Administering Medications Chapter 28
Terms in this set (77)
What are the different type of topical forms?
Lotions, Ointments, Liniments, Transdermal Patches
What topical form is for controlling itching?
What topical form is a semisolid medication that contains petrolatum?
A topical form that has a higher portion of oil than lotion?
A topical form that is slowly absorbed slowly through the skin?
What are the type of parental medication forms?
Ampule, Single-dose vial, Multi-dose vial
-Needle is put through the stopper for medicine withdrawal
-use only once then thrown away
-contains a single dose of medication
-use filter needle to get medication afterwards change needle to give needle
-contain enough medication for multiple injections
-after opening bottle write down time and date on bottle
is a mixture of a liquid
The different type of solid drug forms?
Tablets, Capsules, Caplets
What are the type of tablets?
Buffered tablets, Scored tablets
-compressed powders or granules
-when wet break apart in stomach
-helps prevent stomach irritations
-reduces amount of acidity in the compound
-should never be crushed or dissolved
-can be cut in half only
Gelatin coated and dissolves in the stomach
-tablets without a coating
-solid and oblong
-solution between sugar and water
-contain flavoring and medicinal substances
-mixture of oil and water
-improves taste of otherwise distasteful products
-aromatic, alcoholic, sweetened preparation
-used with caution with people with diabetes or alcohol abuse
-must be shaken before use
-minerals suspended in water
Gels and Magmas
-concentrated combination of vegetable products and alcohol
-stronger then crude drug
-alcoholic preparations of a soluble drug or chemical substances
-usually plant source
-combination of alcohol and vegetable products
-more potent then tinctures
-15 degree angle
-given within skin layer
-used for allergy and TB testing
Intradermal Injections sites are..
Forearm, Upper Chest, Back
Where is an allergy test given?
on the back
Where is a TB test mostly given?
on the forearm
-45 degree angle
-given in adipose tissue
Subcutaneous Injection sites are...
abdomen, anterior thigh, upper outer arm, subscapular portion of thigh
-90 degree angle
Intramuscular Injection sites..
Vastus Lateralis, Deltoid, Ventrogluteal, Gluteus Medius
Give no more than 1 ml of medication in this area?
This injection site is 1 hand-width below proximal end of greater trochanter?
Vastus Lateralis Muscle
This injection site is two finger breaths below acromial socket (arm socket)?
Injection site that has fewer nerves and blood vessels to avoid?
Vastus Lateralis Muscle
The safest intramuscular injection site for infants is?
Vastus Lateralis Muscle
The traditional site for deep intramuscular injection?
The main reason to avoid giving injection in Dorsogluteal?
to avoid hitting sciatic nerve
The safest site for injections for both infants and adult?
What are the signs and symptoms for anaphylactic reaction?
-hypotensioin resulting from systemic vasodilation
-vomiting and diarrhea
How many minutes must patient wait after having medicine administered to them?
Why must a patient wait 30 minutes after receiving medicine?
To make sure they don't have any reaction
Which needle gauge for intramuscular injection when giving a viscous medication?
Humalog is a insulin medication so what kind of syringe would you use?
What should you do after administering a ppd/TB test?
How long should a multi-dose vial sit on the shelf?
What should be written on a multi-dose after opening?
-write down your initials
-write down the time open
-what date opened
Why do healthcare facility require a 2 step PPD test?
The second shot triggers an immune response
When should you document that you give a patient medication?
AFTER administering medicine
When should you check the medication before administering?
-before pulling it off the shelf
-before drawing up the medication from the bottle
-before putting it back on the shelf
What should you check before administering medication?
-read the bottle
-check for know allergies
What is the best method of identifying a patient?
What precautions should take when pouring liquid oral medication?
-pour at eye level
-pour with the palm on the label side
What is the calibration for a insulin syringe?
When is it crucial to weight a patient very visit?
What should you do when a label is unreadably?
throw away the bottle
administer medication through oral, sublingual, rectal
administer medication intravenous and intradermal
administer medication through the skin
What are the 7 rights?
confirm the patients name
check label 3x to confirm drug, dose and strength
perform pharmacology math to determine accurate dose
clarify route of administration on physicians order
to clarify time of administration
familiarize with all proper techniques for each route
document after administering the drug
5? to ask when asking for patient medication Hx..
1. Are you currently taking any over the counter medication?
2. Are you taking any herbal medication?
3. Why are you taking this medication?
4. How long have you taking medication?
5. Are you taking any medication.
6 safety rules
1. prepare medication in well lit room
2.follow all steps in dispensing drug
3.never substitute drugs
4.store medication as ordered
5.check expiration date
6.provide patient education
5 factors when delivering patient education?
1. take all medicine
2. expired medicine throw away
3.keep medicine stored away from light, heat, air
4. do not combine medicine
5.keep medicine away from childern
the smaller the number the __________the diameter of the needle
diameter or lumen size
varies based on area of injection
plunger, flange, barrel, lip lok tip
hub, hilt, shaft, bevel, lumen, point
What tablet is coated so it can be absorbed in the small intestine?