Mod 5 Chap 34 Flashcards
the written prescription for a drug
medication order or the drug order
a complete drug order must include? 7 things
the pts full name, name of the drug, the dosage to be given, route of administration, how often it is to be given, date and time written, and the prescribers signature.
order that is carried out until it is canceled by the health care provider or until the prescribed number of doses has been given. Ex: ceftin 250 mg PO bid for 10 days
standing order
opiate analgesics generally have a 48 - 72 hour limit
Opiate analgesics
? and ? may have a 5 - 7 day limit
sedatives and antibiotics
what are the 3 types of medication administration systems?
stock supply of medications, the individual prescription system, and the unit dose method.
what medication system is considered the safest
unit dose system
keeps the drug in prolonged contact with the skin surface to obtain a soothing and anti inflammatory effect.
ointments
used to cool, soothe, and reduce inflammation or itching of the skin.
lotions and liniments
? are patted on gently, whereas ? are rubbed into the skin
lotions; liniments
provide temporary relieft of pain or soothing warmth by their actions which dilates the superficial blood vessels
liniments
contain medication that is absorbed through mucous membranes
suppositories
given to increase contractility of the heart
digoxin
pain
analgesics
ineffective tissue perfusion related to increased blood pressure
antihypertensives
ineffective tissue perfusion related to cardiac arrhythmia
antiarrhythmics
impaired tissue integrity related to wound infection
antibiotics
imbalanced nutrition: less than body requirements related to nausea
antiemetics
time released pellets put into a capsule
spansule (oral)
medications are absorbed by the bessels in the oral mucosa
sublingual
ophthalmic
eye meds
less than ? mL of oral medications can be measured with a syringe
30 mL
otic
ear meds
for the child younger than 3 years. pull the ?
earlobe downward to straighten the canal
for adults pull the ?
top of the pinna out and upward
when nose drops are prescribed, the pt should lie down ?
Lie down face up, with the head off the bed and the neck hyperextended. Remain in the head back position for a few minutes
nasal medications that are intended for local effect on the nasal mucosa, such as saline nose drops or drops for seasonal allergies, are administered in
both nostrils
nasal medications that are intended for systemic effects, such as sumatriptan should be administered in
one nostril only
used for patients with respiratory conditions
inhalation medications
take ? first to open the airways so that the corticosteroid will be absorbed
Bronchodilator
a vaginal irrigation is also called a
douche
a vaginal douche works best when done in a ? position
dorsal recumbent positions in the tub. but can be done when sitting on a commode.
have pt remain in a ? position for ? minutes after instillation of vaginal cream or foam
recumbent; 10 mins
rectal medications are to prevent ?
vomiting, soothe hemorrhoids, prevent bladder spasms, promote bowel evacuation, and reduce fever
? medications are supplied in a sustained release patch or paste. the drug is slowly absorbed through the skin and into the bloodstream.
transdermal
nitroglycerin
dilates coronary arteries
scopolamine
relieves motion sickness; nausea
medications that should NOT be crushed and administered through a feeding tube are
sublingual or buccal, enteric coated, sustained release or potentially carcinogenic products
To apply eye ointment expose the ? and apply a thin ribbon of ointment along the ?
conjunctival sac; entire length of the bisible conjunctival sac.
when instilling otic (ear) drops position the pt ? so that the affected ear is ?
supine and in the lateral position; uppermost.
pt needs to remain in the ? position for ?-? minutes after ear drops
lateral position; 5-10 mins
inserting a rectal suppository the pt should be in a ? position
left sim’s position
when tube feeding pts, follow the last medication with ? - ? mL of water.
30-60 mL
when tube feeding pts follow the first medication with at least ? - ? mL of water
15-30 mL of water before administering the next one
narcotic orders are good for only ? days, and then must be renewed
3 days
the nurse is performing the final check of the medication before administering it to the pt. what info should be checked?
pts name, ID number, drug name, dosage, route, time, and drug allergies
