Enteral Meds
These medications are given through what route(s)
Intradermal, subcutaneous, intramuscular, intravenous
What are the three parts of a syringe?
Tip, barrel, plunger
True or False: Buccal medication has no first pass effect
True - it gets absorbed into the bloodstream
What types of medications can not be crushed?
Enteric coated and extended release (SR, XL, CR, etc)
Advantages of enteral meds include what
Most common admin, safe, inexpensive, convenient, less invasive, well tolerated
Advantages of Parenteral meds include
Bypass GI tract, rapid onset, easy to give uncooperative/unconscious
What are the three types of syringes?
Regular, insulin, tuberculin
What type of inhaler should not be shaked?
Dry powder inhaler
What type of diseases may cause adverse drug reactions?
Liver and kidney disease
Disadvantages include what?
Must be conscious/cooperative, able to swallow, first pass metabolism, not n/v
Disadvantages include what?
Invasive/uncomfortable, expensive, req additional equipment, req qualified staff, risk of infection/nerve damage
What are the three parts of a needle
Hub, shaft/cannula, bevel
What supplies are needed to apply topical medication?
Gloves, tongue blade, or cotton tipped applicator
Who is at increased risk of toxicity to medications due to metabolism changes?
Infants and elderly adults
What forms do tablets/caplets come in?
Enteric coated, buffered, sustained release (CR, SR, XR, LA, ER)
Date, time, initial when using for the first time. Remove cover and wipe stopper with alcohol.
When choosing a needle size, what must you consider?
Size of muscle, type of solution, amount of adipose tissue, age of client
When administering ear drops, what is the proper techniques for adult vs children?
Adults: up and out. Children: down and back.
When are the three times you must check the medication label with the MAR?
When you pull the medication from its storage location, before you pour the drug out, before you administer the medication
What is the first pass metabolism
When the medication is absorbed in the small intestine and travel to the liver where it may be inactivated
What does it mean to reconstitute a medication?
Mix dilutent into liquid or powder, mix medication thoroughly by rolling vial. Medication is ready once dissolved.
What is the biggest gauge needle/smallest gauge needle?
14G-30G (smaller number=larger size)
A patient is at risk for what when using nasal decongestants greater than 3 days?
Rebound effect - increased congestion
What are the 10 rights of medication administration?
Right client, right medication, right dose, right time, right route, right assessment, right documentation, right education, right to refuse, right evaluation