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Unit 3 > Routes For Med Administration > Flashcards

Routes For Med Administration Flashcards

1
Q

What is the most common medication route used?

A

Oral

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2
Q

Oral route medication types..

A

Tablets, capsules, liquids, or enteric-coated tablets

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3
Q

How are oral meds absorbed?

A

Via the intestinal lumen to systemic circulation & metabolized via the liver.

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4
Q

What is the onset of action for oral meds?

A

Slowest onset of action

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5
Q

Precautions of oral meds…

A

Patient must be able to swallow & have functioning GI tract

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6
Q

What is the first pass effect?

A

The concentration of drug is reduced before it reaches systemic circulation.

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7
Q

Process of enteral feeding tube

A

-

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8
Q

What form of meds is in enteral feeding tube?

A

Liquid form; some meds can be crushed

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9
Q

Process before an enteral feeding tube..

A

Elevate head of bed, check placement, check gastric residual

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10
Q

Process during the use of enteral feeding tube

A

Flush w/ 30 mL water
Administer each med (crushed & diluted w/ 15-30mL water)
Flush with 15-30 mL in between medications
Flush with 30 mL after last dose

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11
Q

Which route is placed under the tongue?

A

Sublingual

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12
Q

Buccal meds are placed …

A

Between check and gums

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13
Q

For rectal route, patient is positioned in …

A

Left sims

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14
Q

Inhalation route is delivered directly to…

A

Lungs via small particles of drug

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15
Q

Process of nasal route meds…

A

Blow nose, tip in one nostril, close off other nostril , activate med as client inhales through nose
Avoid blowing nose for 5-10 minutes

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16
Q

The use of adhesive patches to deliver drugs is what route?

A

Transdermal

17
Q

Transdermal route of med is designed to …

A

Deliver consistent systemic amount of drug over a certain period of time

18
Q

Process for otic med route

A

Tilt head with affected ear accessible, down & back <3 years, up and out >3 years of age, allow drops to fall down one side of external canal, gently press tragus 3 times

19
Q

How long should affected ear be up after an otic administration?

A

5 minutes

20
Q

Process for ophthalmic med administration…

A

Tilt head backwards & slightly towards affected side
Client will look up while gently putting pressure downward on lower eyelid
Squeeze into conjunctival sac & release lower lid
Close eyes

21
Q

At what degree is a subcutaneous injection?

A

45-90 degree angle

22
Q

How to inject subcutaneous injections?

A

Stabilize w/ non dominant hand, inject with dominant thumb & index finger
Inject directly into sub fatty tissue under dermal layer of the skin

23
Q

What is the rate of absorption for subcutaneous route?

A

Faster than oral
Less vascular than muscle; slower than intramuscular route

24
Q

What are the sites for subcutaneous injections?

A

Upper outer aspect of arm
Abdomen (2 inches from umbilicus)
Anterior thighs

25
Q

What is the needle gauge for subcutaneous injections?

A

25-31 G
5/8 inch

26
Q

What angle are intramuscular injections ?

A

90 degree angle

27
Q

Process of injection intramuscular sites

A

Z track- displace skim with non dominant hand, pull tissue over 1 inch
Let go after needle is removed
Inject directly below subcutaneous tissue

28
Q

Up to how much liquid can be injected intramuscularly?

A

Up to 3mL

29
Q

What are sites for intramuscular injections?

A

Deltoid
Vastus lateralis
Ventral gluteal

30
Q

Where is deltoid muscle and how much liquid to inject ?

A

1-2 inches below acromion process
Up to 2 mL of liquid

31
Q

Where and how much liquid can be injected on vastus lateralis muscle?

A

Between greater trochanter and knee
Middle 1/3 of muscle
Up to 3mL of liquid

32
Q

Where and how much liquid can be injected into ventral gluteal muscle?

A

Greater trochanter, iliac crest
Up to 3mL of liquid

33
Q

What are the needle sizes for intramuscular injections?

A

1 1/2 inch (deltoid)
18-25G; 5/8-1 inch (vastus lateralis)
18-25G’ 1 1/2 inch (ventral gluteal)

34
Q

When to use ventral gluteal muscle?

A

When medication requires thicker muscle.

35
Q

Process for intradermal injections…

A

Pull skin taught w/ thumb & forefinger of nondominant hand
Inject slowly, watch for small bleb to appear

36
Q

What angle is intradermal injection?

A

5 to 15 degree
About 1/8 inch under skin

Unit 3 (22 decks)

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