards
Oral route
Mouth, sublingual, buccal
Inhalation route
Inhalers, nebulizers, oxygen
Topical route
Creams, ointments, transdermal patches
Instillation route
Drops & ointments in the ears, eyes, & nose
Medication
Any prescription or non-prescription drug intended for treatment or prevention of disease or to affect body function in humans
What do a recipients rights include?
Information provided about the medication’s they are taking, what medication they’re taking and why it’s provided, and refusal to take medication
If something is not documented, did it legally happen?
No
Accurately document all medication provided, including…
Medication, dose, route, time administered, any refusal of medication, and spoilage
Sublingual administration
Placing under the tongue
Buccal administration
Placing between the gum and cheek
Buccal
Placing between the gum and cheek
Sublingual administration, buccal administration, and ___ are part of oral medications.
Oral sprays
Inhaler
A device for giving medicines in the form of a spray that is inhaled or breathed in through the nose or mouth
Nebulizer
An electrically powered machine that turns liquid medication into a mist so that it can be breathed directly into the lungs through face mask or mouthpiece
Oxygen
A pressurized container, that stores oxygen or liquid oxygen for supplemental oxygen therapy
Sprays
I’m medicinal spray that contains a drug or drugs in a carrier that forms a film when sprayed on a surface
Creams
A semi-solid substance that is applied to the skin and is used for variety of purposes, including cosmetics, therapeutics, and prophylaxis
Prophylaxis
Measures designed to preserve health and prevent the spread of disease
Ointment
A thick substance, usually containing medicine, that is put on the skin where it is sore or where there’s an injury, in order to cure it
Lotion
A non-oily liquid that is applied externally to the body surface or any external orifice, often used as a topical treatment for skin or nail fungal infections
Transdermal patch
A medicated adhesive patch that is placed on the skin to deliver a specific dose of medication through the skin and into the bloodstream
Medication aide
A healthcare worker whose main task is administering medication’s to residence in a long-term care facility
Long-term care facility
A facility in which residents live and are able to receive 24 hour skilled care
Documenting
Keeping a record of care provided
PRN
Abbreviation meaning “as needed“
Person centered care
A type of care that places the emphasis on the person needing care and their individuality and capabilities
Liability
A legal term that means someone can be held responsible for harming someone
Scope of practice
Defines the tasks that healthcare providers are legally allowed to do as permitted by state or federal law
Nursing process
An approach to providing effective care for a resident on an ongoing basis: involves assessment, diagnosis, planning, implementation, and evaluation
What is the purpose of the “assessment” portion of the nursing process?
To identify actual or potential problems by reviewing multiple sources, typically: medical history, physical assessment, and environment
What is the purpose of the “diagnosis” portion of the nursing process?
Identify health problems after assessing the resident’s needs
What is the purpose of the “planning” portion of the nursing process?
Setting goals and creating a care plan in line with the resident’s preferences
What is the purpose of “implementation” portion of the nursing process?
Putting the care plan into motion
What is the purpose of the “evaluation” portion of the nursing process?
Monitoring progress and results of a care plan
How often does a licensed nurse need to be on duty at a long-term care facility?
24 hours a day
How often does a registered nurse need to be on duty at a long-term care facility?
Seven days a week, eight hours a day
What are some common signs of confusion in a resident?
Personality changes, such as: anger, depression, and irritability
Confusion can be…
Permanent or temporary
When a resident is confused, it interferes with:
Their ability to make decisions
Common causes of confusion…
Low blood, sugar, head, trauma, or injury, dehydration, nutritional problems, fever, sudden drop, and body temperature, lack of oxygen, medication, infections, brain, tumor, diseases, or illnesses, loss of sleep, seizures, UTI
What type of environment should you provide when a resident is confused?
Come and quiet, speaking in a lower tone of voice
If a client is confused, you should not…
Leave the client alone
If a client is confused, you should encourage the use of…
Glasses and hearing aids
What items should you not leave out with a client who is experiencing confusion?
Cleaning or personal care items
What are some ways you can help a client cope with experiencing confusion?
Introduce yourself each time you see the client, remind the client of the location and date, explain what you were going to do using simple instructions, talk about plans for the day, and promote self-care and independence
Delirium
State of severe confusion that occurs suddenly
How long does delirium last?
It is usually temporary
Common causes of delirium?
Infections, disease, fluid, imbalance, poor nutrition, and drugs and alcohol
What are the symptoms of delirium?
Agitation, anger, depression, irritability, disorientation, trouble, focusing, problems with speech, changes in sensation and perception, changes in consciousness, and decrease in short-term memory
What is the goal of treatment?
To reverse the cause
Cognition
The ability to think logically and clearly
Cognitive impairment
The loss of ability to think clearly and logically. Concentration and memory are affected
What can help those who are suffering with cognitive impairment?
Writing down names and phone numbers
Dementia
Serious progressive loss of mental abilities such as thinking, remembering, reasoning, and communicating
What is the most common cause of dementia in the elderly?
Alzheimer’s disease
Vascular dementia
A series of strokes, causing damage to the brain
What is another name for vascular dementia?
Multi-infarct dementia
Lewy body dementia
Abnormal structures called “Lewy bodies” that develop in areas of the brain and cause symptoms
What are Parkinson’s disease and Huntington’s disease?
Imperative diseases in the brain that cause nerve cells to waste away
What type of skills are kept the longest when a person is suffering from Alzheimer’s disease?
Older skills
What are the three stages of Alzheimer’s disease?
Mild, moderate, and severe
How should you approach someone with Alzheimer’s disease?
From the front
What should you do if a client is not understanding you?
Ask them to repeat you
What are some effective modes of communication when dealing with a client who suffers from Alzheimer’s disease?
Signs, gestures, pictures, or written words
What is Alzheimer’s disease?
Tangled nerve fibers and protein deposits in the brain that cause dementia
Alzheimer’s disease is…
Irreversible
What kind of cues should you watch for when you are communicating with a client who suffers from Alzheimer’s disease?
Nonverbal cues, such as use of the: eyes, hands, and face
When should you schedule bathing for a client? Who is suffering from Alzheimer’s disease?
When the client is least agitated
What type of foods work best for clients who are suffering from Alzheimer’s disease?
Finger foods
What type of plates should you use for a client who is suffering from Alzheimer’s disease?
Plain, with no pattern
What is a good way to keep a client preoccupied while they are being given a bath?
Allow them to hold a washcloth
QD
Every day/once a day
BID
twice a day
TID
Three times a day
QID
Four times a day
Q4H
Every four hours
AC
Before meals
AC
Before meals
PC
After meals
HS
at bed time or nighttime
PO
by mouth
IM
Intramuscular (such as a flu shot/injection)
IV
intravenous
SC or SQ
Subcutaneous