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Nursing Across The Lifespan 1 (Exam 2 Prep) > Medicating Children > Flashcards

Medicating Children Flashcards

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1
Q

What are the 6 most important rules of medication?

A

Person, Time, Route, Dose, Medication, Documentation

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2
Q

What is Atraumatic Care?

A

Any kind’ve care that aims to minimize the psychological or physical care of a child and their family

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3
Q

What are some examples of Atraumatic Care?

A

Offer juice/snacks after administration

Add flavoring to meds when possible

Use a nipple to allow the infant to suck the med

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4
Q

When administering a med to a child/infant, what things should be avoided?

A

Don’t mix the med with Baby Formula / Food

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5
Q

Why should meds not be mixed with baby formula or food?

A

They might not consume all of the med, leaving them with less than the intended dose

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6
Q

When administering meds, what position should Infants be held in?

A

Semi-Reclining Position

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7
Q

When administering meds, what position should Children be held in?

A

Upright Position

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8
Q

How should PO meds be administered to kids?

A

Administer the med in the side of the mouth (If they are an infant, stroke their chin to promote swallowing)

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9
Q

What kind of formula should be used with feeding tubes?

A

Liquid Formula

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10
Q

Should medications be added to the formula bag of a feeding tube?

A

No

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11
Q

If administering several meds via a feeding tube, what needs to be done after the administration of each medication?

A

Flush the tubing with water

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12
Q

When administering Optic Meds, what positions can a child pt be put in?

A

Supine / Sitting

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13
Q

How should Optic Meds be administered to a child pt?

A

Pull the Lower Eye Lid downward, apply the med in the Conjunctiva Pocket

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14
Q

When administering Otic Meds, what position should your pt be in?

A

Supine or Prone with the affected ear upward

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15
Q

With children older than 3, how should you pull their Pinna to administer Otic meds?

A

Pull the Pinna upward and straight back

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16
Q

With children younger than 3, how should you pull their Pinna to administer Otic meds?

A

Pull the Pinna downward and straight back

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17
Q

What needs to be done for a child pt before administering Nasal meds?

A

Remove Mucus

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18
Q

How should a child pt be positioned for the administration of Nasal meds?

A

Their head should be held Hyperextended

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19
Q

When using Aerosol, how should it be administered for Younger Children?

A

Use a Mask, allow the parents to hold the child

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20
Q

When using Aerosol, how should it be administered for Infants / Toddlers?

A

Use ‘Blow By’ method, allow the parents to hold the child

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21
Q

When administering Aerosol, what is the ‘Blow-By’

A

Take the mask and put it in front of the child’s mouth and let the air blow to them

If the pt needs more air, cut a hole into a cup and put an air tube / nasal cannula through it for more oxygenation

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22
Q

How should you cut an Enema?

A

Lengthwise

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23
Q

After the administration of an enema, what needs to be done?

A

Hold their buttox together

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24
Q

For adults, how many inches does the enema need to go?

A

3

25
Q

For kids, many inches does the enema need to go?

A

Infants + Younger Child = 1 - 1.5

Older Child = 2 - 3

26
Q

What’s important to keep in mind about the administration sites of Transdermal / Topical meds?

A

Assess the skin before administration + Rotate Sites Frequently

27
Q

With injections, you should always change the needle if it pierced-

A

A rubber stopper on a vial

28
Q

When selecting the injection site for a child, what things need considered?

A

The Amount + Viscosity of the med

Muscle Mass + Condition

The access of the site + Contamination Risk

Number of Injections Needed

Age + Size of Child

29
Q

Where should an Intradermal Med be administered?

A

The inside of the forearm

30
Q

What things need to kept in mind about Intradermal Injections?

A

Insert at 15 degree angle + DON’T ASPIRATE

31
Q

What kind’ve injection is a TB Syringe?

A

Intradermal Injection

32
Q

Where should SUBQ Injections be administered?

A

Anywhere with adequate Subcutaneous Tissue (Upper Arm + Abdomen + Anterior Thigh)

33
Q

How much med can be injected with a SUBQ Injection?

A

<0.5 mL

34
Q

At what angle should you perform a SUBQ Injection?

A

90 Degrees

35
Q

What length needle is needed for an IM Injection?

A

22-25 G Needle (1/2 - 1 Inches Long)

36
Q

What’s the recommended site for an IM Injection?

A

Vastus Lateralis

37
Q

How many mL’s can be delivered to an Infant during an IM Injection?

A

Up to 0.5 mL

38
Q

How many mL’s can be delivered to a Child during an IM Injection?

A

Up to 2 mL

39
Q

How should a Child/Infant be positioned during a Ventrogluteal Injection?

A

Supine, Side-Lying, or Prone

40
Q

How many mL’s can an Infant take during a Ventrogluteal Injection?

A

0.5 mL - 1 mL (Depending on Muscle Size)

41
Q

How many mL’s can a Child take during a Ventrogluteal Injection?

A

Up to 2 mL

42
Q

How many mL’s can be delivered during a Deltoid Injection?

A

Up to 1 mL

43
Q

How should a child be positioned for a Deltoid Injection?

A

Sitting / Standing

44
Q

For a pediatric pt, what G is needed for a IV insertion?

A

22 - 24 G

45
Q

This type of Injection is used for Continuous and Intermittent IV Med Administration =

A

Intravenous

46
Q

Is an IV for Short-Term or Long-Term therapy?

A

Short-Term

47
Q

What types of CVAD’s are used for short-term therapy?

A

Non-Tunneled or PICC

48
Q

What types of CVAD’s are used for long-term therapy?

A

Tunneled Catheter or Implanted Port

49
Q

When is an Interosseous Injection used?

A

This is a Temporary / Emergency Route only used when Venous Access can’t be obtained

50
Q

Where is an Interosseous Iniection inserted?

A

The Tibia

51
Q

After performing an Interosseous Injection, what needs to be monitored frequently?

A

Distal Pulses + Temperature + Color

52
Q

What kind’ve needle is used for Infants and Younger Children during Interosseous injections?

A

Pediatric Pink (15 mm)

53
Q

What kind’ve needle is used for Adolescents and Normal Weight Adults during Interosseous injections?

A

Bigger Blue (25 mm)

54
Q

What kind’ve needle is used for Obese Adults during Interosseous injections?

A

Big Bird Yellow (45 mm)

55
Q

During an Interosseous Injection, where is the needle inserted?

A

The Tibia

56
Q

What is the Primary Method for IV Meds? Why?

A

Syringe Infusions (It’s got a precise rate of infusion)

57
Q

What is Buretrol used to do?

A

Reduces the risk of Fluid Overload

58
Q

At what age is Buretrol recommended?

A

8 Years Old and Under

Nursing Across The Lifespan 1 (Exam 2 Prep) (11 decks)

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