Concepts of Medication Administration Flashcards
Which route is most often used for oral medication administration?
oral
What medications cannot be crushed or cut?
sub-lingual, enteric coated, time released preparations
How do you administer buccal medications?
Placed towards the back of 0the mouth between the upper and lower molars and the cheek. Alternate from left to right to decrease mucosal irritation
How do you pour liquid medications?
Hold the bottle with the label facing toward your palm with the medicine cup on a solid surface at eye level. Measure using the base of the meniscus,
T/F Stay with you patient until they take all their medications
True
Are pediatric or geriatric patients more at risk of medication toxicity?
Geriatric
T/F: You can add medications to ice cream, applesauce, pudding, or milk/formula when pediatric patients won’t take the medication.
False. You can do that with all the food except milk/formula because it may affect the patient’s future intake of it.
T/F: You can put any medication (tab, gel, capsule) through an NG tube
True, as long as your pharmacist says its ok. Take 20 mins to pierce gel and dissolve contents into water. Crush tabs/open capsule and pour into warm water to push through NG tube.
What position should the patient be in to receive medication through the NG/enteral tube?
Fowlers position. Take out a small amount of gastric juice to test the PH. Keep patient in position for at least an hour afterwards.
How many liters do you flush the Ng tube with before/after feeding
15-30ml (5-10ml for pediatric patients)
How do you avoid chemical reactions between medications?
Use sterile water to dissolve meds and flush nasogastric tubes to prevent chemical reactions between meds.
How do you unclog an NG tube?
First try to unclog gently with sterile water. Next try to obtain a Rx for pancrelipase. If that doesn’t work replace tube.
What is an MDI?
Meter dosed inhaler
When should a spacer device be used w/ inhaler?
When a patient may have difficulty coordinating their breath with the medication administration
How do you administer medication to the posterior pharynx, ethmoid, or sphenoid sinus?
Tilt the head backwards
How do you administer medication to the frontal/maxillary sinuses?
Tilt the head backwards with the head turned towards the affected side.
How do you administer medication to the frontal/maxillary sinuses?
Tilt the head backwards with the head turned towards the affected side.
T/F The nasal dropper should touch the nasal passage to properly administer medication
False, it should never touch the skin
How do you put eyedrops in?
Wipe eyes so that no boogies, dirt, ect are near the eye. DO NOT PUT MED DIRECTLY ON CORNEA. Put in on the conjunctival sac (lower eyelid)
How do you put eye ointment in?
Put ointment along conjunctival sac.
Define otic medications
Ear meds
How do you hold the ear to instill medication for adult/under 3 y/o?
Up and out for adults, down and back for 3 years and younger
Transdermal medication produce a _____ effect
systemic
