Medication Administration (Except for IV)

Question 1

In relation to medication vials, what is coring?

Answer 1

Event that occurs when a needle pierces a medication vial stopper, causing small rubber particles to be lodged in the needle and syringe. These particles can then be injected into a patient along with the medication.

Question 2

How can you prevent/minimize needle coring when drawing up from a med vial?

Answer 2

• Insert the needle at a 45–60° angle, with the needle tip facing up. As the needle enters the vial, gradually increase the angle until it’s at 90° when the bevel passes through the stopper
• Pierce within the target ring

Question 3

What characteristic allows some med vials to be multi-use vs their single-use counterparts?

Answer 3

All multiple-dose vials vials contain bacteriostatic preservatives that reduce the risk of microorganism growth while single-dose vials do not

Question 4

When opening a multiple-dose vial for the 1st first time what you write on the vial label?

Answer 4

• Date (opened)
• Time (opened)
• Your initials

Question 5

Which insulin is the only cloudy insulin?

Answer 5

NPH insulin (Humulin N, Novolin N)

Question 6

Name the 6 Rights of Medication Administration

Answer 6

• Patient
• Medication
• Route
• Dosage
• Time
• Documentation/Indication