NCHP > TOPICAL ADMINISTRATION > Flashcards

TOPICAL ADMINISTRATION Flashcards

(48 cards)

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1
Q

Where can you administer topical medications?

A

Skin, nasal, eye, ear, vaginal, rectal

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2
Q

SKIN APPLICATIONS
-What are the types of medications?

A

Lotion, paste, or ointment

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3
Q

SKIN APPLICATIONS
-What is the FIRST thing you will do?

A

Clean the skin

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4
Q

SKIN APPLICATIONS
-What do you want to use while administering?

A

Gloves & applicators

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5
Q

SKIN APPLICATIONS
-What do you do if a patient has an open wound?

A

Use sterile technique

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6
Q

SKIN APPLICATIONS
-Explain the process

A
  1. Place medication on a gauze pad
  2. Apply with gauze (DO NOT put tube directly on skin)
  3. Follow directions for each type of medication
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7
Q

SKIN APPLICATIONS: Transdermal Patches
-What should you do FIRST?

A

REMOVE the old patch while wearing clean gloves

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8
Q

SKIN APPLICATIONS: Transdermal Patches
-Explain the process

A
  1. Clean the area where you will apply the patch
  2. Document the removal of the patch & the location of the new patch in the MAR
  3. Apply a label to a clear patch that is difficult to see –> put the date, time, and your initials on the patch before applying
  4. Apply the patch
  5. Choose a different area each day
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9
Q

SKIN APPLICATIONS: Transdermal Patches
-How should the area of skin that you are applying the patch to be?

A

Clean, dry, hairless skin

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10
Q

SKIN APPLICATIONS: Transdermal Patches
-Where should you NEVER place a patch?

A

On skin that is irritated, scarred, burned, broken, or calloused

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11
Q

NASAL INSTILLATION
-BEFORE administering anything, what should you assess the nose for?

A

Irriation/sinus issues

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12
Q

NASAL INSTILLATION
-What do you instruct the patient to do FIRST?

A

Blow/clear their nose unless contraindicated

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13
Q

NASAL INSTILLATION
-How should you position your patient?

A

Supine position

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14
Q

NASAL INSTILLATION
-If you want to access the posterior pharnyx, how should you position their head?

A

Tilt head backward

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15
Q

NASAL INSTILLATION
-If you want to access their ethmoid or sphneoid sinuses, how should you position their head?

A

Tild hear back OVER the bed or place & pillow under the shoulder

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16
Q

NASAL INSTILLATION
-If you want to access the frontal & maxillary sinuses, how should you position their head?

A

Tilt the head back over the bed with their HEAD TURNED toward the side to be treated

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17
Q

EYE INSTILLATION
-What do you want to do BEFORE administering anything?

A

assess & clean the eyes with tissue

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18
Q

EYE INSTILLATION
-Explain the process

A
  1. Pull down the lower eyelid
  2. Instill medication into lower conjuctival sac
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19
Q

EYE INSTILLATION
-What should you avoid doing?
-Why?

A

-Touching the eyelids with droppers or tubes
-to decrease risk of infection

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20
Q

EYE INSTILLATION
-Where should you apply the medication?

Study These Flashcards
A

ONLY on the affected eye

21
Q

EYE INSTILLATION
-What are you going to do after instilling an ointment?

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A

Rub gently the closed lid in a circular motion

22
Q

EYE INSTILLATION
-How long should you wait before administering eye drops/ointment in the same eye?

23
Q

EYE INSTILLATION
-If the patient is going home, what should you teach them?
-What do you want them to do, why?

Study These Flashcards
A

-How to self-administer
-Teach back; to assess ability

24
Q

EYE INSTILLATION: Intraocular instillation
-what does the disk resemble?

Study These Flashcards
A

A contact lens

25
**EYE INSTILLATION**: *Intraocular instillation* -Where should you place the disk?
Into the conjuctival sac between the iris and lower eyelid (NOT ON CORNEA)
26
**EYE INSTILLATION**: *Intraocular instillation* -What should you teach the patients about?
Handwashing prior & how to insert and remove the disk
27
**EYE INSTILLATION**: *Intraocular instillation* -What are the adverse effects?
Pain at site, conjuctival hemorrhage, pruritus
28
**EAR INSTILLATION** -What do you FIRST want to do?
Assess & clean outer ears with washcloth
29
**EAR INSTILLATION** -What do you want to make sure that you are wearing?
Clean gloves
30
**EAR INSTILLATION** -What should you check for?
Eardrum rupture if patient has ear drainage
31
**EAR INSTILLATION** -Explain the procedure
1. Warm ear drops to room temperature 2. Instill ear drops 3. Have the patient lay on side for 5 minutes
32
**EAR INSTILLATION** -How are you going to pull the ear for anyone older than 3?
Pull it up and back
33
**EAR INSTILLATION** -How are you going to pull the ear for those younger than 3?
Pull it down and back
34
**EAR INSTILLATION** -What should you always use?
Sterile solutions
35
**EAR INSTILLATION** -What should you teach the patient if they need to continue the ear drops?
How to self administer
36
**VAGINAL INSTILLATION** -What are the types of instillations?
Suppositories, foams, gels, creams
37
**VAGINAL INSTILLATION** -Where should suppository medications be kept?
In the refrigerator
38
**VAGINAL INSTILLATION** -What do you want to ask the patient to do FIRST?
To urinate
39
**VAGINAL INSTILLATION** -When is the best time to perform this?
During the evening so they are not getting in and out of bed
40
**VAGINAL INSTILLATION** -Explain the process
1. Provide privacy 2. Position them in the dorsal recombent position 3. Use gloves & an applicator to instill medication
41
**VAGINAL INSTILLATION** -What may the patient prefer to do?
Self-medicate
42
**RECTAL SUPPOSITORIES** -What do you need to ask the patient FIRST?
If they have GI problems and when their last BM was?
43
**RECTAL SUPPOSITORIES** -Where should rectal suppositories be kept?
In the refrigerator
44
**RECTAL SUPPOSITORIES** -Explain the process
1. Place the person in LEFT lateral side lying position 2. Assess the reactal area & surrounding skin 3. Lubricate suppository & your GLOVED index finger 4. Insert the suppository into the rectum with the pointed end going first 5. Wipe the rectum and instruct them to stay on their side for 5 minutes
45
**RECTAL SUPPOSITORIES** -Insert how many inches for adults?
4 in
46
**RECTAL SUPPOSITORIES** -Insert how many inches for a child?
2 in
47
**RECTAL SUPPOSITORIES** -How long does it take for the effect to occur?
30-60 minutes after insertion
48
**RECTAL SUPPOSITORIES** -What should you do after?
Return for assessment
NCHP
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