Medications

Question 1

A patient is taking a medication that has an enteric coating on it. You know this means

Answer 1

It cannot be crushed. The coating is there so that the pill is absorbed in the intestines/bowel not in the stomach. Could cause stomach ulcers if it is absorbed in the stomach

Question 2

How do you administer a patients ophthalmic meds

Answer 2

Ask patient to look up and drop the medication in eye, making sure the meds flow from inner to outer canthus.
Press on tear duct for 30-60 seconds to make sure no medication gets into them

Question 3

What must you always remember when giving optic meds

Answer 3

Warm them first

Stay on side from 2-3

Question 4

Vaginal meds

Answer 4

Insert 3-4 inches

Stay in back for 10 minutes (best to do at night)

Question 5

Rectal meds

Answer 5

Patient in side lying position
Insert 4 inches
Patient must stay on side for at least 5 minutes
Always keep cold (do not let melt) (never carry in your hands)

Question 6

Your are giving a patient a vaccine shot. You are giving the injection in the deltoid. What should the needle length be?

Answer 6

1”

Question 7

Giving a patent an injection to the vastus lateralis. What should the needle length be?

Answer 7

1 1/2”

Question 8

You want a small gauge needle. You are picking between a 23 gauge and a 10 gauge. Which one would you pick?

Answer 8

23 gauge

The small the number the bigger the gauge

Question 9

What is the most preferred injection site and why?

Answer 9

Ventrogluteal

Large muscle free of nerves

Question 10

You have a patient that is 18 months old and you are giving them an injection. What do you know about injection sites for patients under 2 years of age?

Answer 10

They must always be given vastus lateralis

Question 11

Why do we never give injections into the dorsogluteal site anymore?

Answer 11

Chance of hitting the sciatic nerve

Question 12

Z-track injections are given because

Answer 12

The medication can either stain or burn skin

We do this technique so that it locks into the muscle

Question 13

IV injections are _____ than IM injections

Answer 13

Absorbed faster

Question 14

Subcutaneous injections are given so that the medication absorbs

Answer 14

Slowly

Question 15

Heparin and lovenox are

Answer 15

Anticoagulant medications

They are blood thinners

Question 16

Why would you give heparin in the lower abdomen

Answer 16

It is the most protected from getting hit

Question 17

What is unique about lovenox?

Answer 17

It comes prefilled

You should not remove air bubbles

Question 18

Insulin syringes always have ____ colored caps and have measurements in _____

Answer 18

Orange

Units

Question 19

You are caring for a diabetic patient. They usually take insulin before every meal. They ate lunch at noon and their blood sugar unexpectedly got very high around 4. What should you do?

Answer 19

Give them a sliding scale shot of insulin. Only use regular not modified

Question 20

What type of shot is a tb shot?

Answer 20

Intradermal
Go in bevel up right underneath the skin. Insert until you can no longer see bevel. Inject medication slowly. It creates a wheal

Question 21

What is the safest and easiest way to administer medications

Answer 21

Oral