Reading...
Play button
Play button
Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
72 Cards in this Set
- Front
- Back
|
Name the 5 common routes for administering medications.
|
1) Enteral
2) Topical 3) Parenteral 4) Inhalation 5) Instillation |
|
|
route administered direction into the GI tract by oral, rectal, or nasogastric routes.
|
Enteral Medical Route
|
|
|
Oral Dosage Forms of Enteral Medication Route
|
tablets, capsules, lozenges or troches, pills, syrups, elixirs, emulsions, suspensions.
|
|
|
contains drug particles with various coatings that differ in the amt of time required to dissolve
|
Time-released (sustained-release) capsule
|
|
|
drug contained within a gelatin-type container
|
capsule
|
|
|
placed in the cheek pouch, not commonly used today
|
buccal tablet
|
|
|
placed under the tongue
|
sublingual tablet, ex. nitroglycerine
|
|
|
tablet with flavoring dissolved in the mouth for local soothing effect on throat or mouth
|
lozenge (troche)
|
|
|
liquid form of medication that must be shaken well before giving, d/t particles settle at the bottom
|
suspension
|
|
|
placed in the mouth and dissolves
|
oral disintegrating tablet (ODT) ex. zofran
|
|
|
liquid drug preparation that contains oils and fats in water
|
emulsion
|
|
|
liquid drug forms with alcohol base
|
elixir
|
|
|
sweet flavor liquid drug
|
syrup
|
|
|
oral route is the easiest and cheapest for administration, but NOT the route of choice for the following:
|
EMERGENCIES
ACUTE PAIN NPO PTS PTS UNABLE TO SWALLOW |
|
|
drug suspended in a substance that melts at body temperature
|
suppository
|
|
|
drug suspended in a solution to be administered into the rectal area
|
enema
|
|
|
Routes for installation medications
|
Eye
Ear Nose Vaginal |
|
|
Name Transdermal Medications
|
Matrix Patch
Reservoir Patch |
|
|
cream or ointment that is a semi-solid preparation containing a drug
|
topical drugs
|
|
|
rule of thumb for topical drugs
|
skin is wet, use cream
skin is dry, use ointment |
|
|
liquid preparation applied externally for treatment of skin disorders
|
lotion
|
|
|
used to create a different sensations to "mask" an irritation
|
liniment
|
|
|
How do you administer ear drops for an adult? for a child?
|
Adult - pull back and up
Child - pull back and down |
|
|
Name the parts of a syringe
|
Barrel
Plunger Tip |
|
|
Name the parts of a needle
|
Hub
Shaft Gauge Beval |
|
|
Given into a muscle
|
intramuscular (IM)
|
|
|
Given into subcutaneous tissue
|
Subcutaneous (SC)
|
|
|
Given under the skin
|
Intradermal (ID)
|
|
|
where pancreatic beta cells are destroyed as a result of an autoimmune process, lack of insulin production
|
Type 1 Diabetes
|
|
|
insulin still produced but may decrease due to damange of pancreatic beta cells
|
Type 2 Diabetes, most prevalent
|
|
|
Types of Insulin
|
Rapid Acting
Slow Acting Intermediate Acting Long Duration Mix |
|
|
takes place as drug particles move from the GI tract to body fluids
|
absorption
|
|
|
name the 4 parenteral routes
|
intradermal
subcutaneous intramuscular intravenous |
|
|
occurs when drug is metabolized or excreted more slowly than the rate at which it is administered
|
cumulative effect
|
|
|
aerosol sprays
|
inhalation
|
|
|
liquid medications usually adminstered as drops, ointment, or sprays
|
instillations
|
|
|
Five plus Five Rights
|
Client
Drug Dose Time Route Assessment Evaluation Documentation Education Refuse |
|
|
when administering to pediatric clients, name two nursing interventions.
|
anticipate developmental needs
be creative |
|
|
what size gauge for ID
|
intradermal, 26-27 gauge
|
|
|
angle of insertion for ID
|
10 - 15 degrees
|
|
|
sites for ID
|
where inflammatory rx can be observed
|
|
|
needle size for SubQ
|
23, 25 - 27 gauge
|
|
|
angle of insertion for SubQ
|
45 - 90 degrees
|
|
|
sites for SubQ
|
abdomen, upper hips, upper back, lateral upper arms, lateral thighs
|
|
|
needle size for IM
|
18 - 23 gauge
|
|
|
angle of insertion for IM
|
90 degrees
|
|
|
needle size for IV
|
20 - 21 gauge
|
|
|
sites for IM
|
ventrogluteal, dorsogluteal, deltoid, vastus lateralis
|
|
|
sites for IV
|
median cubital veiin, basilic vein, cephalic vein, radial vein
|
|
|
The injection site that is well-defined by bony anatomic landmarks is___.
|
ventrogluteal
|
|
|
The preferred site for IM injections for infants and children is ___.
|
vastus lateralis
|
|
|
The site that is easily accessible but not suitable for repeated injections or injections more than 2ml is ___.
|
deltoid
|
|
|
There preferred site for the Z-track technique is ___.
|
gluteal
|
|
|
The site (not visible to client) that has the danger of injury if incorrect technique is used is __.
|
dorsogluteal
|
|
|
The order to "give multivitamins ii caps po daily" is an example of what category of drug order?
|
standing
|
|
|
JT has an order to receive Demerol 100mg, IM, STAT. This is an example of what category of drug order?
|
STAT
|
|
|
When you calculate the dosage for JB's cardiac medication, the drug dose is "large." The best initial action for you to take is:
|
check your calculations
|
|
|
The preferred way to correct a charting error is to:
|
draw a single line through incorrect information and initial
|
|
|
You read in the chart that RT is allergic to one of his prescribed medications. Your first nursing action is to:
|
withhold the medication and call health care provider
|
|
|
One of AA's medications is in a liquid form. You pour the medication with the container at eye level and read the meniscus at what point?
|
low part of the curve
|
|
|
Your client is not wearing an ID band. What should be your first nursing action?
|
Report your finding and have ID band put on client.
|
|
|
Universal precautions require that you do all of the following EXCEPT
|
cap needles
|
|
|
Before storing unused stable solutions from open vials in the refrigerator, the nurse should write the following information on the label.
|
date and time vial opened; initials
|
|
|
When a client refuses to take a medication, the nurse must:
|
document reason not taken
|
|
|
For clients who are vomiting or comatose, medication administration is contraindicated via which route?
|
oral
|
|
|
When is the best time to administer oral medications if food interferes with absorption of the medication?
|
on an empty stomach
|
|
|
When applying medication topically, the nurse, to avoid skin contact with the medication, should use all of the following EXCEPT
|
hands
|
|
|
If a glucocorticoid is ordered with a broncho dilator, you need to wait how many minutes between administering medications?
|
5
|
|
|
When administering ear drops, the client should be sitting with the head tilted towards which side?
|
unaffected
|
|
|
ear drops are best administered
|
at room temperature
|
|
|
Not allowed by the Joint Commission
|
U, IU,, trailing zero, leading zero, qd
|
|
|
the "right to education" includes
|
client receives correct information about the drug and how it relates to situation, possible side effects, laboratory monitoring
|
