Hospital pharmacy part 3

Question 1

_________line: permanent access, can be left in for longer than a peripheral line and that’s because it goes usually from your clavicle or subclavian and its placed surgically to give you a little bit more permanent IV access

Answer 1

Central line

Question 2

__________:needle going right into your arm and right into your veins

Answer 2

Peripheral line

Question 3

__________: treated as a peripheral line and are higher up in the pt’s arm and can also be left in for longer than a normal peripheral line

Answer 3

Midlines

Question 4

IV medications can come in vials and the vial can be mixed into what we call IV bags

Question 5

Topicals come in all different forms…powders,sprays, pastes,etc

Question 6

Transdermal is formed as a _________

Answer 6

patch

Question 7

Difference between topical vs transdermal? Difference is how the medication is __________.Topical is being absorbed through first ______ layers of the skin whereas if we have a transdermal medication we are getting the _______________ of the medication so its going through the skin into the capillaries and then be circulated systemically throughout the body

Answer 7

absorbed

few layers

systemic absorption

Question 8

Otic is administration in to the ____or ear drops

Answer 8

ear

Question 9

________-is administration into the eyes

Answer 9

Ophthalmic

Question 10

What do eye medications and IV medications have in common? Both have to be _______! Make sure they DON’T have contaminants or bacteria

Answer 10

sterile

Question 11

An eye drop could be used in the ear because it is sterile

Question 12

An ear drop CANNOT be used in the eye because an ear drop is nonsterile and medications being administered into the eyes do need to be sterile

Question 13

If pt has to take multiple eye drops theres a specific order of administration ________, ________, and lastly by ointment

Answer 13

solution, suspension

Question 14

_______________ are used for pts who have trouble breathing so they are not able to take an inhaler that requires their breath so instead medication is aerosolized so they can inhale it via a machine

Answer 14

Nebulizer

Question 15

________ is a systemic intranasal medication

Answer 15

Narcan (Naloxone)

Question 16

Flonase, Fluticasone are not so systemic and are used for allergies

Question 17

Pain medications can be administered intranasal for systemic absorption like midazolam, _______________

Answer 17

fentanyl

Question 18

IV medication like naloxone or midazolam can be drawn up through syringe and a intranasal atomizer can be added to the end of it and now what was an IV medication can now administered intranasally assuming it has intranasal absorption

Question 19

If we didn’t have IV access on a pt and if we suspect an overdose we can use intranasal route of medication so inpatient prior to naloxone, intranasal spray becoming more common…we would draw up IV naloxone and put it into atomizer and then administer it that way

Question 20

If two different IV medications are compatible to be administered together?
Can this med be administered via NG tube?

Question 21

When looking at IV compatibility… what does an IV set up look like?,

when we mix two medications together that’s refer to as an ________versus if we had this set up in this image where there is a primary medication and a secondary medication

Answer 21

admixture

Question 22

We have a primary medication bag and a secondary referred to as a piggyback medication and they are administered via Y site and we need to see if these medications can be administered via Y site if they are going to be set up in this manner…so 1 medication comes down this line and other medication comes down this line and they mix at the y site and are administering through same tubing until they reach the patient