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20 Cards in this Set

  • Front
  • Back
oral medication

most economical


easiest to administer


most common


solids or liquids


food may decrease therapeutic effect

tablet
powdered medication molded into shapes
caplets
elongated tablets coated to ease swallowing
when can you split a tablet

when it has indented markings designed to cut and deliver 1/2 or 1/4 pill




breaking an un-scored tablet may result in unintentional overdose.

enteric-coated tablets

special coating protects against gastric secretions




NEVER crush EC tablets, defeats the purpose

which tablets do you never crush

enteric coated tablets


time or extended release


capsules

layered tablets
layers or cores of two meds with different compatibilities or absorption components
Time release or extended release

released over a period of time




labeled SA, LA, XL, SR, or ER




NEVER crush, chew, or break (if Dr wants you to open it he has to write it out)

capsules

contains powder, liquid, or oil with hard/soft gelatin coating




NEVER crush, chew, or break without consulting a pharmacist.

troches and lozenges
a small medicated lozenge designed to dissolve slowly in the mouth
oral liquids are for
clients with dysphagia or a nasogastric, or gastrostomy tube, infants, young children
elixir (oral liquid)
meds dissolved in alcohol and water
suspension
meds dissolved in water
syrup
meds dissolved in sugar and water
Big NO's for oral

NEVER give oral liquids by IV-FATAL




DO NOT confuse dosage strength with total volume

sublingual and buccal

under the tongue




back moist area of the mouth

powder and effervescent
mix with liquids and take as soon as it dissolves
contradictions of oral route

patient has alterations in GI function




patient can't swallow




patient has gastric suction




some tests or surgery

how to give oral meds

Most patients are able to give themselves, food may delay absorption


assess for gag reflex, state of consciousness, presence of nausea or vomiting


protect patient from aspiration


make sure the patient swallows the pills


do NOT leave pills at bedside

points to remember about tablets and capsules

capsules are administered whole


tablets are available in different strengths


it's safer to give whole tablets equal to the dose than to cut


max number of tablets or capsules used to deliver a dose is usually 3 (exception is some HIV meds)