Pharmacology 3 Flashcards
LANDMARKS FOR VENTRO GLUTEAL INJECTION
greater trochanter
iliac spine
in-between those fingers that make an L shape
GAUGE NEEDLE FOR ADULT IM INJECTION
21-23 gauge
ANGLE FOR INSULIN INJECTION
45 degree angle or 90 degree angle based on amount of sub q tissue
LENGTH OF NEEDLE FOR ADULT IM INJECTION
1-1.5 inches
LOCATION OF INFANT IM INJECTION
vastus lateralas
YEARLY PHARMACEUTICALS REFERENCE BOOK
PDR (physicians drug reference)
METHOD FOR ADMINISTERING ORAL MED TABS THROUGH GT TUBE
crush pills mix with warm water ensure dissolved one med at a time flush with 15-30mL of warm water
REASON FOR GIVING MED IV RATHER THAN ORAL
fastest route
LANDMARKS FOR IM DORSAL GLUTEAL SITE
between posterior-superior iliac spine and greater trochanter
USE FOR INTRADERMAL (ID) INJECTION
allergy
skin test
must form the wheal
IF SOMEONE IS ORDERED TO NARCOTIC PAIN MEDS AND ARE AFRAID OF BECOMING ADDICTED
it is unlikely that someone in pain will become addicted when they are in pain, addiction occurs when you continue to take narcotic when the pain is no longer present
WHAT IS THE TIME WINDOW FOR SCHEDULED MEDS?
30 min before or 30 min after the hour rule
WHAT TO DO WHEN A PATIENT REFUSES AN ORDERED NARCOTIC MEDICATION
waste it with a second nurse present and document that patient refused
INSULIN INJECTION GAUGE AND LENGTH
29-30 gauge
5/8 to 1/2 inch
SUBLINGUAL TABS
under the tongue
WHAT TO INCLUDE IN PATIENT HISTORY OF MEDS
OTC (not including alcohol, tobacco, and herbals)
BEFORE GIVING ORAL MEDS ENSURE THE PATIENT
has gag reflex can swallow
MINIMIZE SKIN IRRITATION WHEN USING TRANSDERMAL PATCH
alternate patch locations
TOPICAL MEDS MUST HAVE WHAT INCLUDED IN THE PHYSICIANS ORDER
site coverage instruction how to apply how often
BEST SPOT FOR INTRADERMAL INJECTION
inner forearm
HOW DO YOU GIVE 5ML IM INJECTION
divide into two different sites
BEST SITE FOR INSULIN INJECTION
abdomen
STEPS GIVING MEDS THROUGH A GT TUBE
check placement crush pills mix with warm water ensure med dissolved flush tube
METHOD FOR MEASURING LIQUID IN A DROPPER
totally vertical up and down to get it at right level
OU (EYES)
both eyes
AU (EARS)
both ears
S (DIRECTION)
left
D (RIGHT)
right
TID
three times daily
QID
four times daily
BID
twice daily
QOD
every other day
QHS
at hour of sleep
TYPE OF NEEDLE REQUIRED WHEN INJECTING MEDICATION FROM A GLASS AMPULE
filter needle
PATIENT POSITIONING POST-VAGINAL SUPPOSITORY
laying down
COMMON ROUTE OF MED FOR LOCAL EFFECT
topical
SYMPTOMS OF ANAPHYLAXIS SHOCK
respiratory distress increased bp tachycardia pale pruritis anxiety confusion/disorientation
LANDMARKS FOR INJECTION OF IM VASTUS LATERALAS
one hand down from the top of the hip and one hand up from the knee on the outer aspect of the knee
LOCATION OF BUCCAL SITE MED ADMINISTRATION
between cheek and gum
REASON FOR Z TRACK ADMINISTRATION
medication is skin irritant
medication will stain skin
PERSONS INDIVIDUAL RESPONSE TO A MEDICATION
idiosyncratic
NURSING ACTION FOR ILLEGIBLE PRESCRIPTION ORDER
call MD to verify
NURSING ACTION IF PATIENT CANNOT HOLD MED CUP TO TAKE MEDS
pour into the patients mouth
WHEN GIVING MEDS, IF PATIENT CANNOT REMEMBER THE LAST DOSAGE
double check the order with the MAR
BEST TIME TO EVALUATE THE EFFECT OF ADMINISTERED MEDICATION
when medication is supposed to have taken effect
TARGET WHEN SELF-ADMINISTERING A METERED DOSE
pharynx
WHICH MEDS CANNOT BE CRUSHED
enteric coated
time released
capsule
ADMINISTERING MEDS TO A ROOM WHERE BOTH PATIENTS HAVE THE SAME NAME
verify DOB check ID band ask name
