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