Med admin: topical, transdermal, vaginal, rectal

Question 1

What are the foundations of trauma informed care?

Answer 1

• commitment to trauma awareness

- understanding the impact of historical trauma and oppression

Question 2

How do agencies practice TIC?

Answer 2

• create safe context
• restore power
• build self-worth

Question 3

What areas of the body can topical medication be applied?

Answer 3

skin or to mucous membranes in such areas as the eye, external ear canal, nose, vagina, and rectum.

Question 4

Why are topical lotions not well absorbed?

Answer 4

to intact skin because the skin’s thick outer layer serves as a natural barrier to drug diffusion.

Question 5

percutaneous:

Answer 5

“through the skin”

Question 6

How can percutaneous route be increased?

Answer 6

o This percutaneous (through the skin) route of absorption can be increased if the skin is altered by a laceration, burn, or some other problem.

Question 7

What system administers sustained-action medications (e.g. nitroglycerin, nicotine) via multilayered films containing the drug and adhesive layer?

Answer 7

transdermal patch

Question 8

How long can a transdermal patch be applied for?

Answer 8

12, 72hrs or 1 week (as perscribed)

Question 9

What should the nurse before the transdermal patch is put on?

Answer 9

• wear gloves

- initial, date, and put time on patch

Question 10

What does topical/dermatological skin preparations include?

Answer 10

• ointments, pastes, creams, lotions, powders, sprays, and patches.

Question 11

What are opthalmic medications?

Answer 11

• An eye irrigation is administered to wash out the conjunctival sac to remove secretions or foreign bodies or to remove chemicals that may injure the eye.
• Ophthalmic medications, that is, medications for the eyelids, are instilled in the form of liquids or ointments.

Question 12

What forms of vaginal medications are there and for what reasons?

Answer 12

• creams, jellies, foams, or suppositories

- treat infection, provide contraception, or to relieve vaginal discomfort

Question 13

Is medical aseptic technique used for vaginal med?

Answer 13

not usually

Question 14

What position should the patient be in for rectal suppository?

Answer 14

left lateral or left Sim’s position with the upper leg flexed

Question 15

How far should a rectal suppository be inserted for an adults and for a child?

Answer 15

10cm for an adult

5cm for a child

Question 16

What should you ask the patient to do following a rectal sup?

Answer 16

Ask the client to remain in the left lateral or supine position for at least 5 minutes to help retain the suppository.

Question 17

What is an enema and what is it used for?

Answer 17

An enema is a solution introduced into the rectum and large intestine. An enema works by distending the intestine and sometimes irritating the intestinal mucosa, thereby increasing peristalsis and the excretion and the excretion of feces and flatus

Question 18

What are the different types of enemas?

Answer 18

Cleansing enema: intended to remove feces
Carminative enema: primarily to expel flatus
Retention enema: soften feces and lubricate rectum and anal canal to facilitate passage of fece
Return-flow enema: expel flatus

Question 19

what position should pt be in for an enema?

Answer 19

left lateral position, with the right leg as acutely flexed

Question 20

when would you avoid giving an enema?

Answer 20

• When they have hemorrhoids, have had surgery or prolapse
• Have fecal impaction or rectal bleeding
• Have very low platelet count
• Have had traumatic experience
• If they say no

Question 21

What position should the pt be in for vaginal sup?

Answer 21

dorsal recumbant