Medication Administeration Flashcards
Which are medication names?
- chemical names
- generic names
- trade names
chemical names: nurses rarely use
generic names
trade names
Classifications of pharmacological concepts
- groups of meds that work similarly
- have similar chemical makeup
- treat similar conditions
groups of meds that work similarly
have similar chemical makeup
treat similar conditions
What are types of medication forms
- pills
- injection
- liquid
- suppository
- topical
- orifice drops/ sprays
- troches
pills
injection
liquid
suppository
topical
orifice drops/ sprays
troches
Oral medication forms
- tablets/ caplets/ capsules
- modified release
- syrups
- suspensions
tablets/ caplets/ capsules
modified release
- delayed release: EC
- XR: controlled release, sustained release and long acting
- Oral disintegrating: disintegrates in mouth
syrups
suspensions
Administering Oral Meds
- pt position, angle?
- assess for potential aspiration, why?
- opening packaged meds
- offer how many?
- administration of solids & liquids
- always supervise swallowing, why?
- gloves, when?
30-45 degree sims
so they dont actually choke on the meds
check the MER or pyxis
so that they actually take the meds and dont choke on it
wear gloves the whole time youre giving meds
Avoid PO meds if
- changes in LOC
- NPO status
- altered GI function
- dysphagia
changes in LOC
NPO status
altered GI function
altered GU function
- NG tube with suction
- N/V
dysphagia
which meds not to crush, split, chew
- EC
- SR
- TR
- CR
- SL
- Buccal
enteric coated
sustained release
time released
controlled delivery
sublingual
Topical medications
applied to body surfaces or mucous membranes
Types of Medications
- Skin application
- Eye instillation
- Ear instillation
- Vaginal instillation
- Rectal instillation
skin application
eye instillation
ear instillation
vaginal instillation
rectal instillation
Types of Topical Meds
- powders
- creams/ pastes/ gel/ ointments
- drops
- ointments
- aerosols or sprays
- medicated patches
- suppositories
powders
creams/ pastes/ gel/ ointments
drops
ointments
aerosols or sprays
medicated patches
suppositories
administering topical medications
- assess area prior to application: why?
- clean previous & present area well
- avoid shaving : why? option?
- measure if needed
- apply as directed: how? gloves?
- cover? if so, then what?
to make sure that the area is not inflamed
avoid shaving bc it’ll increase the affect of the patch on the skin and could cause inflammation
wear gloves at all times
Rectal suppositories
- explain procedure
- left lateral side lying (SIMS) why?
- don gloves: remove packaging
- prep the med
- relaxation techniques
- proper insertion
- patient teaching
its easier to insert the suppository
Vaginal Medications
- explain procedure
- position -> lithotomy (peri-care)
- don gloves: remove packaging
- patient teaching
explain procedure
position -> lithotomy (peri-care)
don gloves: remove packaging
patient teaching
- pt may administer own
- may need perineal pad
Eye Medication administering
- know the med & why
- explain procedure & instructions
- don gloves: why?
- position of pt & eyelid
- instill as prescribed: where?
- tip of bottle or tube must not touch eye or lashes: why?
- tissue? pressure
tbh i honestly dk some of these
Administering Ear medications
- explain procedure & instructions
- don gloves
- warm between the hands
- turn head or lie on unaffected side
- position auricle
- instill prescribed amount
- don’t medicate opposite ear immediately
explain procedure & instructions
don gloves
warm between the hands before administration
- turn head or lie on unaffected side
position auricle
instill prescribed amount
don’t medicate opposite
inhalants
- common uses
- purpose/ mechanism of action
- MDI vs DPI
- care of inhalers
- spacers
- nebulizers
MDI
- metered dose inhaler
DPI
- dry powder inhaler
administering inhalers
- pre-post assessment
- explain procedure
- position patient & inhaler/ spacer
- shake the MDI 5-6 x
- deep breath then exhale > tilt head back slightly > depress canister x 1 and then slowly
- hold breath approx 5-10 secs or more
- wait 1 min then repeat if rx’d
- rinse mouth
pre-post assessment
explain procedure
position pt & inhaler/ spacer
shake the MDI 5-6x
deep breath then exhale > tilt head back slightly > depress canister x 1 and then slowly
hold breath approx 5 -10 secs or more
wait 1 min then repeat if rx’d
rinse mouth
MDI spacers
- attach mouthpiece of inhaler to spacer
- shake inhaler
- pt seals mouth on spacer
- press inhaler than inhale. breathe in
- remove inhaler from spacer and recap both
Attach mouthpiece of Inhaler to spacer
Shake inhaler
Pt seals mouth on spacer
Press inhaler then inhale, breath in
Remove inhaler from spacer and recap both
DPI
- usually has dose counter
- pull the lever back to load inhaler
- hold it flat like a hamburger. Do not tilt
- put mouth around mouthpiece after exhaling
- quick inhale, hold breath
- take empty capsule and throw away, clean mouthpiece
Usually has dose counter
Pull the lever back to load inhaler
Hold it flat like a hamburger, DO NOT TILT
Put mouth around mouthpiece after exhaling
Quick inhale, hold breath
Take empty capsule and throw away, clean mouthpiece
***strong medication taste in mouth, did not do it correctly
Multiple Inhalers
- wait at least 2 - 5 minutes between medication
- Bronchodilators: FIRST
- Steroids: SECOND
- Rinse: why?
wait at least 2-5 minutes between medication
Bronchodilators: FIRST
Steroids: SECOND
Rinse: bc idk
Components of Drug label
- expiration date
- lot #
- drug form
- manufacturer
- generic name
- brand name (trade)
- dosage
expiration date
lot #
drug form
manufacturer
generic name
brand name (trade)
dosage
What to teach for medications
- name of medication: trade and generic names
- dosage
- route
- frequency
- reason
- possible side effects
Name of medication: trade and generic names
Dosage
Route
Frequency
Reason
Possible side effects
