Administration Routes

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Author:
blierman
ID:
65108
Filename:
Administration Routes
Updated:
2011-02-08 21:04:06
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Routes Administration
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Description:
Factors Influencing Choice of Administration Routes
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  1. Five Advantages for Oral, Buccal, Sublingual Administration
    • 1. Convenient and comfortable for client
    • 2. Economical
    • 3. Easy to administer
    • 4. Often produce local or systemic effects
    • 5. Rarely cause anxiety for client
  2. Five Disadvantages/Contraindictions for Oral, Buccal, Sublingual Administration
    • 1. Avoid when client has alterations in GI function, reduced motility, and surgical resection of GI tract
    • 2. Some clients cannot swallow (i.e., coma clients, confused)
    • 3.Gastric secretions destroy some medications
    • 4. Some medications can irritate lining of GI tract, discolor teeth, or taste bad
    • 5. NPO for surgery or some testing
  3. Three Advantages for SubQ, IM, IV, and ID Routes
    • 1. Provides means of admin when oral meds are contraindicated
    • 2. More rapid absorption than oral or topical
    • 3. Provides delivery when client is critically ill or long term therapy is necessary
  4. Six Disadvantages/Contraindications for SubQ, IM, IV, and ID Routes
    • 1.Risk of infection
    • 2. Pain with repeated needle sticks
    • 3.SubQ, IM, and ID routes avoided in clients with bleeding tendencies
    • 4. Risk of tissue damage with SubQ
    • 5. IM and IV have higher absorption rates, placing client at higher risk for reactions
    • 6. Often cause anxiety
  5. Three Advantages to Skin Administration
    • 1. Primarily provides local effect
    • 2. Painless
    • 3. Limited side effects
  6. Two Disadvantages/Contraindications for Skin Administation
    • 1.Clients with skin abrations are at risk for rapid medication absorption and systmic effects
    • 2.Medications slowly absorbed through the skin
  7. One Advantage to Transdermal Administration
    1. Prolonged systemic effects with limited side effects
  8. One Disadvantage/Contraindication to Transdermal Administration
    1. Leaves oily or pasty substance and sometimes soils clothing
  9. Three Advantages to Muscous Membrane Administration
    (includes eyes, ears, nose, vagina, rectum, and ostomy)
    • 1. Therapeutic effects provided by local application to invloved sites.
    • 2. Aqueous solutions readily absorbed and capable of causing systemic effects
    • 3. Potential route of administration when oral medications are contraindicated.
  10. Four Disadvantages/Contraindications to Muscous Membrane Administration
    (includes eyes, ears, nose, vagina, rectum, and ostomy)
    • 1. Muscous membranes are highly sensitive to some medication concentrations
    • 2. Client with ruptured eardrum cannot receive irrigations
    • 3. Insertion of rectal and vaginal medication often causes embarrassment
    • 4. Rectal suppositories contraindicated if client has had rectal surgery or if active rectal bleeding is present.
  11. Two Advantages to Inhalation Administration
    • 1. Provides rapid relief for local respiratory problems
    • 2. Used for introduction of general anesthetic gases
  12. One Disadvanage/Contraindication fo Inhalation Administration
    1. Some local agents cause serious systemic effects.
  13. Sublingual Administration
    Placed under the tongue to dissolve. Cannot drink anything until medication is competely dissolved. Do not chew medication
  14. Buccal Administration
    Placing the solid medication in the mouth and against the mucous membranes of the cheek until the medication dissoves. Teach client to alternate cheeks with each dose. Do not chew or swallow medication. Do not take with liquid.
  15. Parenteral Administration
    • involves injecting a medication into body tissues.
    • Intradermal (ID)
    • Subcutaneous (Sub-Q)
    • Intramuscular (IM)
    • Intravenous (IV)
  16. Intradermal Administration
    Injection into the dermis just under the epidermis
  17. Subcutaneous Administration
    Injection into tissues just below the dermis of the skin
  18. Intramuscular Administration
    Injection into the muscle
  19. Intravenous Administration
    Injection into the vein

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