Non Parenteral MEDS

Question 1

Medication Names

Answer 1

●Chemical names – nurses rarely use
●Generic
●Trade

Question 2

Classification

Answer 2

●Group of meds that work similarly
●Have similar chemical makeup
●Treat similar conditions

Question 3

Medication Forms

Answer 3

●Pills
●Injection
●Liquid
●Suppository
●Topical
●Orifice Drops/Sprays
●Troches

Question 4

Non Prenteral Medication

Answer 4

Introducing proper administration of:
■Oral medications
■Topical medications
■ Suppositories
■ Eye medications
■Ear medications
■Inhalant medications

Question 5

Adverse Drug Reactions (ADR)

Answer 5

■Side Effects
¤Predictable
¤Intensity is dose dependent
¤Development depends varies
Examples:
~Drowsiness with antihistamines
~Gastric irritation with aspirin

Question 6

Adverse Reactions

Answer 6

■Toxicity – severe ADR
▪︎Excessive drug dosing or therapeutic ▪︎drug dosage
Examples
~Respiratory depression from morphine
~Hypoglycemia from overdose of insulin
~Neutropenia from anticancer drugs

Question 7

Adverse Reactions/ Allergic Response

Answer 7

■Immune response
■Intensity of reaction varies
■Not based on dosage
■Sensitivity of drug can change overtime

Question 8

Medications Form Oral

Answer 8

●Tablets/caplets/capsules
●Modified release
~Delayed release-enteric coated
~Extended release - controlled release, sustained release and long acting
~Oral disintegrating -disintegrates in mouth
●Syrups
●Suspensions

Question 9

Avoid PO Meds if

Answer 9

●Changes in LOC
●NPO status
●Altered GI function
●NG Tube with suction
●N/V
**●Dysphagia

Question 10

PO MEDS NOT to crush, split or Chew

Answer 10

■Enteric coated - EC
■Sustained release - SR
■Time released – TR
■Controlled delivery – CR
■Sublingual - SL
■Buccal

Question 11

Buccal and Sublingual Medications

Answer 11

Assess mouth for ulcerations or abrasions, which could alter absorption or cause pain.Hold the medication and contact the physician if the patient has ulcerations or abrasions.
Offer the patient a drink of water before medication administration. It will help the drug dissolve more easily.
Sublingual - administer the sublingual medication by instructing the patient to hold the medication under the tongue until it is completely dissolved.
Administer buccal medication in the pocket between the gum and cheek until it is completely dissolved. –
**instruct the patient it is best to alternate dose placement-the left side then right side for the next dose.

Caution the patient against chewing the tablet or touching it with his tongue to prevent accidental swallowing.
Encourage patient not to drink liquids or eat for 2-5 minutes to allow medication to dissolve.

Question 12

Topical Medications

Answer 12

Applied to body surfaces
■Skin application
■Eye Instillation
■Ear Instillation
■Vaginal Instillation
■Rectal Instillation

Question 13

Types of Topical Meds

Answer 13

■Powders
■Creams/Pastes/Gel/Ointments
■Drops
■Ointments
■ Aerosols or sprays
■ Medicated Patches
■Suppositories

Question 14

Transdermal medicated Patches

Answer 14

KEY POINTS: Remove & Clean previous area before replacing - Why? Place where next?
● Proper Removal & Replacement
●Date, Time & Initial
●Wear Gloves - When?
●Most are “DO NOT CUT” – know med
●Remove for MRI, AED
●Avoid Heating Pads

Question 15

Rectal Suopositories

Answer 15

■Explain procedure
■ Left lateral side-lying (SIMS)
■Don gloves – remove packaging
■ Prep the med
■Relaxation techniques
■Proper Insertion
■Patient teaching

Question 16

Vaginal Medications

Answer 16

■Explain procedure
■ Position – Lithotomy – Peri-Care?
■Don gloves – remove packaging
■Proper Insertion/Application
■Patient Teaching
■Patient may administer own
■ May need perineal pad

Question 17

Administering Eye Medications/Eye Drop

Answer 17

■Know the med & why
■Explain procedure & instructions?
■Don gloves – why?
■Position of pt & eyelid
■Instill as prescribed – where?
■Tip of bottle or tube must not touch eye or lashes – why?
■ Tissue? Pressure?

Question 18

Administering Ear Medications/Ear Drops

Answer 18

Warm medication
■Explain procedure & instructions
■ Don gloves
■ Turn head or lie on unaffected side
■ Position auricle
■Instill prescribed amount
■ Don’t medicate opposite ear immediately

Question 19

Inhalants

Answer 19

Common Uses
■ Purpose/Mechanism of Action
■MDI vs DPI
■Care of Inhalers
■Spacers
■Nebulizer

Question 20

Administering Inhalants

Answer 20

●Explain procedure
●Position patient and inhaler spacer
●Sshake the MDI 5 to 6 times
● instructions - deep breathe then exhale ~ tilt head back slightly ~ depress canister 1 time and inhale slowly
● hold breath approx 5 to 10 secs or more
● wait 1 min the repeat if recquired.
Rinse mouth

Question 21

MDI Spacers

Answer 21

■Attach mouthpiece of inhaler to spacer.
■Shake inhaler
■Patient seals mouth on spacer
■Press inhaler than inhale. Breathe in.
■Remove inhaler from spacer and recap both.

Question 22

DPI

Answer 22

■Usually has dose counter
■Pull the lever back to load inhaler
■Hold it flat like a hamburger. Do not tilt.
■Put mouth around mouthpiece after exhaling.
■Quickly inhale. Hold breathe.
■Take empty capsule and throw away. Clean mouthpiece.
***strong medication taste in mouth, did not do it correctly.

Question 23

Multiple Inhalers

Answer 23

■Wait at least 2-5 minutes between medication
■Bronchodilators - first
■ Steroids – second
■Rinse – why