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P&A II midterm > Med administration > Flashcards

Med administration Flashcards

1
Q

What is the nurse’s role in med delivery?

A

Safe medication prep, administration, and evaluation effects on patient’s health status
Teaching patients about meds
Assess ability to self-administer
Follow legal provisions when administering controlled substances

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2
Q

What are the 6 rights of med administration?

A 
Right medication
Right dose
Right patient
Right route
Right time 
Right documentation
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3
Q

What are the legal responsibilities of the nurse?

A

Inform pt of the name, purpose, action, and potential effects
Assess the med history
Make sure the patient does not receive unnecessary meds

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4
Q

What is the generic name?

A

Name assigned by manufactured

USP name

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5
Q

What is the trade name?

A

Mame under which a manufacturer markets a medication

TM symbol in upper R corner

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6
Q

What do medication orders include?

A

Pts name, order date, medication name, dosage, route, time of administration, drug indication, and prescriber’s signature.

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7
Q

What are the types of orders in acute care settings?

A 
Routine/standing orders 
PRN  
Standing protocols
One-time orders 
Stat orders 
Prescriptions
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8
Q

What info is collected during initial assessment?

A

Medication history
Allergies and intolerances
Medical history
Pregnancy and lactation status

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9
Q

How do you give meds via enteral tube?

A

Turn feeding off for 30 min prior if empty stomach is needed
Flush with 30 mL water
Give meds
Flush with 30 mL

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10
Q

What are the 4 parenteral med routes?

A

Intradermal
Subq
Intramuscular
IVP

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11
Q

What is intradermal used for?

A

Allergy/TB

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12
Q

What is subq used for?

A

Insulin, heparin, enoxaprin

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13
Q

What intramuscular sites are used?

A

Deltoid (vaccines)
Vastus lateralis
Ventral gluteal

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14
Q

How do you choose a needle size?

A

Pt’s size and weight
Injection site
Type of tissue into which you are injecting
Viscosity of fluid

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15
Q

How do you choose a syringe size?

A

Fluid amount

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16
Q

What angle is IM administered at?

A

90 degrees

17
Q

What angle is subq administered at?

A

90 or 45 degrees

18
Q

What angle is intradermal administered at?

A

15 degrees

19
Q

What are characteristics of intradermal administration?

A

Slow absorption from dermis
Need to clearly see the injection site for changes
Do not touch or rub

20
Q

What syringe should be used for intradermal administration?

A

26-28 gauge
1/2 inch
Tuberculin syringe

21
Q

What are characteristics of subq injection?

A

Medication is placed in subq
Slower absorption than IM
A patient’s body weight indicates the depth of the subcutaneous layer.
Choose the needle length and angle of insertion (45- 90 degrees) based on the patient’s weight and estimated amount of subcutaneous tissue.

22
Q

What syringe should be used for subq injections?

A 
Small volumes (0.5-1 ml)
1-3 ml syringe
27-25 gauge
½ to 1 inch
Most common: 25 gauge, 5/8 inch
23
Q

Where is the recommended site for heparin?

A

Abd

24
Q

Where is the recommended site for enoxaparin?

A

Abd 2 inches from umbilicus

25
Q

Where is the recommended site for Lovenox?

A

Love handles

26
Q

What size are insulin needles?

A

28-31g

5/16-1/2 inch

27
Q

What are characteristics of IM injections?

A

Faster absorption than subq route
Used less commonly
Aspiration not longer recommended.
Z-track method for delivering irritating medication

28
Q

What size syringe should be used for IM injections?

A

1 to 3 in
Very obese: 3 inches
Thin: ½ to 1 inch
20-25 gauge

29
Q

What amounts can be absorbed by IM for infants?

A

up to 0.5 mL

30
Q

What amounts can be absorbed by IM for small children and older infants?

A

up to 1 mL

31
Q

What amounts can be absorbed by IM for children, older adults, and thin pts?

A

up to 2 mL

32
Q

What amounts can be absorbed by IM for adults?

A

2-5 mL

33
Q

What is pharmacokinetics?

A

How meds are metabolized and excreted

34
Q

How does albumin affect pharmacokinetics?

A

Lower albumin -> more unbound drug in the body

35
Q

How does creatinine affect pharmacokinetics?

A

Increased creatinine -> decreased renal function -> more drug in body -> drug exerts its effect for longer

36
Q

How does lipid solubility affect absorption?

A

The more lipid soluble, the faster it’ll be absorbed

37
Q

What are 5 guidelines when administering meds?

A

Antacids are not usually administered with meds
Grapefruit juice inhibits the activity of cytochrome P450 - affects metabolism
Withhold a medication if pt is experiencing side effect
Inquire about herbal/OTC meds
The patient should wear a Medic-Alert bracelet if taking anticoagulants, oral hypoglycemic agents or insulin, anticonvulsants

P&A II midterm (8 decks)

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