T2-Administration of Nonparenteral Medications (based off PPT)

Question 1

Can medication administration be delegated?

Answer 1

No

Question 2

What is the easiest and most desirable route to administer medications?

Answer 2

Oral

Question 3

Absorption depends on form/preparation. What absorbs quicker: solutions/suspensions or tabs/caps

Answer 3

Solutions/suspensions

Question 4

Oral meds are absorbed more easily on a full or empty stomach?

Answer 4

Empty

Question 5

For some meds to be absorbed, they must be given __ hours before or __ hours after meals or antacids

Answer 5

1 hour before or 2 hours after meals or antacids

Question 6

Where are enteric coated drugs absorbed?

Answer 6

Small intestine

*do not crush or dissolve these

Question 7

Can we crush or dissolve enteric coated drugs?

Answer 7

No

Question 8

What other types of meds can we not crush?

Answer 8

Enteric coated
Long acting
Sustained release
XL
SR
or CD

Question 9

How do we prepare liquid meds?

Answer 9

Shake them, pour at eye level with label TOWARDS PALM

*label is towards palm so that if any liquid drips down the bottle it will not get on the label causing it to become more difficult to read for future administration

Question 10

What are topical meds?

Answer 10

Meds applied locally to skin, mucous membranes, tissue membranes

Question 11

Topical meds can cause ___ and/or ___ effects when absorbed

Answer 11

Systemic and/or local

Question 12

Do we need to wear gloves when applying topical meds?

Answer 12

Yes

Question 13

Should we clean and dry the patients skin before applying a topical med?

Answer 13

Yes

Question 14

Can we delegate application of some lotions/ointments?

Answer 14

Yes

Question 15

What are the 3 types of ophthalmic meds?

Answer 15

Topical drops
Ointments
Intraocular disks

Question 16

What are the otic meds?

Answer 16

Drops of solution

Question 17

Eye meds: cornea is sensitive with a rich supply of ____

Answer 17

Nerve fibers

Question 18

Eye meds: Medication drops and intraocular disk are placed in the _____

Answer 18

Conjunctival sac

Question 19

Eye meds: Ointments are applied along the _____ of the ___ eyelid on conjunctiva from ___ to ___ canthus

Answer 19

Ointments are applied along INNER EDGE of the LOWER EYELID on conjunctiva INNER to OUTER canthus

Question 20

How do we position patient for eye meds?

Answer 20

Position patient supine or in chair with neck slightly hyperextended

Question 21

Eye meds: for meds that may have systemic effect, apply gentle pressure with tissue to ______ for ____ sec

Answer 21

Nasolacrimal duct for 30-60 sec

Question 22

How do we give ear meds?

Answer 22

• Warm med to room temp
• Position on side or in chair with affected ear up
• Straighten auricle
• Instruct patient to reman with affected ear up for FIVE MIN

Question 23

How do we straighten auricle for person older than 3?

Answer 23

Upward and outward

Question 24

How do we position auricle for person less than three?

Answer 24

Down and back

Question 25

Rectal meds may have a ____ or ___ effect

Answer 25

Local or systemic

Question 26

Rectal medications ____ (are or are not) as reliable as oral route

Answer 26

are NOT

Question 27

Rectal meds are contraindicated in patients with _____ or after ____ surgery

Answer 27

Rectal bleeding or after rectal surgery

Question 28

What is the shape of a rectal med?

Answer 28

Thin and bullet shaped

Question 29

Do we remove the foil wrapper rectal meds may come in?

Answer 29

Yes

Question 30

Where are rectal meds stored?

Answer 30

Usually in fridge to prevent melting

Question 31

What position do we put patient in for rectal med?

Answer 31

Patient in left side-lying Sims with upper leg flexed

Question 32

Do we lubricate the suppository before insertion for rectal med?

Answer 32

Yes

Question 33

Where do we insert the suppository ?

Answer 33

Insert 4 inches along rectal wall, not stool

Question 34

How long should the patient maintain lying in Sims after inserting rectal suppository?

Answer 34

5-10 min

Question 35

If the client wants to self-administer their suppository can we let them?

Answer 35

Yes

Question 36

Vaginal meds: can they have both local and system effects?

Answer 36

Yes

Question 37

What forms are vag meds available in?

Answer 37

Foam, gel, suppository

Question 38

How are vag meds stored?

Answer 38

Fridge to prevent melting

Question 39

What is larger: vag med or rectal suppository?

Answer 39

Vag med

Question 40

What position is patient in for vag med?

Answer 40

Dorsal recumbent

Question 41

Do we lubricate the suppository for a vag med?

Answer 41

Yes

Question 42

How far in do we go to insert a vag med?

Answer 42

3-4 in

Question 43

How long should patient remain supine after giving a vag med?

Answer 43

10 min

Question 44

Can the client self administer their vag med if they want?

Answer 44

Yes

Question 45

Vaginal creams or foams: Fill applicator first. How far in do we insert this applicator ?

Answer 45

2-3 in

Question 46

If the applicator for a vaginal cream or foam has to be reused, what do we do after we have already inserted it?

Answer 46

Just clean it if it has to be reused

Question 47

Vaginal cream or foam: How long must patient maintain a supine position after administering the applicator ?

Answer 47

10 min

Question 48

Can we let the patient self-administer vag creates or foams if they wish?

Answer 48

Yes