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Medical Assisting > Medication Administration > Flashcards

Medication Administration Flashcards

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USMLE® Step 1 flashcards
1
Q

What oral medications have the slowest absorption methods?

A
  • capsules/caplets
  • elixirs
  • emulsions
  • gels
  • lozenges
  • solutions
  • suspensions
  • syrups
  • tablets
  • tinctures
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2
Q

What are examples of topical medications?

A
  • creams
  • foams
  • liniments
  • ointments
  • patches
  • powders
  • sprays
  • lotions
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3
Q

What are examples of inhalation medications?

A
  • aerosols
  • dry powder
  • mist
  • steam
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4
Q

What are examples of otic, ophthalmic, or nasal medications?

A
  • drops
  • sprays
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5
Q

What are examples of vaginal/rectal medications?

A
  • creams
  • foams
  • gels
  • ointments
  • suppositories
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6
Q

What are examples of injectable medications?

A
  • liquids
  • powders for reconstitution
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7
Q

What is the fastest absorption method for medications?

A

intradermal

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8
Q

How should transdermal patches be used?

A
  • don’t use the same application sites
  • remove the old patch 30 minutes after applying a new one
  • chest, back, abdomen, hip
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9
Q

What is buccal?

A

against the cheek

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10
Q

What is sublingual?

A

under the tongue

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11
Q

What is enteral drug administration?

A

meds through the GI tract

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12
Q

What is the parenteral drug administration?

A

outside the GI tract

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13
Q

What is intramuscular injection?

A

into the muscle

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14
Q

What is subcutaneous injection?

A

under the dermis (fatty tissue)

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15
Q

What is intradermal injection?

A

into the dermis

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16
Q

What is intravenous injectin?

A

into the veins

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17
Q

Which injection route is the fastest onset of action?

A

intravenous

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18
Q

How many times should we check medication before giving it?

A

three times minimum
- taken away from storage container
- when prepared
- before administration

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19
Q

What happens when medication is refused?

A

discard properly and document refusal

20
Q

What are some general rules for drug administration?

A
  • calculate dosage
  • don’t leave prepared drug unattended
  • only administer the drug you prepared
  • physician should be in the office
  • have the patient stay to watch for allergic reactions
21
Q

What are the basic rights of medication administration?

A
  • right patient
  • right drug
  • right dose
  • right route
  • right time
  • right documentation
22
Q

What are additional rights of medication administration?

A
  • right reason
  • right to know
  • right to refuse
  • right technique
23
Q

How are gauge numbers and needle length related?

A

larger the number, smaller the needle

24
Q

Why does we use different lengths of needles?

A
  • type of injection
  • patient size
  • amount of fatty tissue
  • injection site
25
Q

What is in a vial for parenteral drug?

A
  • liquid
  • powder (reconstituted)
  • single or multiple doses
26
Q

What are other packaging for parenteral drugs besides vial?

A

ampules
- break at the neck
- requires filtered needle
cartridge
- pre-measured

27
Q

What is the angle of injection for intramuscular?

A

90 degrees

28
Q

What is the angle of injection for subcutaneous?

A

45 degrees

29
Q

What is the angle of injection for intravenous?

A

25 degrees

30
Q

What is the angle of injection for intradermal?

A

10 to 15 degrees

31
Q

What does intramuscular go to?

A

muscles

32
Q

What does subcutaneous go to?

A

subcutaneous tissue (below dermis)

33
Q

Where does intravenous go to?

A

in the veins

34
Q

Where does intradermal go to?

A

in between dermis and epidermis

35
Q

What is intradermal injection for?

A
  • PPD or Mantoux test (tuberculin screening)
  • allergy testing
36
Q

What is the needle size for intradermal injection?

A

27G or 28G
3/8inch long

37
Q

What is the typical medication amount given for intradermal injection?

A

0.01 to 0.05 mL

38
Q

What are the common sites of intradermal injection?

A
  • anterior forearm
  • mid-back areas
39
Q

What should we advise patients to do for intradermal injections?

A
  • don’t scratch
  • don’t use lotions or perfumes
40
Q

What are subcutaneous injections for?

A
  • allergy injections
  • insulin
  • immunizations
41
Q

What is the needle size of subcutaneous injection?

A
  • 1/2 to 5/8 inch length
  • 25G to 26G
42
Q

Where are common sites of injection of subcutaneous injection?

A
  • upper and outer part of the arm
  • abdominal area
  • upper thigh
43
Q

What are intramuscular injections for?

A
  • most medications
  • pain medication
  • immunization
44
Q

What is the needle size of intramuscular injections?

A

1-3 inch length
- 20G to 23G

45
Q

Where are the common injection sites for intramuscular?

A
  • deltoid
  • ventrogluteal
  • vastus lateralis
  • forsogluteal
46
Q

What should we document for medications?

A
  • route
  • site
  • medication
  • manufacturer
  • dose
  • expiration date of medication
  • lot number of medication
  • adverse effects

Medical Assisting (38 decks)

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