Transdermal, rectal & vaginal

Question 1

Trauma informed care

Answer 1

• 76% will have some
• 50% of women some sort of sexual violence 33% men
• we don’t want to retraumatize
• safe environment

Question 2

Transdermal

Answer 2

clean dry area , gloves & hand hygiene

Question 3

Transdermal patches

Answer 3

remain in place for 12hr-week

• remove last one
• dcoument on mar the location
• gloves & initial MAR

Question 4

Vaginal route

Answer 4

empty bladder first
can they self-admin
dosal recumbent
water soluble lubricant

Question 5

Renal route suppositories

Answer 5

• constipation
• nausea or vomite can’t use oral
• self admin
• non sterile gloves with H2O soluble lubricant
• LEFT SIDE SIMS REAMIN IN POSITIO NFOR 5 mins

Question 6

Enema

Answer 6

• Vitals first
• can stimulate vagal nerve : Bradycardia & syncope
• common for constipation, decrease potassium & colon bacteria reduce
• fluid into sigmoid colon which stimulates peristalsis & promotes defectation
• sims position LEFT SIDE LYING RIGHT KNEE FLEXED
• unexpected outcomes: new, severe abdominal pain, bleeding & changes in blood pressure

Question 7

Types of enemas

Answer 7

Cleaning: promote evacuation of feces
oil retention: lubricate rectum & softer to pass
Medicated: for potassium or bacteria
tap water (hypotonic) : don’t repeat after first instilation because toxicity
Physiological normal saline: safety for infants & toddlers
hypertonic: useful for if they can’t do large volumes of fluid
-sopsuds = castile soap
-carminative = removes gaseous distension

Question 8

Hi enema, low enema, regular

Answer 8

hi = 30-45 
low = 7.5
reg = 30cm

Question 9

IF the tube does pas easily

Answer 9

don’t force, see if it’ll soften out or else remove impaction

Question 10

pt. with poor spinceter control

Answer 10

bedpan underweight, on toilet is unlace because it can abrade the renal wall

Question 11

if there is pain or resistance

Answer 11

you stop & contact provider