Med Administration Flashcards
how soon should STAT orders be done
within 90 minutes or according to facility policy
AC
before meals
PC
after meals
SL
sublingually
p
after
c
with
s
without
parental vs nonparental meds
parental: deliver without the use of GI tract such as subQ, IV, ID
nonparental: uses the GI tract such as oral, vaginal, anal suppositories
when are the 3 checks done to make sure it’s the right medication
1: compare to MAR when you remove
2: compare to MAR as you prepare
3. compare to MAR at client bedside
idiosyncratic effect meaning
uncommon, unexpected, or individual med response thought due to genetic predisposition
what does nonproprietary mean
not registered under a brand name
AKA generic name
sublingual vs. buccal method of giving meds
sublingual: under tongue
buccal: cheek mucous membrane
how to administer nasal spray effectively
sit up and head slightly hyperextended and inhale while spraying
what is the nasal spray rebound effect
prolonged use can cause mucosal swelling and nasal congestion can worsen
where should eye drops be instilled
conjunctival sac
what position for inserting suppositories
left sim’s for around 5 mins afterwards to ensure absorption
how should the ears be pulled between children and adults
children: auricle pulled down and back
adults: up and out
purpose of spacer with inhaler usage
DELIVER MORE MEDS TO LUNGS: spacer slows down and breaks up medication which allows better control by the pt; decreases amount of med in the oropharynx
dry powder inhaler (DPI)
no propellant and requires deep inhalation to allow release of meds; allows nurse to assess ability to inhale deeply with this method
when should routine meds be given
within 30mins of the time ordered
within how long for a.c. or p.c medications
within 30 mins of a meal
difference between ER, XL, SR
ER: extended release
XL: extra long
SR: sustained-release - slightly shorter
CD
controlled-dose
CR
controlled-release
CRT
controlled-release tablet
LA
long-acting
SA
sustained-action
SR
sustained-release
TR
timed-release
TD
time-delay
XL or XR
extended release
what population is more prone to developing adverse reactions from meds
older adults, peds, polypharmacy, those with severe illness
HS
at bedtime
how to tell if it’s a single order
the order gives you the specific time
enteric-coated tablet
coated to dissolve in small intestine which prevents irritation of stomach lining
troche/lozenge
dissolved in mouth NOT swallowed
capsule
encased in gelatin that is sustained released 12-24hrs
caplet
easier to swallow for some pts, mix of capsule and tablet
elixir
water, alcohol, sweetener, meds
syrup
water, conc.sugar, meds
suspension
fine particles that doesn’t dissolve completely in water
solution
meds dissolved in H20 or NaCl
1 lb = ? oz
1 lb = 16 oz
