Med Admin Check-off

Question 1

Three med checks

Answer 1

CHECK FOR ALLERGIES

1. Check labels against the MAR
2. After dosing, check labels and dosage against MAR
3. At the bedside check the medication again

Question 2

Components of med order

Answer 2

Client’s full name
Date/time
Name of med
Dosage, dosage frequency, number of doses
Route
Name/signature of prescriber w/relevant credentials

Question 3

10 rights of med admin

Answer 3

RIGHT:
drug
client
dose
time
route
documentation
client education
to refuse
assessment
evaluation

Question 4

oral med admin

Answer 4

check for pt’s ability to swallow by offering water FIRST

stay w/pt until all meds have been swallowed

Question 5

ophthalmic med admin

Answer 5

eye drops:
drop in conjunctival sac, press on nasolacrimal duct to prevent systemic effect, wait 5 mins before admin other med

ointment:
place on lower lid from inner to outer
do NOT touch dropper to the eye

Question 6

otic med admin

Answer 6

warm drops beforehand to prevent vertigo/ear pain

place pt in lateral position, pull ears appropriate for age, place drops w/5 mins between each
apply cotton afterwards

Question 7

nasal med admin

Answer 7

blow pt’s nose beforehand

have pt bow forward and inhale upon admin
advise pt to breathe through mouth and avoid blowing nose for 5min

Question 8

intradermal med admin

Answer 8

sites: upper chest, upper back, posterior forearm
5-15 degree needle angle

ex. TB

Question 9

subcutaneous med admin sites

Answer 9

“fatty areas”

bicep, lower flanks, abdomen 2 inches from umbilicus, superior anterior thigh

Question 10

subcutaneous med admin

Answer 10

25-27G x 3/8-5/8in needle

lightly squeeze fatty tissue and inject at 45-90 degree angle

Question 11

IM med admin sites and tools

Answer 11

deltoid, ventrogluteal, vastus lateralis

18-25G x 5/8-1.5in needle at 90 degree angle

Question 12

IM med admin Z-track

Answer 12

displace skin by pulling sideways, inject at 90 degree angle, allow skin to return

avoids irritation by misaligning injection site

Question 13

deltoid IM injection

Answer 13

4 fingers from acromion process

Question 14

ventrogluteal IM injection

Answer 14

places opposite hand on greater trochanter, points index towards iliac spine and middle finger towards iliac crest w/thumb pointed towards groin
inject between the index and middle fingers

Question 15

vastus lateralis IM injection

Answer 15

places one hand on greater trochanter, the other on the lateral femoral condyle
inject between the two laterally (middle third)