Medication Adminestration

Question 1

What are the 5 Rights and 3 Checks

Answer 1

5 Rights 3 Checks

Question 2

What is the oral route

Answer 2

Easiest and most desirable route Slow rate of absorption Contraindications Assess patient’s ability to swallow Variety of formats: Solids: caplet

Question 3

Oral route nursing considerations

Answer 3

Avoid touching medication with hands/fingers May crush Never crush enteric coated or sustain/time released Dissolve with warm water Cut only scored medications Pour liquid medication at eye level

Question 4

What is sublingual administration

Answer 4

Sublingual Under tongue Readily absorbed Patient instructions

Question 5

What is buccal administration

Answer 5

Buccal Placed against the mucous membranes of the cheek Alternate Patient instructions

Question 6

What are topical medications

Answer 6

Lotions

Question 7

Topical medication nursing considerations

Answer 7

Apply with gloves & applicators Ointments – even but not thick layer Lotions & creams – light layer Ointment – rub gently & firmly into skin

Question 8

What are transdermal patch nursing considerations

Answer 8

Wear gloves – remove old patch

Question 9

What is inhalation medication administration

Answer 9

Readily absorbed Local or systemic effects Bronchodilators

Question 10

Unexpected outcomes of inhalation meds

Answer 10

Rapid

Question 11

What are the types of inhalers

Answer 11

A = Metered dose (MDI) B = Breath-actuated (BDI) C = Dry powder (DPI)

Question 12

What are ophthalmic medications used for

Answer 12

Soothe Dilate or constrict pupils for surgery Treat eye diseases

Question 13

Ophthalmic documentation rules

Answer 13

Document Do not use abbreviations

Question 14

Ophthalmic administration steps

Answer 14

Place drops in conjunctival sac Be sure instilling in correct eye Insert ordered amount of drops

Question 15

What are otic medications used for

Answer 15

Soften ear wax Treat infection Relieve pain

Question 16

Otic documentation rules

Answer 16

Document Do not use abbreviations

Question 17

Otic administration steps

Answer 17

Room temperature Position: affected side up Hold dropper ½” above ear canal Adult – pull ear up & back to 10 o’clock position Kids (under 3) – down and back to 6-9 o’clock position

Question 18

What are nasal medications used for

Answer 18

Decongestion

Question 19

Forms of nasal medications

Answer 19

Spray

Question 20

Important nasal medication teaching

Answer 20

Overuse causes rebound congestion Ensure patient knows number of sprays per dose to prevent overdosing

Question 21

Rectal medication effects

Answer 21

Local effect: defecation Systemic effect: nausea & analgesia

Question 22

Rectal medication contraindications

Answer 22

Contraindicated in patients with rectal surgery or active rectal bleeding

Question 23

Rectal administration steps

Answer 23

Position – left side lying Sim’s position-leg flexed upward Remove from wrapper & apply water soluble lubricant Insert –past internal sphincter against rectal wall do not place into fecal material Instruct to hold 20 min Monitor heart patients

Question 24

Vaginal medication forms

Answer 24

Suppositories

Question 25

Vaginal medication uses

Answer 25

Treat infections

Question 26

Vaginal administration steps

Answer 26

Position – side lying or supine May require the use of an applicator Use aseptic technique and provide frequent perineal hygiene

Question 27

What are parenteral routes

Answer 27

Intradermal (ID) Subcutaneous (SC or SQ) Intramuscular (IM) Intravenous (IV)

Question 28

Parenteral administration responsibility

Answer 28

You are responsible for evaluating patient response regardless if you gave the injection

Question 29

Tips for smooth parenteral administration

Answer 29

Smallest sharp-beveled needle Comfortable position Proper injection site Numbing spray or cream Ask open-ended questions Insert quickly and smoothly; hold steady Insert med slowly and steadily

Question 30

Enteral medication administration considerations

Answer 30

Verify tube placement per policy Assess for gastric residual & bowel function Contraindications HOB 30-45 ° for 1 hr after administration Liquid is the best Crushed tablets – flush before and after; dissolve in 30 ml warm water Capsules – pierce or pull apart

Question 31

Controlled substances and chemotherapy

Answer 31

Controlled substances Chemotherapy - Safe Administration Practices

Question 32

Chemotherapy exposure risk

Answer 32

PO and IV

Question 33

Chemotherapy safety practices

Answer 33

Store in designated area Wear gloves designated as chemo safe

Question 34

Chemotherapy spill and home therapy

Answer 34

Spill kit Home therapy Double flush toilet Home therapy