Hospital pharmacy part 2

Question 1

Its important to know how these are meds are going to be administered and absorbed when thinking about these tubes…depends where in the GI tract this type of tube ends its going to effect our medication _________

Answer 1

absorption

Question 2

Gastrostomy tube…goes out towards the _______ and its not going through nose or mouth and then goes into the stomach

Answer 2

skin

Question 3

Jejunostomy tube goes right into the intestines

Question 4

What types of medications may not be able to be crushed? Any of our _________release tablets something that has a coating on it that’s going to allow it to release over time because if we do crush that tablet its going to be released all at once which it is not intended to…we try to avoid crushing our ________ medications they can be crushed but we would like to avoid the hazard to our staff who needs to crush them if at all possible so we try to avoid that

Answer 4

extended release tablets

hazardous

Question 5

We can give meds through oral suspension and oral solution so they are already liquid when they are administered we often cant give all medication this way whether they are not available in the hospital this way or large amounts of excipients (not medications but other components that are within the solution like sorbitol that can cause a side effect such as too much diarrhea

Question 6

Things to watch out for: do feeds need to be held because they are also going through the same tubing while we administering the medication to be absorbed

Question 7

If a medication can’t go through a certain type of tubing or will clog a certain type of tubing we need to be mindful of that

Question 8

Oral PO

Example:Suspensions and solutions are liquids

Question 9

NG tube when pt can’t swallow or eat for a period of time…Once medication is crushed it will be put through tube and it might be either through a syringe or through a bag where the tube feeds then the medications can be added as needed and put through that tube and flushed out with water in order to ensure that they go through the tube and down to the stomach as the NG tube does

Question 10

Intramuscular we think of things such as ___________

Answer 10

vaccines

Question 11

Subcutaneous we often think of for our __________

Answer 11

insulin

Question 12

IV can be lots of different medications…we can do IV pain medications…IV antibiotics

Question 13

What varies with these things is how deep in the tissue they go so we can see IM goes the deepest and goes through all the layers of the skin into the muscle

Question 14

Intravenous doesn’t go as deep but it does directly into our ___________ system

Answer 14

venous

Question 15

Intradermal which goes right into the ________ tissue

Answer 15

dermis

Question 16

What varies is not only how deep the needle goes but the angle it has to be administered at

Question 17

__________- medication administered through bone so if we are not able to get easy IV access if a pt comes in for a trauma situation we do have a special type of drill in the hospital that nurses can use to establish IO access so that medications can be given that way

Answer 17

Intraosseous

Question 18

IV is the most common

Question 19

Types of IV lines depends on how long the line is and how much of it is within your veins and through your body