Med administration Flashcards

1
Q

Effect of medication on body system
Symptoms the medication relieves
Medication’s desired effect

A

Classification

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2
Q

Official or nonproprietary name the United States Adopted Names Council gives med

A

Generic name

ex: acetometophin

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3
Q

Brand or proprietary name the company that manufactures the med gives it

A

brand name

ex. tylenol

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4
Q

Medication forms

A
solid
liquid
oral forms
topical
parenteral
etc
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5
Q

Two oral routes

A

sublingual

Buccal

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6
Q

Four major parenteral (injection) routes

A
  1. Intradermal
  2. Subcutaneous
  3. Intramuscular
  4. Intravenous (more direct way to give med)
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7
Q

Other parenteral (injection routes)

A
Epidural
intrathecal (brain)
intraosseous (bone)
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8
Q

Topical administration

A

Skin

Mucous membranes

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9
Q

health care provider’s role in med admin

A

Prescriber can be physician, nurse practitioner, or physician’s assistant

  1. orders written hand or electronic, verbal
  2. abbreviations can cause error be careful
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10
Q

Administered until the dosage is changed or another medication is prescribed

A

Standing or routine order

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11
Q

Given one time only for a specific reason

A

single (one-time) order

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12
Q

Given when the patient requires it

A

PRN order

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13
Q

Given immediately in an emergency

A

STAT order

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14
Q

Medications to be taken outside of the hospital

A

Prescription orders

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15
Q

Distribution systems (how to get meds)

A

Unit dose systems

Automatic medication dispensing system (AMIDS)

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16
Q

The nurse is responsible for:

A

written occurrence or incident report: an accurate, factual description of what occurred and what was done

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17
Q

Nurses play an essential role in

A

medication reconciliation

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18
Q

Comparing meds to what they are on to what they should be on
Has to be done every time a pt is transferred to different care
All to decrease medication errors

A

Medication reconciliation

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19
Q

a patient has the right to

A

i. To be informed about a medication
ii. To refuse a medication
iii. To have a medication history
iv. To be properly advised about experimental nature of medication
v. To receive labeled medications safely
vi. To receive appropriate supportive therapy
vii. To not receive unnecessary medications
viii. To be informed if medications are part of a research study

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20
Q

Acute care for med administration

A
  1. Receiving, transcribing, communicating med orders
  2. Correct administration
  3. Recording med admin
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21
Q

Oral admin is

A

easiest & most desirable route

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22
Q

If medication is to be given on an empty stomach

A

allow at least 30 minutes before or after feeding

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23
Q

Enteral or small-bore feedings

A

Verify that the tube location is compatible with medication absorption
Use liquids when possible

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24
Q

Transdermal patches

A
  1. Remove old patch before applying new
  2. Document the location of the new patch
  3. Ask about patches during the medication history
  4. Apply a label to the patch if it is difficult to see
  5. Document removal of the patch as well
25
Q

Nasal spray steps

A
  1. Tilt head forward slightly, sitting up
  2. Press one finger over one nares
  3. Pointed to the side when giving spray
  4. Spray when you inhale
26
Q

nasal installation-drops steps

A
  1. Lay head back, rotate towards affected side
    (So it gets into sinus)
  2. 1 cm above the nares when administering
  3. Remain supine for 5 minutes
27
Q

eye drops

A

1-2cm from conjunctivae; goes into the conjunctivae sack

Gently close eye, and let it absorb

28
Q

with eye drops avoid:

A

cornea

eyelids with droppers or tubes

29
Q

Ear instillation

A
  1. Instill ear drops at room temperature
  2. Use sterile solutions
  3. never occlude ear
  4. side lying position
  5. 1 cm over ear
30
Q

Vagnial instillation

A
  1. Pressing down of posterior wall
  2. 3-4 inches or fingers length insertion
  3. 2-3 inches for the plunger
31
Q

Rectal Instillation

A
  1. Sims position
  2. Correct placement: put towards the posterior wall
  3. 3-4 inches aka finger length
32
Q

Pressurized metered-dose inhalers (pMDIs)

A

iii. Take cap off, shake 5-6 times
iv. Sitting upright, slightly tilt head back
v. Take a deep breath
vi. Inhale slowly & deeply to 3-5 seconds, hold breath for 10 seconds, exhale

33
Q

Breath-actuated metered-dose inhalers (BAIs)

A
  1. Release depends on strength of patient’s breath

2. Does not need to be coordinated

34
Q

cleanse an area, instill a medication, or apply hot or cold to injured tissue

A

administering med by irrigation

35
Q

a. The needle you have to physically twist on

b. Tighten

A

Luer-Lok

36
Q

Just push on-no twisting

A

Non-luer-Lok (smaller)

37
Q

Where the gauge will be

where the syringe fits

A

Hub

38
Q

The needle that connects to hub

A

shaft

39
Q

Aspirate ampule medication into syringe using a

A

filter needle

40
Q

Administer injection for ampule steps (6)

A
  1. Tap lightly to get fluid into base
  2. Take piece of gauze & hold the top-snap it off
  3. Snap away from you
  4. Leave vile on table-stick needle in the center, try not to have the needle touch the edges
  5. Do not have to put air into it
  6. Change the filter needle-then put regular needle on to inject with
41
Q

preparing injection from vial

A

ii. Inject air into vial
iii. Label multidose vials after mixing
iv. Refrigerate remaining doses if needed

42
Q

Before administering an injection be sure to know:

A
  1. The volume of medication to administer
  2. The characteristics and viscosity of the medication
  3. The location of anatomical structures underlying the injection site
43
Q

Minimizing patient discomfort includes: (8 things)

A
sharp-beveled needle
suitable length & gauge
proper injection site
anesthetic
Diver attention way from needle
needle quickly & smoothly
hold steady
slow & steady injection
44
Q

i. Medications placed into loose connective tissue under dermis
ii. Slower release

A

Subcutaneous injection

45
Q
For adults subcutaneous
Volume
Gauge
needle length
injection angle
A

0.5-1.5 mL
25-27
3/8-5/8”
45-90 deg

46
Q

SubQ injection sites

A
abdomen
posterior aspect of arm
upper back
lower back
thighs
47
Q

i. Faster absorption than subcutaneous route
ii. Many risks, so verify the injection is justified
1. More painful

A

IM injection

48
Q

IM amounts
volume
angle

A

2-5 mL
4-5 unlikely to absorb properly
90 deg

49
Q

IM injection sites

A

ventrogluetal
delotid
outer middle 3rd thigh

50
Q
  1. Deep and away from major nerves and blood vessels

2. Preferred and safest site for all adults, children, and infants

A

Ventrogluteal

51
Q

finding ventrogluetal site

A

palm on greater torch
thumb- groin
1st finger-crest
2nd finger-spine

52
Q

Used for adults and children

A

vastus lateralis injection

53
Q

method used for IM injections

A

Z-track

54
Q

Z-track

A

i. Zigzag path seals needle track

ii. Medication cannot escape from the muscle tissue

55
Q

i. Used for skin testing (tuberculosis [TB], allergies)

ii. Slow absorption from dermis

A

intradermal injections

56
Q

syringe for skin testing

A

tuberculin

small hypodermic

57
Q

Needless devices

A

i. Most needlestick injuries are preventable
ii. Needlestick Safety and Prevention Act
iii. Safety syringes

58
Q

Dispose of sharps in marked containers

A

i. Use puncture- and leak-proof containers
ii. Never force needles into receptacle
iii. Never place used needles into wastebaskets, your pockets, or patient’s tray or bedside