Oral meds

Question 1

How much build are they given

Answer 1

60-100ml of fluid or crushed & mixed in custard or apple sauce

Question 2

Sublingual

Answer 2

under the tongue to dissolve. shouldn’t be swallowed. no fluid

Question 3

Buccal

Answer 3

solid med in mouth against the mucous cheek.
switch checks.
do not chew swallow or liquid
-acts local or systemic in saliva

Question 4

Advantages

Answer 4

-conventinet, comfortable, economical, easy to administer, local or systemic effects, rarely causes anxiety

Question 5

Disadavatages & contradictions

Answer 5

-alterations in GI function (nausea, reduced motility after surgery or resection)
-gastrict secretions may destroy
0may not be able to swallow (mouth lesions, neuromuscular, comatose)
-may iterate lining, unpleasant taste or bad teeth
- may be confused & hold under tongue
-don’t give with gastric suction

Question 6

Protecting the patient from aspiration

Answer 6

• detemine ability to swallow
• cough
• gag reflex
• side lying or upright position
• self admin if possible
• strong side
• one pill at a time
• thickened liquids
• hold & drink from cup
• cooincide with meal times, rested & away
• if aspiration risk is severe, use a different route.

Question 7

Antihypertensive agents

Answer 7

require a blood pressure assessment

Question 8

insulin

Answer 8

requires a blood glucose assessment

Question 9

digoxin

Answer 9

requires an apical heart auscultation

Question 10

opioids

Answer 10

need to assess respiratory rates

Question 11

how to administer

Answer 11

1) check accuracy & composedness or MAR against doctors orders
-Copy or rewrite any part of MAR that is difficult to read
2) Assess the patient for any contraindications
3) Asses the medical hsotyr, allergies, diet history
4) gather info from physical exam & laboratory data: vitals, renal function etc
5) Assess patients knowledge
6) assess patients preferences for fluid & restrictions
7) Prepare meds
Hand hygiene, one at a time, compare with MAR. CHECK EXPIRARY DATE, if its controlled check last time & count & everything. Don’t touch meds. Don’t remove rapper. Place all meds into 1 cup with a label & discard label after admin. you can crush if needed.

Question 12

To prepare liquirds

Answer 12

gently shake container
hold muiltdose bottle with label against the palm of you hand while pouring
medication cup at eye level. To meniscus. Volumes less than 10ml into syringe
-discard excess

Question 13

more med admin

Answer 13

• place on lips slowly if can’t do it themselves
• discard if it drops
• stay at bedside until done, ask to open mouth
• offur nonfat snack if its highly acidic
• move into comfy position

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Question 14

documenting

Answer 14

-record when it was given right after. Any reactions. Reason if withheld. can report evaluation

Question 15

How to identify in LTC

Answer 15

• ask staff
• compare with phot
• never use name on room, or bed or wheelchair.