Medication Administration Flashcards
What are the “Six Rights” of the patient for administering medication?
- Right patient
- Right medication
- Right dose
- Right time
- Right route
- Right documentation
Term that is used to describe the hepatic metabolism of a pharmacological agent when it is absorbed from the gut and delivered to the liver via the portal circulation.
First-pass Effect
Injection that places the medication or solution into the loose connective tissue just under dermis.
Subcutaneous
45°
Injection that places the medication into the dermis just under the epidermis.
Intradermal
10° - 15°
Injection that places the medication into the body of a muscle.
Intramuscular
90°
Injection that places medication into a vein through an existing IV line or short venous access device.
Intravenous
25°
Medication administration via which route should be avoided when you suspect a patient has an acute myocardial infarction?
Intramuscular
How long should a patient be observed for to see if a reaction occurs after administering a new medication or vaccination?
20 - 30 minutes
What are the sites for Subcutaneous Injections?
Upper Arm
Abdomen (within 1in of belly button)
Anterior Thigh
Upper Back
(Few blood vessels, sustained rate of absorption)
What size needle is used to administer a Subcutaneous Injection?
25 to 30 ga.
What is the max amount of fluid typically administered in a Subcutaneous Injection?
1 mL
What parenteral route has the longest absorption time?
Intradermal
Do you aspirate Intradermal Injections?
No
Where can Intramuscular Injections be administered?
Deltoid
Gluteus
Vastus Lateralis
How often should peripheral IVs be replaced?
Every 72 - 96 hours
Occurs when a small part of the IV catheter breaks off and flows into the vascular system.
Catheter Embolism
What do all IV bags need written on them?
Date
Time
Initials of Healthcare Provider
How often should IV bag solutions be changed?
Every 96 hours
or
less than 100 mL
Central Venous Catheters (CVCs) are typically inserted in patients requiring more than how many days of IV therapy?
6 days
