25 med admin. IV

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Author:
carolyn
ID:
88345
Filename:
25 med admin. IV
Updated:
2011-07-04 16:07:24
Tags:
medsurg
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Description:
medsurg
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  1. the route that most drugs are administered by because of convenience, cost, and safety issues
    oral
  2. route that acts most sloly than other routes
    oral
  3. the oral route is not used for what types of pT's or conditions?
    • -GI intolerance
    • -comatose
    • -NPO status
  4. drugs used in these routes act quickly because of the mucosas thin epithelium and large vascular system, allowing the drug to be absorbed quickly
    • -buccal
    • -sublingual
  5. route given to deliver a drug at or immediatly beneath the point of application and which the vascularity will vary in action
    topical route
  6. route used for drugs to absorb immediately into systemic circulation
    respiratory route
  7. syringe designed especially for use with insulin
    insulin syringe
  8. which size insulin syringe is used for low dose insulin
    1/2 - 3/10 ml
  9. is a prefilled single dose syringe the same as a unit dose?
    NO
  10. what is the calibration for a tuberculin syringe?
    tenths and hundredths of a milliliter
  11. glass containers of a single dose drugs are called
    ampules
  12. glass, single or multiple dose rubber capped drugs are called:
    vials
  13. what are intradermal or intracutaneous injections used for?
    administer local anesthetics, identify allergens, diagnose TB
  14. commonly used sites for ID injection
    • -inner forearm
    • -upper chest
    • -upper back
  15. drug dosage for an ID injection
    0.01-0.1 ml
  16. what size syringe is used for ID injections?
    25-27 gauge w/ 3/8-1/2 inch
  17. injections that put medication betwen the dermis and the subcutaneous tissue
    subcutaneous injection
  18. subcutaneous injection dosage seldom exceeds:
    1.5 ml
  19. injections that promote rapid drug absorption and provide provide another rute for drugs that are irritating to the subcutaneous tissue
    intramuscular injections
  20. 4 common IM sites
    • -dorsogluteal and ventrogluteal (gluteus maximus)
    • -vastus lateralis ( antereolateral thigh)
    • - deltoid (upper arm)
  21. IM injection method most commonly in the ventrogluteal and dorsogluteal muscles
    Z-track (zigzag)
  22. increased circulating fluid volume that results from rapid IV infusion.
    hypervolemia
  23. hypervolemia can cause:
    cardiac overload that leads to pulmonary edema, and cardiac failure
  24. action of pinching IV tubing to see if blood will rush back into the tube if the needle is still in the vein is called:
    flashback
  25. what must be documented when IV therapy has begun?
    • -date
    • -time
    • -venipuncture site
    • -# of attempts
    • -equipment used
  26. why is a blood transfusion given?
    to replace blood loss with whole blood or blood components
  27. what is whole bloods refrigerated shelf life?
    35 days
  28. what is the shelf life of RBC's or plasma if frozen?
    3 years
  29. what does whole blood contain?
    red blood cells and plasma componens of blood
  30. why is whole blood used/needed?
    it is used when all components of blood are needed to restore blood volume and oxygen-carrying capacity of blood
  31. what must done prior to a blood transfusion?
    type and cross match
  32. how long should blood administration begin after it is recieved from the bank?
    30 mins
  33. what are nursing actions if a blood reaction should occur during blood transfusion?
    • 1. stop transfusion
    • 2. keep vein open with 0.9% normal saline
    • 3. notify the physician
  34. what should be done if the tip of the eye dropper should touch any part of the clients eye?
    discard the medication
  35. what does signs of drainage from the ear usually indicate?
    perforated tympanic membrane
  36. this type of rectal medication is used to reduce fever, relieve pain or local iritation, and stimulate peristalsis and defecation in constipated clients
    suppository
  37. if a client is unable to hold a suppository in either the sims or prone position what must a nurse do?
    inform the physician
  38. iodine allergy must be assessed when administering what type of insillation?
    • vaginal instillation
    • (bc of preparations containing povidone iodine)
  39. type of medication that is administered to the skin, eyes, ears, nose, throat, rectum, or vagina
    topical medication
  40. how is a systemic effect prevented with the use of eye drops?
    apply pressure on the inner canthus
  41. rectal suppositories are contraindicated on what type of clients?
    • -cardiac clients
    • -clients recovering from rectal or prostate surgery
  42. Safe medication administration protocol and
    procedure
    R. TRAMPD

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