med administration Flashcards
nurse practice act
sets scope of practice and responsibilities for RNs
schedule I
do not currently have any accepted medical use, high potential for abuse and severe psychological and physical dependence
schedule II
do not have a medical use but still have high potential for abuse
schedule III
have moderate to low potential for psychological and physical dependence
schedule IV
low potential for abuse and dependence
schedule V
have an even lower potential for abuse than schedule IV
governs how we store, handle, and dispose of medications
DEA
stock supply
multi dose supply, bulk quantity
unit-dose system
locked mobile cart, pharmacy preps individual patient med packs
automated dispensing system
computerized, keeps count of drugs, keeps a log of controlled substances
self administration
stored at bedside
absorption
from site of administration to bloodstream
distribution
drug circulating through the bloodstream
metabolism
mainly takes place in the liver; process that breaks down the drug
excretion
mainly takes place in the kidneys; removal of drug from the body
anaphylactic reaction
body closing off airway!! SOB, wheezing, hypotension
what must be on the med order
date
time to administer
frequency
med
route
dose
standing orders
set of orders; protocol for particular meds necessary for that situation
administration 3 checks
before prep meds
after prep meds
at bedside
administration 5 rights
drug
dose
time
pt
route
enteral route
GI tract
route where it is absorbed the slowest
enteral
parenteral route
injection or IV, bypasses GI tract
intradermal needle gauge
26-28 G
subcutaneous needle gauge
25-31 G
intramuscular needle gauge
20-25 G
intradermal needle angle
5-15 degrees
subcutaneous needle angle
45-90 degrees
intramuscular needle angle
90 degrees
intradermal med amount
about 0.1 ml
subcutaneous med amount
0.5-1 ml
intramuscular med amount
0.5-4 ml
deltoid can have max of how many ml of medication injected IM?
1 ml
intradermal needle length
1/2-5/8 inch
subcutaneous needle length
3/8-5/8 inch
intramuscular needle length
5/8-3 inches
why is the dorsogluteal not a recommended site for injection?
cause damage to the sciatic nerve
odic medication for child
pull ear down and back
odic medication for adult
pull ear up and back
why does pt need to rinse out mouth after using an inhaled steroid?
oral thrush
