T2-Administration of Nonparenteral Medications (based off PPT) Flashcards
Can medication administration be delegated?
No
What is the easiest and most desirable route to administer medications?
Oral
Absorption depends on form/preparation. What absorbs quicker: solutions/suspensions or tabs/caps
Solutions/suspensions
Oral meds are absorbed more easily on a full or empty stomach?
Empty
For some meds to be absorbed, they must be given __ hours before or __ hours after meals or antacids
1 hour before or 2 hours after meals or antacids
Where are enteric coated drugs absorbed?
Small intestine
*do not crush or dissolve these
Can we crush or dissolve enteric coated drugs?
No
What other types of meds can we not crush?
Enteric coated Long acting Sustained release XL SR or CD
How do we prepare liquid meds?
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
What are topical meds?
Meds applied locally to skin, mucous membranes, tissue membranes
Topical meds can cause ___ and/or ___ effects when absorbed
Systemic and/or local
Do we need to wear gloves when applying topical meds?
Yes
Should we clean and dry the patients skin before applying a topical med?
Yes
Can we delegate application of some lotions/ointments?
Yes
What are the 3 types of ophthalmic meds?
Topical drops
Ointments
Intraocular disks
What are the otic meds?
Drops of solution
Eye meds: cornea is sensitive with a rich supply of ____
Nerve fibers
Eye meds: Medication drops and intraocular disk are placed in the _____
Conjunctival sac
Eye meds: Ointments are applied along the _____ of the ___ eyelid on conjunctiva from ___ to ___ canthus
Ointments are applied along INNER EDGE of the LOWER EYELID on conjunctiva INNER to OUTER canthus
How do we position patient for eye meds?
Position patient supine or in chair with neck slightly hyperextended
Eye meds: for meds that may have systemic effect, apply gentle pressure with tissue to ______ for ____ sec
Nasolacrimal duct for 30-60 sec
How do we give ear meds?
- 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
How do we straighten auricle for person older than 3?
Upward and outward
How do we position auricle for person less than three?
Down and back
Rectal meds may have a ____ or ___ effect
Local or systemic
Rectal medications ____ (are or are not) as reliable as oral route
are NOT
Rectal meds are contraindicated in patients with _____ or after ____ surgery
Rectal bleeding or after rectal surgery
What is the shape of a rectal med?
Thin and bullet shaped
Do we remove the foil wrapper rectal meds may come in?
Yes
Where are rectal meds stored?
Usually in fridge to prevent melting
What position do we put patient in for rectal med?
Patient in left side-lying Sims with upper leg flexed
Do we lubricate the suppository before insertion for rectal med?
Yes
Where do we insert the suppository ?
Insert 4 inches along rectal wall, not stool
How long should the patient maintain lying in Sims after inserting rectal suppository?
5-10 min
If the client wants to self-administer their suppository can we let them?
Yes
Vaginal meds: can they have both local and system effects?
Yes
What forms are vag meds available in?
Foam, gel, suppository
How are vag meds stored?
Fridge to prevent melting
What is larger: vag med or rectal suppository?
Vag med
What position is patient in for vag med?
Dorsal recumbent
Do we lubricate the suppository for a vag med?
Yes
How far in do we go to insert a vag med?
3-4 in
How long should patient remain supine after giving a vag med?
10 min
Can the client self administer their vag med if they want?
Yes
Vaginal creams or foams: Fill applicator first. How far in do we insert this applicator ?
2-3 in
If the applicator for a vaginal cream or foam has to be reused, what do we do after we have already inserted it?
Just clean it if it has to be reused
Vaginal cream or foam: How long must patient maintain a supine position after administering the applicator ?
10 min
Can we let the patient self-administer vag creates or foams if they wish?
Yes
