Medication administration

Question 1

chemical name

Answer 1

Chemical name -identifies drug’s atomic and molecular structure

Question 2

Generic name

Answer 2

Generic name -identifies the drug’s active ingredient and is assigned by the manufacturer that first develops the drug

Question 3

official name

Answer 3

Official name -name by which the drug is identified in official publications USP and NF

Question 4

trade name

Answer 4

brand name copyrighted by the company that sells the drug

Question 5

oral drug preparations

Answer 5

Capsule, pill, tablet, extended release, elixir, suspension, syrup

Question 6

Topical drug preparations

Answer 6

Liniment, lotion, ointment, suppository, transdermal patch

Question 7

Standing order

Answer 7

carried out until cancelled by another order

Question 8

PRN

Answer 8

As needed

Question 9

Stat order

Answer 9

carried out immediately

Question 10

Parts of the med order

Answer 10

Patient’s name
Date and time order is written
Name of drug to be administered
Dosage of drug
Route by which drug is to be administered
Frequency of administration of the drug
Signature of person writing the order

Question 11

Drugs are classified by

Answer 11

Body system
Chemical Composition
Clinical indication or therapeutic action

Question 12

Pharmacokinetics

Answer 12

the effect of the body on the drug , or the movement of the drug molecules in the body

Question 13

Factors Affecting Drug Absorption

Answer 13

Route of administration
Lipid solubility
pH
Local conditions at site of administration
Drug dosage
Serum drug levels

Question 14

Adverse effect of medications

Answer 14

Iatrogenic disease
Allergic effects

Toxic effects
Idiosyncratic effects

Drug interactions

Question 15

Signs and symptoms of drug allergies

Answer 15

Rash
Uticaria
Fever
Diarrhea
Nausea
Vomiting
Anaphylactic reaction

Question 16

Variables influencing effect of meds

Answer 16

Developmental considerations
Weight
Sex
Genetic and cultural factors
Psychological factors
Pathology
Environment, timing of administration

Question 17

Systems of measurement

Answer 17

Metric
Apothecary
Household

Question 18

Metric

Answer 18

basic units are the meter (linear), liter (volume), gram (weight), and is a decimal system.

Question 19

Apothecary

Answer 19

less convenient and concise; basic unit or weight is grain- infrequently used.

Question 20

Household

Answer 20

least accurate system; teaspoons, tablespoons, teacup, and glass used

Question 21

Medication supply systems

Answer 21

Stock supply
Individual supply

Medication cart
Computerized medication system

Bar coded medication cart

Question 22

Three checks of medication administration

Answer 22

When the nurse reaches for the container or unit dose package

After retrieval from the drawer and compared to the to the MAR before pouring or opening medication

When replacing the container to the drawer or shelf

Question 23

9 rights of med admin

Answer 23

right 
Patient
	Medication
	Dose
	Time
	Route
	Action
	Response
	Form
	Documentation

Question 24

Maintaining a safe environment

Answer 24

Make sure to have adequate lighting during medication administration

Medications should be prepared in a quiet location- free of distractions.

Never leave drugs unattended- all medications that have been prepared must be kept in a locked area.

Question 25

Controlled substances required information

Answer 25

Name of patient receiving narcotic
Amount of narcotic used
The hour narcotic was given
The name of physician prescribing narcotic
Name of the nurse administering narcotic

Question 26

Identify the patient

Answer 26

Identify the patient by checking the identification bracelet- noting the patient’s full name, ID number, MRN, and DOB.

Ask the client to state their name, DOB, and allergies.

At least (2) identifiers must be used! Which may not include the patient location or room #.

Question 27

Oral meds

Answer 27

Oral medications is the most common route and is intended for absorption in the stomach and small intestine.

Available in:
Solid form — tablets, capsules, pills
Liquid form — elixirs, spirits, suspensions, syrups

Question 28

Administration of oral meds

Answer 28

Oral Route - having patient swallow drug

Enteral route - administering drug through an enteral tube

Sublingual administration - placing drug under tongue

Buccal administration - placing drug between tongue and cheek

Question 29

Inhalation

Answer 29

Small Volume Nebulizer

Metered-dose inhalers (MDIs) / dry powder inhalers (DPIs)

Question 30

MDI and spacer

Answer 30

Shake MDI canister vigorously five or six times to aerosolize particles

Client should take a deep breath and then exhale

The person should close the mouth around the MDI or the spacer, tilt head back inhale slowly and deeply through the mouth for 3-5 seconds while depressing the canister fully

Hold breath for 10 seconds to
a little tiny drops of spray to reach
the deeper branches of the airway.

Remove the MDI and exhaled
through pursed lips—purse lip
breathing keeps the smaller
airways open during exhalation.

Question 31

topical admin of meds

Answer 31

Vaginal
Rectal
Inunction
Instillation
Irrigation
Skin application

Question 32

Admin of parenteral meds

Answer 32

Subcutaneous injection—subcutaneous tissue
Intramuscular injection—muscle tissue
Intradermal injection—corium (under epidermis)
Intravenous injection—vein
Intraarterial injection—artery
Intracardial injection—heart tissue
Intraperitoneal injection—peritoneal cavity
Intraspinal injection—spinal canal
Intraosseous injection—bone

Question 33

Criteria for choosing equipment for injections

Answer 33

Route of administration
Viscosity of the solution

Quantity to be administered
Body size

Type of medication

Question 34

Needle gauges

Answer 34

Needle gauges- (18-30 gauge)- as the diameter of the needle increases the gauge number is smaller.

Ex: 18 gauge is
larger than a 22
gauge

24 gauge (usually yellow) used for infants
22 for school children
20 for adults- Favorite
18/16- trauma
14-orange-giving blood

Question 35

Preparing meds for injection

Answer 35

Ampules- use a filter needle to draw up medication- then replace with a regular unfiltered needle for administration.

Vials- can be multidose, and once opened is good for only 24 hours.

Prefilled cartridges- Carpuject.