Test 1

Question 1

Complications of peroral drug administration?

Answer 1

• Aspiration ( pneumonia/ -itis).
• Injury of patient.
  > soft tissue laceration via forceps used.
  > further injury of GI tract.
  ∞ if necrosis or perforation was present; recent surgey.
• injury of person treating patient.
  > altered mental state of patient; agression;pain.
• Inappropriate dosage.
  > vomiting, regurgitation, spitting out drug.

Question 2

Complications of SC administration.

Answer 2

• Haemorrhage, Hematoma, Granuloma, Abscess ( sterile/ non-sterile).
• Tissue irritation, necrosis.
• Allergy.
  > hypersensitivity reactions- urticaria, angioedema, anaphylaxis.
• IV application by mistake.
• Inj. site sarcoma ( even years later).

Question 3

What does ABCDEF stand for?

Answer 3

A- Airways.
B- Breathing.
C- Circulation.
D- Drugs.
E- ECG.
F- Fluids.

Question 4

Contraindications of peroral administration.

Answer 4

• Head + neck trauma.
  > Tissue/bone injury, damaged innervation, decreased mental state.
• Decreased mental state/coma.
  > Inability to swallow ( properly).
• Recent surgery.
  > Stomach/bowels: <12-24hr; oesophagus: longer.
• Known/suspected injury of GI tract ( perforation, foreign body/ileus).
• Aggressive patient ( risk of injury).
• Vomiting/ regurgitation, dysphagia.
  > antiemetics,feeding position.
• Acute pancreatitis, 24 ( -48)hr.

Question 5

Location of IM inj. ( m. names).

Answer 5

• M. supraspinatus, infraspinatus.
• M.triceps brachii.
• M. quadriceps femoris.
• M. semitendinosus/ semimembranosus ( hamstring m.)
• Dors. lumbar epaxial m.

Question 6

List 5 methods of inj.

Answer 6

• Peroral, SC, IV, IM, intracardiac,intraosseous.