Med Admin

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Author:
Bwaller0016
ID:
108546
Filename:
Med Admin
Updated:
2011-10-12 22:46:05
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Med Adnim
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Med Admin
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  1. What are the 7 Rights?
    Right medication, dosage, route, time, client, documentation, to refuse
  2. What angle do you inject and IM?
    72-90
  3. What angle do you inject a Sub Q?
    45-90
  4. What angel do you inject and intradermal?
    5-15
  5. When you administer and oral med, what do you need to know?
    If patient can follow directions or is able to swallow.
  6. Examples of topical ointments?
    • rectal
    • SL
    • nasal
    • eyes
    • ears
    • on skin
  7. Another term for an injection
    parenteral
  8. When do you use and intradermal?
    • TB testing
    • locals
    • allergy testing
  9. What prevents leaking and staining of SQ tissue
    Z-track
  10. What are examples of solid meds?
    • capsules-pills and tablets
    • suppositories
    • ointment
    • powders
  11. What are solutions?
    • spirits
    • syrups
    • elixirs
    • suspensions
    • lotions
  12. Disadvantages of oral meds
    • bad taste
    • odor
    • slow onset
    • tooth discoloration
    • aspiration
  13. What means under tongue?
    sublingual
  14. What means between gum and cheek?
    buccal
  15. Advantages of sublingual/buccal
    • local effects
    • more potent than oral
  16. Disadvantages of sublingual/buccal
    • under tongue
    • rapid unpredictable absorbtion
    • must stay under tongue
  17. Meds given in rectum or vagina?
    • phenergin
    • nausea
  18. What length needle used in intradermal?
    1/2"-1/4"
  19. What size needle used in intradermal?
    26-27 gauge
  20. How much med administered with intradermal?
    less than 0.5mL
  21. Examples of SQ injections
    Insulin and heparin
  22. Sites for SQ injections
    • outer aspect of upper arm
    • abdomen
    • anterior aspect of the thigh
    • upper back
    • upper ventral or dorsogluteal area
  23. What is administered IM?
    • antibiotics
    • hormones
    • vaccines
    • pain meds
  24. Which is the hip injection?
    ventrogluteal
  25. What are the risks of IM injections?
    nerve damage/blood vessel
  26. What is needed for pt's names?
    • full name with initial
    • id#
    • dob
    • physicians name
  27. order carried out until it is canceled by another order
    Standing order
  28. as needed, as desired order
    PRN order
  29. On time, single order, NOW
    Stat
  30. before meal
    AC
  31. After meals
    pc
  32. twice a day
    b.i.d
  33. 4 times a day
    q.i.d
  34. q.o.d
    every other day
  35. hs
    hours of sleep/at bedtime
  36. h
    hour
  37. OS
    left eye
  38. OD
    right eye
  39. both eyes
    OU
  40. PO
    my mouh
  41. p
    after
  42. Length of SQ needle
    3/8"-1"..... more common 3/8"-5/8"
  43. Size of SQ needle
    25-30gauge... more common 25-27
  44. Length of IM injection
    5/8"-1.5"
  45. Size of IM needle
    20-25 gauge.... 20-23 most common
  46. hollow part of syringe
    lumen
  47. Tip of syringe
    bevel
  48. Fastest distribution in sq
    abdomen
  49. What is the first thing you do after injecting an IM?
    aspirate
  50. Last resort for IM injection
    Dorsal Gluteal
  51. How do you do a ventro gluteal injection?
    palm on greater trochanter, find anterior iliac spine
  52. When do you not massage or aspirate?
    • anticoagulants
    • insulin
  53. Kids IM is done in ____________
    vastus lateralis
  54. Where do you inject on leg
    outer middle third
  55. 1st med check
    Compare chart with order
  56. 2nd check
    med with mar
  57. 3rd check
    at bedside
  58. Hospital has new mar when?
    every 24 hours
  59. Nursing home has new mar when?
    every 30 days
  60. When giving meds, what do you take into the room?
    • Mar
    • meds
    • alcohol wipes
    • pen cup

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