PCTH - Clinical Procedures

Question 1

List 8 medication administration routes

Answer 1

• aerosol
• oral (PO)
• sublingual (SL)
• nebulization (NEB)
• subQ injection
• IM injection
• intranasal (IN)
• topical

Question 2

Preference for selection route of medication administration is based on

Answer 2

onset

patient presentation (scuh as LOA)

Question 3

What are the 6 rights of medication administration?

Answer 3

• right patient
• right medication
• right dose
• right route
• right time
• right to know (i.e. why we want to give this drug, side effects, benefits, etc.)

Question 4

Preparation for medication administration includes:

Answer 4

1) area is safe for administration
2) appropriate level of PPE is worn for application
3) area is well lit if preparing medication
4) all necessary equipment is present for prep/administration
5) proper dispoal of equipment after administration

Question 5

Procedure for BGL testing via glucometer

Answer 5

1) any pt GCS <15, BGL would likely be indicated
2) prep site - swipe with alcohol wipe (if swab is dirty, use a new one to clean site and continuously do so until swab is clean) → pick site of finger tip (better blood flow)

• for < 1y.o: get BGL from heel
• let alcohol dry first or else can geenrate abnormal/incorrect reading has to be arterial blood

3) obtain sample via lancet

• normal is 3.6 - 6.2mmol/L
• we treat symptomatic hypoglycemia <4mmol/L (and for <2 y.o. it would have to be <3.0mmol/L)

4) treat site