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Pharm 313 Fall 21 > Exam 2 - Med Admin > Flashcards

Exam 2 - Med Admin Flashcards

1
Q

safety needles should be used at all times with patient care. t/f

A

TRUE!

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2
Q

shaft =

A

length of needle

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3
Q

gauge =

A

diameter of hole (larger number = smaller diameter)

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4
Q

volume of tuberculin syringe

A

1mL

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5
Q

describe steps of ampoule use

A

break away from body (use alcohol swab or gauze), use filter needle or smallest gauge possible, change needles

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6
Q

describe steps of mixed dose insulin

A

roll cloudy, insert air in cloudy then clear, withdrawal from clear then cloudy.

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7
Q

intradermal administration used for what?

A

TB tests + allergy testing

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8
Q

locations for intradermal

A

inner forearm, upper back + upper chest

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9
Q

gauge size of intradermal needle

A

26-28g

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10
Q

length of intradermal needle

A

1/4 - 5/8 inch

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11
Q

angle for intradermal

A

5-15°

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12
Q

difference in needle positioning for intradermal

A

bevel up - to create wheal

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13
Q

do you massage intradermal?

A

no - allow for proper test/reading

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14
Q

gauge size for subcutaneous needle

A

25-27g

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15
Q

length of subcutaneous needle

A

1/4 - 5/8 inch

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16
Q

angle for subcutaneous administration

A

45-90°

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17
Q

areas for subcutaneous admin

A

macarena dance (including upper thighs)

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18
Q

aspirate with SCUT injections?

A

NO!!

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19
Q

do you massage subcutaneous?

A

no

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20
Q

method for efficiency and decreased pain with injections

A

pierce and remove QUICKLY, and inject medication SLOWLY

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21
Q

volume for IM injection

A

up to 4 or 5 mL - depends on muscle size

22
Q

angle for IM injection

A

90°

23
Q

gauge for IM injection

A

21 -25g

24
Q

length of IM needle

A

depends on muscle but usually 1 - 3 inch

25
Q

size of IM needle (gauge and length) for child and small adult

A

24g 5/8 inch

26
Q

explain how to find deltoid location for IM

A

3 fingers - top one on acromion process, make line from axilla - center of this triangle is location

27
Q

explain how to find vastus lateralis location for IM

A

put hand above need, put other hand in fold of leg, cut legs into 3rds and choose middle 3rd on lateral side

28
Q

explain how to find ventrogluteal site for IM injection

A

put heel of hand on greater trocanter. point thumb to pee pee. touch pointer finger on hip bone. aim middle finger up. injection site is between those fingers

29
Q

what is most dangerous site and shouldn’t be used without direct orders?

A

dorsal gluteal

30
Q

should IM sites be massaged?

A

no

31
Q

explain z track method

A

change needle after withdrawing medication. push skin away from injection site you’re using with pinky side of hand and hold. administer medication and hold 10 seconds. then remove needle and release hand. don’t massage

32
Q

7 components you need on medication order

A 
patient name/DOB
physician signature 
time/date
medication
dosage
frequency
route
33
Q

what are protocols?

A

standing orders than can be used under certain circumstances / situations

34
Q

define routine medication

A

medication is taken until finished with prescribed dose or until order says stop

35
Q

define STAT medication

A

immediately!

36
Q

define now medication

A

within 15 minutes

37
Q

what do you need to know about a med before you give it?

A

what is it? mechanism of action? why are they getting it? is it appropriate? what’s the normal dose? adverse effects? appropriate teaching? contraindications? drug-drug or drug-food interactions?

38
Q

in terms of planning and preparation, what should you assess before giving a med?

A

the applicable vital sign or lab value (BP med - check BP and HR, insulin - check BG)

39
Q

when should the 3 checks happen?

A

before preparing when taking meds out
after meds have been prepped
at client’s bedside

(all against MAR)

40
Q

what are the 5 rights?

A 
right patient
right medication
right dose
right route
right time
41
Q

what is the standard time for giving meds?

A

30 minutes before or after. some places are okay with 1 hour.

42
Q

what should you tell patients at bedside about the med? (4 things)

A

name of med
dosage
what it’s for
any teaching points

43
Q

how to set up for success (with patient) for med admin?

A

high fowlers, make sure they have water, don’t open any meds until you talk to patient

44
Q

what should be documented with med admin and when?

A

time taken
client response
….immediately AFTER.

45
Q

notes for topical meds

A
  • remove old doses (old patches) before applying new ones
  • use in tact, non-hairy skin
  • wear gloves
46
Q

notes for nasal meds

A

lean forward and use a steady inhale

47
Q

notes for MDI administration (client teaching)

A

exhale… inhale slowly as you push on inhaler… hold breath 10 seconds if possible… exhale slowly.

48
Q

with enteral tube feedings, when should you stop feedings to administer meds?

A

15-30 mins before

49
Q

steps for enteral tube feedings

A

check placement. flush with water to ensure patency, administer med, flush with water, administer med, repeat as necessary. final steps should be to flush with larger amount of water.

50
Q

if person is on suction and needs meds administered what should you do?

A

turn suction off, administer med and wait 30 minutes to turn suction back on!

Pharm 313 Fall 21 (16 decks)

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