MAD

Question 1

Indications

Answer 1

Patients requiring rapid medication administration absorption when IV and or IO access is not readily available

Question 2

Containdication

Answer 2

Allergy to medication being administered

Question 3

Procedure 1

Answer 3

Standard Precautions

Question 4

Procedure 2

Answer 4

Confirm protocols (or med direction) and the 6 rights of drug administration, Right, Patient, Medication, Route, Dose, Time, Documentation

Question 5

Procedure 3

Answer 5

List approved medications for delivery through MAD,

Versed, Valium, Fentanyl, Ativan, Narcan, Glucagon, Toradol, Romazican

Question 6

Procedure 4

Answer 6

Explain procedure, side effects, and confirm patient not allergic to medication

Question 7

Procedure 5

Answer 7

Inspect medication for packaging sterility, expiration date, color, and clarity as applicable

Question 8

Procedure 6

Answer 8

Prepare necessary administration equipment

Question 9

Procedure 7

Answer 9

Draw up medication from vial or glass ampule (shake down) then purge all air from syringe prior to attaching MAD

Question 10

Procedure 8

Answer 10

Inspect nostrils and determine the larger less deviated or obstructed nostril

Question 11

Procedure 9

Answer 11

Administer medication with firm pressure on the syringe plunger allowing medication to mist

Question 12

Procedure 10

Answer 12

If bolus is more than 1ml than administer remaining volume is other nostril

Question 13

Procedure 11

Answer 13

Monitor patient , document medication (DART) and patient response