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Essentials Exam 1 > Medication Administration > Flashcards

Medication Administration Flashcards

1
Q

Generic Name

A

official name
ex. ibuprofen

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2
Q

Trade Name

A

brand name; companies
ex. Motrin

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3
Q

Nonprescription medications

A

over the counter meds
without prescription
ex. cold medications
interreact with prescription medications

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4
Q

Prescription medications

A

dispended by a pharmacists

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5
Q

who can legally prescribe medications

A

physician, PA, NP, dentist

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6
Q

Medication Administration Record (MAR)

A

an inclusive list of all medications that is ordered for the patient (routine, as needed, one time, etc)

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7
Q

Routine order

A

administered until the health care provider discontinues the order or until a prescribed number of doses or days have occurred

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8
Q

Pm order

A

given only when the patient requires it. Use is determined by objective and subjective assessment and clinical judgement of the nurse

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9
Q

One-time or on-call order

A

given only once at a specified time, often before a diagnostic or surgical procedure

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10
Q

Stat order

A

given immediately and only once in a single dose; frequently given for emergency situations

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11
Q

Now order

A

used when a medication is needed quickly but not as immediately as a star medication; given one time

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12
Q

Oral

A

by mouth

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13
Q

Buccal

A

inside mouth against cheek

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14
Q

Sublingual

A

under the tongue

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15
Q

Sublingual

A

under the tongue

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16
Q

Parenteral

A

injection or infusion

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17
Q

Topical

A

on skin or mucous membrnae

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18
Q

External

A

NG tube, PEG tube, intestinal tube

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19
Q

Most common medication route

A

oral

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20
Q

Advantage of oral administration

A

safest, most convenient, least expensive

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21
Q

Disadvantage of oral administration

A

slower onset of action - have to ensure it was swallowed (pocketing)

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22
Q

What tablets should never be crushed

A

enteric-coated or sustained release

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23
Q

Oral admin: sublingual

A

under the tongue to dissolve
don’t eat or drink

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24
Q

Oral admin: buccal

A

placed against the mucous membrane of the cheek until dissolved
not be chewed, swallowed, or taken with liquids

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25
Q

oral admin: enteral route

A

can be given via nasogastric, gastric, and jejunal tubes - must be ordered that route

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26
Q

Topical administration sites

A

eyes, ears, nose, rectum, vaginal lungs

27
Q

Tropical administration must knows

A

absorption is affected by vascularity
Cleanse skin before applying
use gloves

28
Q

Transdermal patch

A

designed to absorb through skin and deliver medication slowly for systemic effect

29
Q

Transdermal patch must know

A

Rotate patch placement sites
Remove current patch before
apply to clean, hairless (upper arm, back, chest)
Apply gentle pressure (don’t massage)

30
Q

Inhaled medication administration

A

taken into body via respiratory tract

31
Q

Rinse mouth after receiving

A

steroids to prevent oral fungal infection

32
Q

Ophthalmic administration

A

treat eye irritation, infection, or disorders

33
Q

Otic instillation

A

treat ear infections
soften earwax to ease removal

34
Q

What temperature should eardrops be at

A

room temperature

35
Q

Vaginal medications

A

creams, foams, tablets, liquids
infection, itching, for surgery
refrigerate before use
no tampons

36
Q

Rectal Medication

A

effects can be local (laxative) or systemic (antiemetic)
refrigerate until use
place above internal anal sphincter and against mucous membranes

37
Q

Parenteral medication administration

A

injecting into tissue, muscle, or a vein
absorption is faster
risk of tissue damage

38
Q

Luer-lock syringe

A

can be directly attached to access port of IV tubing or saline lock or can “twist on” needle to secure

39
Q

Standard syringe

A

3,5,10 mL
0.5 to 3 inches
18,21,21,25 gauge

40
Q

Tuberculin Syringe

A

1 ml
0.5 to 0.625 inches
26 to 28 gauge

41
Q

Insulin syringe

A

30 units, 50 units, 100 unit capacity
4mm - 12.7 mm length
26 to 30-gauge

42
Q

Needle gauge sizes biggest to smallest (21 G, 22G, 18 G, 25G)

A

The smaller the number bigger the gauge
18,21,22,25

43
Q

Parenteral medication preparation

A

ampules and vials
powdered medication
prefilled cartridge or syringe
mixing medications in one syringe

44
Q

What significantly decreases needlestick injuries

A

needleless delivery system

45
Q

Intradermal (ID)

A

shallow injection into the dermal layer just under the epidermis

46
Q

Subcutaneous (subcut or SQ)

A

injection into the subcutaneous tissue just bellow the skin

47
Q

Intramuscular (IM)

A

injected into a muscle of adequate size to accommodate the amount and type of medication

48
Q

Intravenous (IV)

A

injection or infusion directly into the bloodstream through a vein

49
Q

Intradermal administration

A

tb shot
inner forearm, upper arm
15 degree angle

50
Q

Subcutaneous administration

A

in fat tissue
insulin and heparin
insert at 90 degree angle (thin patient 45 degree angle)

51
Q

Intramuscular administration

A

absorbed rapidly b/c higher vascularity
arm, side leg, front of leg
no not do aspiration

52
Q

Z-track technique

A

seals the medication into the muscle tissue, with no tracking of medication into the subcutaneous tissue when the needle is withdrawn

53
Q

Intravenous administration

A

used when rapid drug effect is needed
catheter inserted into a vein
deliver large fluid volumes

54
Q

IV disadvantage

A

cost, difficulty maintaining access into vein, increased risk of infection, leaking our of vein into tissue, vein inflammation

55
Q

Six Rights

A

Right patient, medication, dose, route, time, documentations

56
Q

Right Patient

A

check ID band
ask to state name and DOB (not room)

57
Q

Right medication

A

always repeat back verbal orders
review abbreviations

58
Q

Right dose

A

check range
calculate if necessary

59
Q

Right route

A

can’t sub one route for another without an order

60
Q

Right time

A

administer within 30 mins before or after designated time
time with meals if needed

61
Q

Right Documentation

A

MOST important
If never documented didn’t happen

62
Q

3 Checks - 1st Check

A

as you are pulling the medication

63
Q

3 Checks - 2nd Check

A

As you are preparing the medication

64
Q

3 Checks - 3rd Check

A

at the bedside

Essentials Exam 1 (6 decks)

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