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NURS 366 > Medication Administration > Flashcards

Medication Administration Flashcards

1
Q

What are the 7 things that must be included in a med order?

A

Date, client’s name, route of administration, time, dose, medication, signature of physician

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2
Q

6 rights of Medication Administration

A

Patient, time, medication, dose/amount, route, reason

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3
Q

What are 2 additional things to do when administering meds?

A

Check the expiration of the meds and document in patient’s chart

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4
Q

How many identifiers do we use to verify a patient’s identity?

A

3

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5
Q

What are the identifiers used to identify patients prior to med administration?

A

Name, DOB, MRN number

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6
Q

What should be checked on the patient prior to the administration of drugs? (Not the identifiers)

A

Vitals

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7
Q

What are common med errors?

A

Administering PRN medication too early, giving full pill instead of half, omission of 6 rights and 3 checks, talking at the Pyxis

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8
Q

What is the window for scheduled meds?

A

1 hour before and one hour after scheduled time. PRN MEDS CANNOT BE GIVEN EARLY!

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9
Q

How many nurses need to witness a narcotic disposal?

A

2

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10
Q

What are risk factors for medication problems involving geriatric patients?

A

Age > 85, 6+ comorbidities, low weight, renal insufficiencies, 12+ medications per day, previous adverse drug reactions

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11
Q

Which medication route is the most addictive?

A

Inhalation

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12
Q

What does ac mean?

A

Before meals

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13
Q

What does HC mean?

A

At bedtime

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14
Q

Where is the best location to administer insulin?

A

Abdomen

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15
Q

What is important to remember when administering insulin?

A

Make sure to rotate site of insulin injection

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16
Q

What color are insulin syringes?

A

Orange

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17
Q

What are insulin injections measured in?

A

Units not CCs

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18
Q

What type of syringes are used for injections?

A

Leur-lok

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19
Q

What can happen if too much insulin is administered?

A

Hypoglycemia

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20
Q

As the gauge of needle increases, the diameter of the needle __________?

A

Decreases

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21
Q

What are the 3 main sites that should be used for Parenteral injections?

A

Vastuslateralis, deltoid, ventrogluteal

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22
Q

Where is it no longer recommended to do IM injections?

A

Dorsal gluteal

23
Q

What type of needle can be recapped?

A

Clean needles

24
Q

What are the 3 types of injections?

A

Intramuscular, subcutaneous, intradermal

25
Q

Where can a subcutaneous injection be administered?

A

Abdomen, back of arm

26
Q

What factors influence the choice for which injection site to use? (There are 6)

A

Age, size, medication, volume, frequency, ability to position a patient for injection

27
Q

What angle is used for IM injections?

A

90°

28
Q

If a medication needs to be absorbed rapidly, what type of injection should be used?

A

IM

29
Q

How many units of insulin equals 1ml?

A

100 units

30
Q

Which injection uses aspiration?

A

IM injections

31
Q

What should the rate of injection be in an IM injection?

A

1ml/10 sec

32
Q

When is aspiration not necessary for an IM injection?

A

Vaccines (immunizations)

33
Q

What is the safest and least painful site for IM injections?

A

Ventrogluteal

34
Q

When would a ventrogluteal injection be recommended?

A

Large volumes or irritating solutions

35
Q

Which gauge needle is usually used for adults?

A

20-23 gauge

36
Q

Which gauge needle is utilized for infants and children?

A

22-25 gauge

37
Q

What length of needle should be used for infants and children?

A

1/2 to 1 inch

38
Q

What length of needle should be used for adults?

A

1-1 1/2 inch

39
Q

What length of needle is used for obese patients?

A

Up to 3 inches

40
Q

Maximum volume for ventroglutealinjections? (Adults, adolescents, smaller children, infants)

A

Adults:2.5ml, adolescents:2ml, smaller children: 1-1.5ml infants: 0.5ml

41
Q

What is the preferred and most used sites for infants and toddlers?

A

Vastus lateralis

42
Q

Volume that can be injected into the vastus lateralis

A

Adults: 2-3ml, adolescents: 2ml, children: 1ml, infants: 0.5ml

43
Q

What is the age range for a deltoid injection?

A

Anyone 3 and older

44
Q

What types of solutions can be injected into the deltoid?

A

Must be nonirritating usually immunizations and biologics)

45
Q

What volume can be injected in to the deltoid?

A

Children: 0.5ml-1ml Adult:max 2ml

46
Q

What gauge needles should be used in the deltoid?

A

22-25 gauge

47
Q

Where is a subcutaneous injection administered? Which layer of skin?

A

Into adipose tissue, between dermis and muscle

48
Q

Gauge of needle for subcutaneous injection

A

25-30

49
Q

Length of needle for a subcutaneous injection

A

5/8 inch

50
Q

Volume injected with subcutaneous injections

A

Children: max 0.5 mL adults: 0.5ml-1ml

51
Q

What are the primary sites of subcutaneous injections?

A

Adolescents & adults: dorsal of upper arm, abdomen; infants: anterior thigh

52
Q

Angle of an intradermal injection

A

5-15°

53
Q

When should allergies be checked for patients?

A

When preparing the medication as well as at bedside

54
Q

Which needle is the most universal?

A

23 gauge and 1 inch

NURS 366 (29 decks)

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