Oral & Topical Meds Flashcards
6 med administration essentials
1) triple check
2) 3 checks
3) 6 rights
4) clients rights (right to say no: document)
5) pre-admin assessment (ex/ allergies, vital signs, other meds, diet)
5) post-admin assessment (ex/ if pain med worked, vitals, any reaction/side effect
7 types of oral meds
1) buccal route (cheek)
2) capsules (like time capsule, gelish outside)
3) liquid (forms meniscus)
4) powder (may have to reconstitute w/ liquid)
5) tablets
6) time released
7) sublingual route (under tongue)
7 types of topical meds
1) lotions, creams, ointments
2) transdermal (go on/across skin)
ex/ nicotine patch ALWAYS FIND OLD PATCH BEFORE PUTTING ON NEW ONE
3) ophthalmic
4) otic
5) nasal
6) rectal
7) vaginal (supasatory/creams)
2 types of inhaled meds
1) metered dose inhaler
2) hand held nebulizer
metered dose inhaler
- “puffers”
- shake up thoroughly
- either use spacer or dont put directly on mouth (1-2in away)
- exhale first, then inhale & hold 10 sec
- exhale
- wait 1 minute before next puff
hand held nebulizer
tube hooked up to oxygen
-either hand-held device or a mask
with any inhaled steroid
swish/clean out mouth after use
-> could get fungal infection if not
administering oral meds
- when pouring liquid hold measuring cup at eye level
- pull pills/tablets/capsules from med storage but ONLY open them at bedside**
- must be present while client takes meds
- if client refuses meds, take out of room & put back in med drawer
pre-administration assessment
- medication history
- allergy history
- current meds
- diet history
- perceptual or coordination problems
- current condition
- physical assessment: vital signs & lab values
- swallowing ability
post-administration assessment
is the medication working?
- pain level following analgesics
- blood values
- vital signs
- side effects/adverse effects
- medication specific assessments
administration of oral/topical meds
- DO NOT open meds until bedside
- never leave meds at bedside; WATCH client take them
- dispose of any unused, open meds per agency policy
- hold meds as needed & consult doctor
- be aware of meds ability to be crushed or chewed*
- ENTERIC COATED CAN’T BE CRUSHED
benefits of oral med administration
- easy to use
- self administration w/ out much assistance
- wide variety of meds
COMPLICATIONS of oral med administration
*aspiration
-check gag reflex
-sit client up
-administer one at a time
use small sips of water
*gastrointestinal side effects w/ many
