Key Pediatric Nursing Interventions Flashcards
Assess what prior to med administration
Allergies
VS/physical exam
Developmental age
5 rights to med administration
Right:
-pt
-med
-dose
-route
-time
How to provide atraumatic care when administering meds (4)
Comforting position
Encourage participation
Give developmentally appriopriate options
Use topical anesthetic prior to injections
Oral meds
-what type of route is it
Forms
Preferred route
Forms:
Liquids
Chewable
Powders
Tablets/capsules
Oral meds
If only available in tablet or capsules we need to do what
Crush/opened and mixed with liquid or non-essential food
Oral meds:
Never what?
Never mix with essential food
Never crush or open and enteric coated or time release tablet
Oral med administration
How to
semi-reclined position, older child is upright
Admin into side of mouth in small amounts
Can mix with small amount of sweet non-essential food
Provide something to eat/drink after
What color are oral syringes
Orange
Rectal med admin
Is it preferred?
Only do it when
Position?
Not preferred (unpredictive drug absorption rates)
Preferred only when child is vomiting or NPO
Position child on side
Ophthalmic med admin
Inner to outer
Otic (ear) med admin
Less than 3
Down & back
Older than 3
Up & back
Nasal drops
Position supine with head hyperextended
After administration keep in position for 1 minute to promote adsorption
Nasal sprays
Position child upright with head tilted slightly back
Hold one nostril closed
Have child take deep breath in while administering med
IM injections
Infant <12 months old
vastus lateralis
Deltoid
Ventrogluteal
VL: 0.5ml
D: not recommended
VG: not recommended until 7 months
IM injections
Toddler 12mon-2yr
vastus lateralis
Deltoid
Ventrogluteal
vastus lateralis: o.5-1ml
Deltoid: 0.5ml
Ventrogluteal: 1ml
