Pharmaceuticals

Question 1

Enteral vs Parenteral. Eg of each?

Answer 1

Enteral- meds pass through digestive system. Eg oralgastric, sublingual, Buccal

Parenteral- meds avoid digestive system. Eg. Intravenous, inhalation, intramuscular

Question 2

What are the 5 (6) rights of drug administration

Answer 2

Right…
Patient
Medication
Time
Amount
Route
(Documentation)

Question 3

ASA. Give indications, contraindications, dose, action.

Answer 3

Indications: chest discomfort indicative of heart attack- crushing chest pain, numb in left arm, neck or jaw pain, possible increase in HR

Contraindications: Know allergy to it, stroke in last two weeks, large bleed in last 2 weeks

Dose: 2 low dose (baby aspirin) (81) or 1 regular (325). Chew

Action: reduces clotting factors- antiplatelet

Question 4

Epinephrine. Give indications, contraindications, dose, action, reassess.

Answer 4

Indication: allergic reaction

Contraindication: none

Dosage: auto injector

Lasts 15-20 minutes for person in allergenic shock

Reassess: give second dose ~10 minutes after if needed

Question 5

Metered dose inhaler MDI. Give indications, contraindications, dose, action.

Answer 5

Indications: asthma, difficulty breathing, wheezing

Contra: none

Side effects: tachycardia, tremors, shakiness

Question 6

Nitroglycerin. Give indications, contraindications, dose, action.

Answer 6

Indications: chest pain, prescribed

Contraindications:
systolic below 100mmHg
Pulse below 50 bpm
Ed meds in last 72 hours
Suspected head injury
3 doses already taken

Dose: one tablet or one spray sublingual (under tongue)

Action: vasodilator reducing bp

Question 7

Cardiac protocol for angina?

Answer 7

00:00- Nitro
02:00- ASA
05:00- Nitro
10:00- Nitro

Nitro every 5 min if needed, check bp and vitals between doses (100 systolic and 50bpm minimums)

Question 8

Oral glucose?

Answer 8

Indication: low glucose, suspected hypoglycaemia

Action: increases blood glucose