Medication Administration

Question 1

What oral medications have the slowest absorption methods?

Answer 1

• capsules/caplets
• elixirs
• emulsions
• gels
• lozenges
• solutions
• suspensions
• syrups
• tablets
• tinctures

Question 2

What are examples of topical medications?

Answer 2

• creams
• foams
• liniments
• ointments
• patches
• powders
• sprays
• lotions

Question 3

What are examples of inhalation medications?

Answer 3

• aerosols
• dry powder
• mist
• steam

Question 4

What are examples of otic, ophthalmic, or nasal medications?

Answer 4

• drops
• sprays

Question 5

What are examples of vaginal/rectal medications?

Answer 5

• creams
• foams
• gels
• ointments
• suppositories

Question 6

What are examples of injectable medications?

Answer 6

• liquids
• powders for reconstitution

Question 7

What is the fastest absorption method for medications?

Answer 7

intradermal

Question 8

How should transdermal patches be used?

Answer 8

• don’t use the same application sites
• remove the old patch 30 minutes after applying a new one
• chest, back, abdomen, hip

Question 9

What is buccal?

Answer 9

against the cheek

Question 10

What is sublingual?

Answer 10

under the tongue

Question 11

What is enteral drug administration?

Answer 11

meds through the GI tract

Question 12

What is the parenteral drug administration?

Answer 12

outside the GI tract

Question 13

What is intramuscular injection?

Answer 13

into the muscle

Question 14

What is subcutaneous injection?

Answer 14

under the dermis (fatty tissue)

Question 15

What is intradermal injection?

Answer 15

into the dermis

Question 16

What is intravenous injectin?

Answer 16

into the veins

Question 17

Which injection route is the fastest onset of action?

Answer 17

intravenous

Question 18

How many times should we check medication before giving it?

Answer 18

three times minimum
- taken away from storage container
- when prepared
- before administration

Question 19

What happens when medication is refused?

Answer 19

discard properly and document refusal

Question 20

What are some general rules for drug administration?

Answer 20

• calculate dosage
• don’t leave prepared drug unattended
• only administer the drug you prepared
• physician should be in the office
• have the patient stay to watch for allergic reactions

Question 21

What are the basic rights of medication administration?

Answer 21

• right patient
• right drug
• right dose
• right route
• right time
• right documentation

Question 22

What are additional rights of medication administration?

Answer 22

• right reason
• right to know
• right to refuse
• right technique

Question 23

How are gauge numbers and needle length related?

Answer 23

larger the number, smaller the needle

Question 24

Why does we use different lengths of needles?

Answer 24

• type of injection
• patient size
• amount of fatty tissue
• injection site

Question 25

What is in a vial for parenteral drug?

Answer 25

- liquid - powder (reconstituted) - single or multiple doses

Question 26

What are other packaging for parenteral drugs besides vial?

Answer 26

ampules - break at the neck - requires filtered needle cartridge - pre-measured

Question 27

What is the angle of injection for intramuscular?

Answer 27

90 degrees

Question 28

What is the angle of injection for subcutaneous?

Answer 28

45 degrees

Question 29

What is the angle of injection for intravenous?

Answer 29

25 degrees

Question 30

What is the angle of injection for intradermal?

Answer 30

10 to 15 degrees

Question 31

What does intramuscular go to?

Answer 31

muscles

Question 32

What does subcutaneous go to?

Answer 32

subcutaneous tissue (below dermis)

Question 33

Where does intravenous go to?

Answer 33

in the veins

Question 34

Where does intradermal go to?

Answer 34

in between dermis and epidermis

Question 35

What is intradermal injection for?

Answer 35

- PPD or Mantoux test (tuberculin screening) - allergy testing

Question 36

What is the needle size for intradermal injection?

Answer 36

27G or 28G 3/8inch long

Question 37

What is the typical medication amount given for intradermal injection?

Answer 37

0.01 to 0.05 mL

Question 38

What are the common sites of intradermal injection?

Answer 38

- anterior forearm - mid-back areas

Question 39

What should we advise patients to do for intradermal injections?

Answer 39

- don't scratch - don't use lotions or perfumes

Question 40

What are subcutaneous injections for?

Answer 40

- allergy injections - insulin - immunizations

Question 41

What is the needle size of subcutaneous injection?

Answer 41

- 1/2 to 5/8 inch length - 25G to 26G

Question 42

Where are common sites of injection of subcutaneous injection?

Answer 42

- upper and outer part of the arm - abdominal area - upper thigh

Question 43

What are intramuscular injections for?

Answer 43

- most medications - pain medication - immunization

Question 44

What is the needle size of intramuscular injections?

Answer 44

1-3 inch length - 20G to 23G

Question 45

Where are the common injection sites for intramuscular?

Answer 45

- deltoid - ventrogluteal - vastus lateralis - forsogluteal

Question 46

What should we document for medications?

Answer 46

- route - site - medication - manufacturer - dose - expiration date of medication - lot number of medication - adverse effects