EXAM 2 Flashcards
What are the 10 rights to medication admin ?
Right dose, medication, patient, frequency, route, education, right to refuse, right assessment, documentation, evaluation
What are the 3 safety checks before giving a medication?
- READ MAR THEN SELECT MED
- COMPRE MED TO MAR
- RECHECK LABEL BEFORE PREPARING MED OR BEFORE ADMIN AT THE BEDSIDE
What should you never do when administering skin medication?
Rub it in
What should you do before administering skin medication?
Remove old patches
How do you administer skin meds ?
- Put on gloves
- Remove any old patches
- Clean site
- Firmly press down medication
What are some things skin meds are used for?
Hormones, Pain meds, Nicotine patches, Cardiac meds.
What are 3 different Respiratory/Inhalation devices?
Metered dose inhaler
Dry powder inhaler
Nebulizer
How do you administer a Metered dose inhaler
Push down on pump
Inhale slowly and deeply
Exhale through pursed lips for 5-10 secs.
How do you administer a Dry powder inhaler
Quickly inhale
Hold breathe 5-10 secs
Exhale slowly through pursed lips
What do you always assess before and after use of a nebulizer
LUNGS
What must the patient do after each use with the inhalation device?
Rinse their mouth
What position must the patient be in when admin a rectal suppository?
Left sims position with right leg flexed
How far does a rectal suppository need to go?
3 to 4 inches
How long does the patient need to stay on their side after a suppository ?
5 minutes
How elevated does a large volume enema need to be
18 inches
How long should the enema be given?
5-10 minutes
How long must the patient hold in the enema ?
5-10 minutes
How do you administer a small volume enema?
Squeeze bottle and roll end up on itself.
How long does a patient need to hold in a small volume enema ?
5-10 minutes
What are the important guidelines for documentation?
Needs to be factual, complete, current, accurate, organized
What must clients sign ?
Notice and Authorization form
What can not be delegated to a UAP?
Med admin, assessment, teaching/education
What should you always consider when delegating to a UAP?
Patient stability, predictability of outcome, complexity, need of other patients, potential for harm
p
after
q
every
noc
night
ac
before
hs
bedtime
prn
whenever necessary
c
with
s
without
When a physician gives a med order for oxygen therapy what must it include ?
Flow rate and device
A normal SPO2 is?
92% or higher
Documentation of Oxygen therapy
DATE AND TIME OF OXYGEN THERAPY METHOD FLOW RATE CONDITION OF SKIN RESP ASSESSMENT BEFORE AND AFTER CLIENTS RESPONSE ANY ADVERSE REACTION ANY TEACHING DONE
Whats the normal range for pulse ox
95-100%
What can affect the reading of a pulse ox
nail polish
what does the pulse ox assess
local circulation
hypoxia
What are intradermal injections used for?
Allergy sensitivity and TB tests
What considerations should you give when administering an intradermal
The bevel needs to be up
A wheal will appear at the injections site
What angle do you give a intradermal injection?
5-15 degrees
Where can you give an intradermal injection?
Inner forearm, upper. back
What needle gauges do you use for intradermal injections?
25-27
What are the subcutaneous injections needle gauges?
25-30
What are subcutaneous injection sites?
Upper arm, abdomen, thigh, upper back, upper ventral gluteal area
What are intramuscular injections used for ?
Vaccines, pain meds, antipsychotics, antibiotics
What are the intramuscular injections sites?
deltoid, thigh, butt
What are the needle gauges for intramuscular injections/
20-25
oil 18-25
Complications for intramuscular injections ?
Abscess, Cellulitis, Injury to blood vessels, bones, nerves, lingering pain, tissue necrosis
