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Np3 > L3+4 AOM > Flashcards

L3+4 AOM Flashcards

1
Q

Type of drug

A

Aerosal spray
Caplet
Capsule
Cream
Elixir
Gel
Lotion
Lozenge
Ointment
Powder
Suppository
Syrup
Transdermal patch
Tablet

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2
Q

Legal aspect of drug administration

A

Nurse cannot prescribe medicine without authorised provider’s order.

Responsible to their own actions

Responsible to administrate medicine correctly
Proper handling and safe custody of medicine
Educate client and caregiver
Report medication incident

Upkeeping knowledge of medication

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3
Q

AOM safely

A

Wear a DO NOT DISTURB vest
Question any order feeling incorrect
Do not use cloudy liquid medication, check expire
Only administrate self-prepared medicine
Record with reason whenever drug is omitted

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4
Q

Medication dispense system

A

Medicational cabinet
Medicational cart
Medication room
IPMOE
—)reduce medication error
Improve efficiency
Improve medication documentation
Improve communication between caregivers

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5
Q

Process of administering medication

A

1.Indentify the client
2.inform the client
3. Administrate drug
4. Provide indicated intervention
5. Record drug administrated
6. Evaluate client’s response to drug

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6
Q
  1. Administrate the drug
A
  1. Check MAR adn read aloud
    First check
  2. Read MAR after taking medicine from drawer
    Verify client name and address room no.
  3. Compare label vs MAR
  4. Check for expiratory dates

Second check
5. Check with label vs MAR before pour

Third check:
6. Check the drug label vs MAR before giving to client/ return

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7
Q

Parental medication

A

ID (intradermal)
SC (subcutaneous)
IM (intramuscular)
IV (intravenous)

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8
Q

Equipement

A

Syringe and needle
3-5mL for hypodermal
Larger (10-50) for irrigating wound)

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9
Q

Different kind of syringe

A

Insulin syringe
Insulin pen with cartidge, easy to use
50mL non luer-lok syringe: for wound/ tube irrigation

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10
Q

Intradermal

A

Very few amount （0.1mL）
For allergy test/ TB screening
At inner lower arm
Chest
Back beneath scapule

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11
Q

SC subcutaneous injection

A

Can minimise tissue damage—) reduce lipohypertrophy

Choose site free of tenderness, sweeling, scarring,
Itching, burning or inflammation

Clean with antiseptic swab from center to 5cm circumference

Remove needle cap

Pinch tissue 1/ 2’’
1’’ then 45 degree
2’’ then 90 degree

Inject by holding syringe steady+ push the plunger slow and evenly

Leave 5sec after injection to ensure complete delivery of drug

Pressing the skin and withdraw the syringe with dominant hand

Discard used needle

Perform hand hygiene

Document all related info

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12
Q

Intramuscular (IM)

A

Absorb quicker than SC—) more blood supply

Concern: find safe site locating away from large vessel

Deltoid <1mL, ventrogluteal site<3mL

Why ventrogluteal preferrede?
No large nerve
Great thickness of muscle include
Gluteus medius and gluteus minimus
Less fat

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13
Q

IM injection procedures

A

Opposite hand or the hip
Sidelying
Palm heel put on joint of greater tronchanter
Finger pointing head
Index finger: superior iliac spine
Middle finger: below iliac crest
Center of two finger= injection point

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14
Q

Intramuscular injection procedures (deltoid)

A

Opposite hand on deltoid
1 finger on acromion process(膊頭骨）
3 on deltoid
Thumb on line of top of axilla
Triangle formed ard 2”= injection site

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15
Q

IMPORTANT
IM injection technique

A
  1. perform hand hygiene
  2. Provide privacy
  3. Select skin without leshion, scar, inflammation,
  4. tenderness, swelling
  5. Assisting client to appropriate position
  6. Clean site from center to 5cm
  7. Remove needle cover
    8 z track technique
    Push away on side, 90 degree insertion
  8. No blood- slow injection (mL per 10s)
  9. Wait 10s for complete injection
  10. Same angle withdrawal
  11. Apply pressure with dry sponge to stop bleeding
    13 discard needle& syringe to sharp box
  12. Perform hand hygiene
    15 documentation.
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16
Q

IV
Why?

A

Rapid effect
For those too irritating to other injection e.g. IMI
Have an existing IV site

17
Q

Type of IV

A
  1. Large volume infushion
  2. Intermittent intravenous infusion( piggyback)
  3. Intravenous push
  4. Intermittent injection port
18
Q

Large volume infusion of intravenous fluid

A

Safest+ easiest
250mL-1000mL
Main danger—) circulatory overload—) edema
Potassium chloride/ vitamin

19
Q
  1. Intermittent intravenous infusion
A

50-100mL
Regular interval but in short period( 30-60 min)
Tandem: bag with secondary port to add medication

Syringe pump: medication is mixed in a syringe that connect to primary IV line thru syringe pump

20
Q

Intravenous push/ bolus

A

Intravenous administration direct to systemic circulation without diluting
Advantage: rapid serum concentration
Effect immediately
Disadvantage: mistakes cannot be corrected

21
Q

Intermittent injection device

A

Needleless

22
Q

Topical medication

A

Skin application
Nasal medication
Ophthalmic medication
Rectal medication
Otic medication (耳)

23
Q

Percutaneous medication- transdermal patch
Cauction+ type?

A
  1. Apply to clean, hairless area
  2. Avoid client using heating pad
  3. Clean with soap before applying
  4. Wear gloves when administering

Ointment
Cream
Lotion
Powder
spray.

24
Q

skin application preparation

A

Powder: dry area
Spread apart skin fold
Cover with fine thin layer of powder

Aerosol spray
Shake the container to mix the content
Spray with 15-30cm distance
Cover with towel if is on neck or chest

Suspension based lotion
Shake and use gauze to wipe
Stroke evenly

Cream
Warm and soften the cream with gloved hand

Ophthalmic medication-form of ointment/ liquid to eye

Otic medication— instillation or irrigation for external auditory canal
Cleaning purpose/ antiseptic

Nasal med
Nose drop/ spray
To: shrink swollen mucous membrane
Loosen secretion

Rectum: suppository
Good for nausea, vomit client
Good for medicine with odor
Release slow but steadily
Local effect

Nebulizer
Fine spray (mist or fog)

Inhaler
Pressurised container— release in mouthpiece
Pressurized container helps larger particle in the solution can be breakup to finer size

Np3 (4 decks)

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