Medication Return Flashcards
From how far away should the eye be irrigated?
1 inch
How long should the lacrimal ducts be held for if an eye drop is systemic?
1-2 minutes
How far above the eye should an eye dropper be held?
1/2 inch at least
How long should a patient lie on their side after being given ear drops?
5-10 minutes
How long should a cotton ball be kept in the ear after medication is given
15 minutes
What should you always ask the patient to do before giving nasal medication?
blow your nose and breath out deeply before administering (ALSO BLOCK ONE NOSTRIL)
What 4 things should be done before giving vaginal medication?
- Ask the patient to void
- Clean Labia
- Ask the patient to remain in this position for 5-15 minutes after giving
- Apply lube to the pill and your finger
What 4 things should be done before giving rectal medication?
- Ask the patient if they need to deficate
- Ask the patient to remain in this position for 10 minutes if possible
- Apply lube to the pill
How far should a rectal pill be inserted?
1-3 inches
What should always be done when applying skin medication?
Put on gloves, Cleanse the skin before applying the new medication (Remove old patch before this)
How long should a path be held down for after applying it?
10 seconds
What should be written on a patch?
Date
Time
Initials
What steps should be followed when giving inhaler medications?
- Rinse mouth out
- Shake inhaler
- Ask to breathe out
- Ask to slowly inhale and hold for 10
- RINSE MOUTH IF CORTICOSTEROID
What is different about drawing up from an ampule?
- Use a filter needle
- Draw up an extra 0.2mL of air
How much fat is needed for you to pinch the skin during sub Q?
2 inches or less is the cutoff (45 if under 2)
What needs to be done with an intramuscular injection site before giving medication?
- Clean
- Aspirate
What rate should intramuscular medication be given at?
1ml/10 seconds
How long should an intramuscular medication needle be held in the skin after medication is given?
10 seconds then withdraw it and release the skin
What is the maximum amount the Dermis, Subcutaneous, and intramuscular layers can take?
- Dermis: 0.1mL
- SubQ: 1.0mL
- IM: Deltoid (1mL) Vfntrogluteal (5mL) Lateralis (3mL)
What gauge of needle does intradermal take?
26-28g
What is the rule of thumb when choosing needle gauges?
Choose big long for intramuscular and short small for intradermal
What NEEDS to be checked when LOOKING OVER MEDICATIONS?
- NAME
- ROUTE AND DOSE
- USE FOR PATIENT
- CONTRAINDICATIONS (IF BRADYCARDIC CHECK ASSESSMENT)
- ADV EFFECTS
Digoxin (What is it?)
- Digoxin (oral)
- For atrial fibrillation and HF
- Contradicted in HEART RATE BELOW 60, arrhythmias, alcohol intolerance, ventricular arrhythmias, use with timolol.
- ADV: bradycardia, arrhythmia, nausea, vomiting.
Cefazolin (What is it?)
Cefazolin (IM)
- For pneumonia, UTI’s, infections
- Contraindicated in allergy to penicillin
- ADV: diarrhea, nausea, vomiting
Heparin (What is it?)
Heparin (SUB-Q)
- For dissolving of blood clots in the body
- Contraindicated in uncontrolled bleeding, open wounds, kidney impairment
- ADV: rash, fever, pain at injection site
Fluzone (What is it?)
Fluzone (IM)
- Influenza vaccine to prevent influenza
- Contraindicated in egg allergy, bleeding disorders, immunosuppressed
- ADV: nausea, vomiting, diarrhea.
Timolol (What is it?)
Timolol (Eye drops) (SYSTEMIC)
- Antihypertensive, lowers heart rate, asthma, diabetes
- Contraindicated in Heart failure and heart rate below 50, use with digoxin.
- ADV: Itching, rashes, nausea
Albuterol (What is it?)
Albuterol (Inhaler)
- Used to help with asthma or COPD
- Contraindicated in allergy to adrenergic amines, diabetes, glaucoma
- ADV: nausea, vomiting, chest pain.
Insulin NPH (What is it?)
Insulin NPH (SUB-Q)
- Used to help with blood sugar levels
- Contraindicated NONE
- ADV:Headache, Depression, Palpitation
Insulin Regular (What is it?)
Insulin Regular (SUB-Q)
- Used to help with blood sugar levels
- Contraindicated NONE
- ADV: Hypoglycemia, Hypokalemia, Weight gain.
Triamcinolone (What is it?)
Triamcinolone (Nasal spray)
- Used for allergies
- Contraindicated in pregnancy, hypersensitivity to alcohol
- ADV: headache, vomiting, coughs
Cartelol (What is it?)
Cartelol (Eye drop) (SYSTEMIC)
- Used for glaucoma
- Contraindicated in COPD, BRADYCARDIA, Asthma
- ADV: burning, tearing, headache
Certriaxone (What is it?)
Ceftriaxone (IM)
- Used for pneumonia and other infections
- Contraindicated in allergy to penicillin and cephalosporins
- ADV: rash, diarrhea, hives
Metoprolol (What is it?)
Metoprolol (oral)
- Used for high blood pressure and chest pain
- Contraindicated in heart failure, BRADYCARDIA BELOW 50
- ADV: Rash, diarrhea, vomiting
Levothyroxine (What is it?)
Levothyroxine (Oral)
- Used to treat hypothyroidism
- Contraindicated in hyperthyroidism, recent heart attack
- ADV: diarrhea, vomiting, headache
Nitroglycerine (What is it?)
Nitroglycerine (Topical patch)
- Used to help with chest pain
- Contraindicated in high intracranial pressure, anemia, low blood pressure
- ADV: nausea, vomiting, headache
What position should a patient be in for an inhaler dose?
High fowlers
What position should a patient be in for nasal spray?
Nose to the toes standing up
What position should a patient be in for ear drops?
Side lying
What position should a patient be in for eye drops?
High fowlers head tilted back
