medication administration pt 2 Flashcards
non-parental medication
oral, topical, suppository, eye drops/ointment, ear drops/ointment
what is adverse reaction?
unintended and undesired effects at normal drug doses
Unintended/undesired side effects- adverse reactions
predictable, intensity is dose dependent, development depends varies
toxicity is _____
severe adverse drug reactions; excessive drug dosing & therapeutic drug dosage
types of adverse reactions for allergic reactions
immune response, intensity of reaction varies, not based on dosage, and sensitivity of drug can change overtime
idiosyncratic effect:
uncommon drug response because of genetic disposition (ex: Benadryl does the opposite)
paradoxical effect:
opposite effect drug was intended for
latrogenic effect
disease caused by a drug
teratogenic effect
causing birth defects
physical dependence effect:
body has adapted to drug exposure, opioids, barbiturates, amphetamines, psyche meds, abstinence syndrome
administering oral meds (PO), what position should patient be in?
30 degrees or higher, no less than
when should you avoid PO meds?
change in LOC, NPO status, altered GI function: NG tube with suction and N/V, and dysphagia
topical medications to be applied to ___
body surfaces or mucous membranes
rectal suppositories, patient should be in what position?
left lateral side-lying (SIMS), water soluble lubricant, push until body sucks it in and internal sphincter takes medication
position for a vaginal suppository?
lithotomy
eye drop application
no tissue after, eyelid down and medication in middle of the eye, & light pressure on lacrimal duct
ear drop application for adults and children:
adults: pull up and back
children: pull down and back
inhalers:
shake MDI 5-6x, instruct patient to take a deep breath then exhale > tilt head back slightly > decompress canister x1 > and then inhale slowly > hold breath for 5-10 seconds or more
components of drug label:
expiration date, lot number, drug form, manufacturer, generic name, brand name (trade), and dosage
what to teach for medications?
name (generic/brand), dosage, route, frequency, reason, and possible side effects