56 terms

Chapter 53

STUDY
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Terms in this set (...)

The mouth or oral cavity
Buccal
To act upon one another
Interaction
A soft, fatty substance having antiseptic or healing properties
Ointment
Under the tongue
Sublingual
A cylindrical or conical shaped material that is medicated and dissolvable which is inserted into the rectum or vagina to be absorbed
Suppository
Having medicinal or healing properties
Therapeutic
To apply to the surface
Topical
To build a resistance
Tolerance
Through or across the skin
Transdermal
~End Vocab~
~End Vocab~
What are the routes of administration based on?
1. Rate of absorption desired
2. Distribution of medication
3. Biotransformation (How the body converts the drug into a form it can use
4. Elimination
~Explain the following routes of administration~
~Explain the following routes of administration~
Oral
By mouth, swallowed in solid or liquid form
Buccal
Meds placed between cheek and gum for absorpion through the mucous membrane in the mouth. Solution, gel, or dis-solvable tablet
Sublingual
Placed under the tongue for fast absorption
Drops
Liquid solution for eyes, ears, nose, or mouth of infants and small children
Inhalation
Breathed in through nose or mouth, delivered by spray or metered aerosol device
Intradermal
Given by shallow angle injection just under the dermis of the skin
Intramuscular
Injected into muscular tissue for delayed absoprtion
Intranasal
Given through the nares
Otic
delivered into ear canal
Rectal
Inserted directly into the rectum, usually in the form of ointment, suppository or dissolvable tablet
Oral medications
Intended for absorption in the small intestine
Topical
Applied directly to the skin
Transdermal
Usually adhesive patch with gel containing time released medication which is applied to the skin's surface
Vaginal
Delivered directly by manual insertion or applicator into vaginal vault in form of ointment or dissolvable tablet
Define prescription
A prescription is a written order prepared by a licensed provider or practitioner authorizing a medication or treatment to be dispensed to the patient for self-administration
What must a prescription have on it?
1. Practitioners name and address
2. Date of issue
3. Pt's name & Address
4. Drug name
5. Dosage form
6. Quantity
7. Directions for use
8. # of refills
9. Line or check indicating whether it should be dispensed as written or if ok to substitute
10. Manual sig of prescriber
What should be included in the medical record for ease of tracking?
A running log of prescriptions with all patient information
What are warning labels?
Labels placed on bottle by pharmacist. Bright colored. MA should emphasize following all warning labels to the patient
~Explain each of the Seven rights of medication administration~
~Explain each of the Seven rights of medication administration~
Right patient
Ask pt to cite his or her full name as well as one other identifier from the chart such as DOB
Right medication
Check the medication to the order and verify the medication at least FOUR times prior to administration
Right dose
Carefully read the medication order to ensure the correct dose and amount of medication is administered
Right route/Method
Ensure the medication is given by the correct route (such as PO, IM, Sub-Q, IV, or PR) as well as utilizing the correct method
Right technique
How the medication is to be administered such as giving an injection in the correct manner
Right time
Care must be given that the correct amount of time elapses between doses of medication taken in a series.
Documentation
the manufacturer's name, lot # , expiration date and how and when administered of the time a medication was given. Time is very important as it helps prevent a second dose being given too soon and causing an overdose.
Right schedule
refers to immunizations that are taken months or years apart
Right documentation
All information regarding the preceding rights should be documented in complete detail, along with any adverse events and instructions, in the patient's record.
What are the four medication checks when giving ANY medication?
1. Compare the medication order with the container when taking the container from storage.
2. Compare the medication order with the container when preparing the medication
3. Compare the medication order with the container before administering the medication.
4 Compare the medication order with the container following administration.
How do you prepare prescription?
Obtain the order from the chart: Verify that the prescription to the written is exactly what is being prescribed. Check all chart info for right pt and compare to the order sheet to make sure they match.
Filling in the prescription fields with that right information?
right drug, right amount, right frequency, right route, and any special instructions.
How to call in prescription?
Verify chart. Ensure accurate prescriptions. Compare pt identifiers and make sure they match. Compare all information on prescription. Ensure the right info is given to pharmacist. Call in the information to the right pharmacist
What do you do once you've called the pharmacy and given them the information?
Have the pharmacist read the prescription back to make sure it's all correct
What needs to happen when there is a medication error?
Notify the prescriber or supervising practitioner at once to determine what steps need to be taken in order to protect the patient
A medication error involves one or more of what? (list)
1. Correct drug to wrong pt
2. Wrong drug to right pt
3. Wrong dose
5. Wrong documentation in pt's chart
6. Drug given wrong route
7. Drug given at the wrong time
What do document in a patients chart when administering the medication?
1. Who ordered the medication and who should take it
2. What medication was administered
3. When the med was administered. Date should be recorded. Check expiration and lot # before administering it
4. Where was the med given or by what route
5. Why the medication was given (the diagnosis)
Abbreviation PRN
As needed
What needs to be documented with medication side effects?
Date, time, type of reaction, med that reaction came from, airway support when applicable, level of care (hospital, ER, office intervention), Outcome of interventions, instructions provided to the pt and family member for further obversation
What routes is the medical assistant permitted to administer medications by unless otherwise started by state law?
Oral, inhaled, topical, rectal, vaginal, urethral, injectable
Explain parenteral
intended for absorption outside the digestive system
What routes do parenteral (non-injectables) include?
Inhalation, nasal, ointments, otic, rectal, topical, transdermal, urethral, vagina
What is one type of inhalation medication should always be available in every medical clinic?
Oxygen
gtt
drop
gtts
drops