Med Admin

Front 1

obtain proper mar

Back 1

compare mar to the physicans order

Front 2

interpret abbreviations correctly

Back 2

wash hands

Front 3

gather equipment

Back 3

calculate dose correctly

Front 4

verbalize six rights

Back 4

verbalize and deminstrate 3 safety checks

Front 5

identify the client by his arm band

Back 5

explain procedure

Front 6

select proper sie syringe/needle

Back 6

sq-25gauge 5/16-5/8 inch needles sites for sub q arms stomanh thighs ventr dorsogluteal and below scapula

Front 7

id 25 gauge 1/4-5/8 inch sites inner arms upper chest, scapula areas

Back 7

deltoid 23 gauge 1 inch 90 degree angle

Front 8

parenteral meds

Back 8

ID, SQ, IM, IV absorbed more quickly than oral meds.

Front 9

parts of syringe

Back 9

tip, barrel, plunger.

Front 10

hypodermic syringe

Back 10

2, 2.5, 3 ml syringes

Front 11

insulin syringe

Back 11

100 unit calibrated for insulin

Front 12

tuberculin syringe

Back 12

calibrated in tenths and hundredths of a ml holds up to 1 ml.

Front 13

active safety device

Back 13

the nurse manually pulls guard over needle after injection.

Front 14

ampule

Back 14

is a glass container usually holds a single dose. size 1- 10 ml or more, most have colored marks around them.

Front 15

vial

Back 15

small glass bottle sealed with rubber cap. single to multidose,vial must be pierced w/ a needle. air injected

Front 16

Intradermal injection

Back 16

injected into the dermal layer of the skin just beneath the epidermis. only 0.1 to 0.5ml

Front 17

subcutaneous injection

Back 17

0.5 to 1 ml

Front 18

IM injections

Back 18

absorbed more quickly than subcutaneous b/c of greater blood supply to the muscles.

Front 19

deltoid

Back 19

up to 1 ml

Front 20

ventrogluteal site

Back 20

the preferred site for intramuscular injections b/c no large vessels,sealed off by bone contains less fat than buttocks; suitable for age 7 mths and older; side lying more easy

Front 21

vastus laterals

Back 21

recommended 7 months and younger

Front 22

dorsogluteal

Back 22

do not use on children under 3 unless they have been walking for at least a year.

Front 23

deltoid site

Back 23

not often used for IM injections b/c it is close to the radial nerve and radial artery, in adults- rapid absorption no more than 1 ml can be administered. pinch the muscle can reduce discomfort-90 degree angle.

Front 24

rectus femoris site

Back 24

used only occasionally for IM injection; advantage clients can administer themselves easily at home. disadvantage- may cause considerable discomfort.

Front 25

Z Track technique

Back 25

less painful

Front 26

children IM injection

Back 26

22-25 gauge-5/8 to 1 inch

Front 27

topical meds

Back 27

applied to skin or mucous membranes, eye, external ear canal, nose, vagina, rectum. used therapeutically, not absorbed well

Front 28

percutaneous

Back 28

absorbed through the skin can be increased if skin is altered such as a laceration, burn, or some other problem.

Front 29

transdermal patch

Back 29

applied to trunk lower abdomen, on the side, lower back, or buttocks. should not be applied to cuts, burns, forearms.

Front 30

otic instillations

Back 30

have pt remain in side lying position for about 5 minutes, insert cotton loosely for 15-20 minutes

Front 31

adult ear pull?

Back 31

up and back

Front 32

pull child ear under 3?

Back 32

down and back

Front 33

nasal med

Back 33

nasal decongestants are most common used.

Front 34

to treat ethmoid and spenoid sinuses?

Back 34

pt lie back with head over edge of pillow, head is tipped backward

Front 35

to treat maxillary and frontal sinuses?

Back 35

head tilted back over pillow with head tilted the side. tell pt to breathe through mouth to prevent aspiration into trachea and bronchi. remain in back lying position for at least a minute. avoid blowing nose for several minutes.

Front 36

vaginal meds

Back 36

suppositories melt at room temp so they are kept in refrig, lubricate the rounded end and gloved index finger, separate labiaw/ nondominant hand,insert 3-4 inches along posterior wall or as far as it will go, ask pt to remain lying for 5-10 min following insertion

Front 37

rectal meds

Back 37

released slow but steady rate, provide higher blood stream levels, left lateral position, upper leg flexed, lub the round end and gloved index finger, encourage client to relax by breathing throught the mouth, insert 4 inches avoid feces, remain in position for 5 minutes, should be retained for 30-40 minutes.

Front 38

respiratory inhalation

Back 38

nebulizer deliver most medications through inhaled route, delivers fine spray

Front 39

atomizer

Back 39

produces large droplets for inhalation

Front 40

aerosolization

Back 40

droplets suspended in a gas such as oxygen. the smaller the droplets, the further they can be inhaled into the respiratory tract

Front 41

large volume nebulizer

Back 41

provide heated or cool mist; long term therapy

Front 42

ultrasonic nebulizer

Back 42

provides 100% humidity and can provide particles small enough to be inhaled deeply into the respiratory tract.

Front 43

meter dose inhaler

Back 43

handheld nebulizer- med through mouthpiece, mist or fine spray.

Front 44

HHN

Back 44

an extender may be attached for better results

Front 45

syringes for irrigations

Back 45

asepto- plastic or glass with a rubber buld on end;
rubber bulb- irrigate ears
pomery- irrigate ears
piston- deep wound irrigation