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Drug Calculations
Eyes and Ears and Meds
Abdominal
Intramuscular
Miscellaneous
100
The dosage equation
Ordered/Stock Dosage x stock volume/1
100
After giving ear drops the patient should stay side lying for at least
5 minutes
100
How long do you listen before it is ok to say absent bowel sounds?
5 minutes
100
Why do we aspirate before giving IM shots in certain locations?
To avoid injecting the medication into the bloodstream
100
What is the order for mixing Regular Insulin and NPH insulin?
Air in NPH, Air in Regular, Draw Regular first and draw NPH second
200
Order 10 mg po of Medicine A: Medicine A comes in 5 mg tablets
10 mg/5 mg x 1 tablet/1 = 2 tablets
200
b.i.d.
Twice a day
200
The ph for gastric fluids
1 to 4
200
The preferred site for IM injections is?
The Ventrogluteal site also called gluteus medius/ Place your palm on the greater trochanter of the femur IM shot info given out last night
200
Buccal medication goes where?
Tucked into the cheek and allowed to dissolve
300
Ordered 8 mg po Med B Stock 20 mg/5ml
8 mg/20 mg X 5 ml/1 2 ml
300
Where is sublingual medicine placed
Under the tongue
300
Patients with tube feeding are at a high risk for what?
Aspiration
300
Why does a nurse use the Z track technique?
To keep the medication within the muscle
300
Transdermal patches are absorbed through....
The skin and mucous membrane
400
Ordered 0.5 mg Med C: Stock 0.25 mg tablets
0.5 mg/0.25 mg X 1 tablet/1 2 tablets
400
What part of the eye do we place eye drops on
The lower conjuctival sac
400
Before giving a bolus feeding to a patient a nurse will
Sit patient up (fowlers) Check for placement Check for residual Replace residual Leave patient upright for 30 minutes after feeding
400
IM injections can give up to ____ injections except for the deltoid with is _____
3 ml, 0.5 to 1 ml
400
Intradermal injections will leave a ______ if given correctly.
Wheal or bleb
500
Ordered 50,000 units IM Med D: Stock 100,000 units/ml
50,000 units/100,000 units x 1 ml/1 .5 ml
500
Which route gives the fastest response for medication?
Sublingual.. Think Nitroglycerin Page 849, table 35-5
500
What should a nurse do with a patient who is receiving continuous NG feeding?
Auscultate for bowel sounds, check placement before giving meds, be sure to provide mouth care every 2 hours
500
What are the standard gauge size needle for IM injections? Which is smaller?
21 and 22 22 is smaller for smaller clients Note 23 and 25 can be used for Deltoid muscle. Page 888
500
What information must be within a medication order?
The time and date of the order The amount of the drug The route of administration The frequency of administration Page 851, table 35-1