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NSG 102 > Medication Administration > Flashcards

Medication Administration Flashcards

1
Q

standing orders

A

hospital orders or specific HCP orders, may have an expiration date & time

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2
Q

PRN

A

only when pt needs it

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3
Q

one time order

A

specific time
ex. give antibiotic on call to OR

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4
Q

STAT

A

immediately & only once

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5
Q

NOW

A

quickly but not STAT

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6
Q

6 rights of medication

A
  1. the right med
  2. the right dose
  3. the right patient
  4. the right route
  5. the right time
  6. the right documentation
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7
Q

patient rights

A
  • right to refuse
  • right to be informed
  • right to have qualified nurses & physicians
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8
Q

medication reconcilliation

A

errors that occur when a patient is transferred to or from another facility

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9
Q

for buccal/sublingual meds - do not give with

A

liquid - until fully dissolved

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10
Q

when administering liquid medications, what should you always do?

A
  • shake before pouring
  • cover label to avoid destruction
  • pour at eye level
  • do not pour back into bottle
  • make sure it is clean before recapping
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11
Q

what position should your patient be in after administering meds through an artificial tube (NG, gastrostomy)

A

semi-fowlers or fowlers for at least 30 mins

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12
Q

what are metered dose inhalers for?

A

rapid absorption & relief for breathing difficulties

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13
Q

why would you use a spacer for a MDI?

A

so the patient has an easier time using it, also gets the medicine to the lungs better

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14
Q

if a patient is using multiple inhalers, what would you give first?

A

bronchodilator

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15
Q

what would you give last when a patient is on multiple inhalers?

A

corticosteroids

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16
Q

what instruction would you give to a patient on corticosteroids?

A

rinse out mouth after to prevent fungal infection

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17
Q

what are nebulizers?

A

liquid medicine placed in dispenser & inhaled through mask

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18
Q

how do you administer nasal drops?

A
  • wear gloves
  • tilt head back flat or supine
  • stay for 1 to 2 mins
  • not sterile, but maintain asepsis
  • clean tip after use
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19
Q

how do you administer nasal sprays?

A
  • pt sitting up or with head tilted
  • spray during inhalation
  • verify med admin based on drug
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20
Q

what are ear drops for?

A

treating ear infections & softens wax

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21
Q

how do you administer ear drops?

A
  • make sure it’s room temp
  • pt side lying, ear up, drops alongside the canal
  • gently massage the tragus to move med if needed
  • stay on side for 5 to 10 min
22
Q

what should you never do with transdermal meds? (patches, ointments)

A

place on abrasions unless ordered; not wear gloves

23
Q

what should you always do with transdermal meds?

A

rotate sites

24
Q

how do you administer eye drops?

A
  • wear gloves
  • tilt head back
  • wipe eyes for any secretions
  • apply drops to conjunctival sac
  • apply pressure to naso-lacrimal duct
25
how do you apply eye ointments?
- apply from inner canthus to outer - apply pressure to inner canthus for a minute - wipe any excess - do not touch tip of applicator to eye - if multiple: wait 5 mins inbetween
26
what are suppositories for?
quick relief for fever or constipation
27
how do you administer a suppository?
- position pt on left side w/ upper leg flexed - wear gloves & unwrap suppository - add lubricant to rounded end - have pt take a deep breath & exhale first - insert into rectum 1 inch past anal sphincter
28
three parts of a needle
hub, shaft, bevel
29
intradermal injection site
forearm & scapula
30
intradermal syringe size
1 mL
31
intradermal needle size
25-27 inch, 1/8-5/8 inch
32
what is the use for intradermal injections?
TB or allergy testing
33
intradermal needle insertion angle
5-15 degrees
34
subcutaneous injection sites
abdomen, lateral aspect of upper arms, thigh, upper gluteal area
35
where on the abdomen do you perform an injection?
2 inches away from umbilicus, incisions, stoma, or wound
36
where on the thigh do you perform an injection?
hand from groin & knee
37
subcutaneous needle size
1-3 mL 25-27 gauge 1/8 - 5/8 inches
38
subcutaneous needle insertion angle
90 (average size or obese) 45 (thin)
39
intramuscular injection sites
ventrogluteal, vastus lateralis, & deltoid
40
how do you administer an injection into the ventrogluteal muscle?
- on side, knees bent - place non dominant palm on greater trochanter & index finger on anterior superior iliac spines - thumb toward groin, fingers toward head - spread middle fingers along iliac crest toward buttocks - center of triangle
41
how do you administer an injection into the vastus lateralis muscle?
- one hand above knee - one hand below greater trochanter - middle of 3rd muscle
42
how do you administer injections into the deltoid muscle?
- 3 fingers below acromian process - inject in center of triangle - 0.5 mL
43
what is Z-track technique used for? what does it do?
injecting irritating substances; it decreases pain, irritation, or staining
44
z-track method
pull skin & subQ tissue to the side; inject at a 90 degree angle; pull out, then release skin
45
when should a deltoid injection not be done?
if the muscle is not well developed (injury risk)
46
how long does it take for an oral medication to peak?
1-3 hours
47
how do you administer vaginal suppositories?
- perform peri care first - gloves - position in lithotomy position on pad for secretions - best to do at bedtime so it stays in place - do not use tampons
47
what four things effect oral med administration?
- amount of food - presence/absence of food - changes in intestines (disease/surgery) - decreased blood flow to stomach
47
intramuscular needle insertion angle
90 degrees
47
how long will it take for an iv route to peak?
10 minutes
48
intramuscular needle size
22-25 gauge, 1-1.5 inches
49
why are unbound meds bad?
medication will float into tissues. if they build up in the bloodstream, it can lead to toxicity

NSG 102 (11 decks)

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