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Chap - 8
PharmacologyHSC1149
Question | Answer |
---|---|
route medications are administered more than any other route | gastrointestinal |
includes oral, nasogastric tube, gastric tube, & rectal | GI administration route |
includes: convenience/patient comfort, safety (meds can be retrieved in case of error/intentional overdose), economy (few equipment costs) | advantages of oral administration |
includes: slower onset of absorption/action, rate/degree absorption vary w/GI motility, cannot be used w/nausea/vomiting, dangerous w/dysphagia because of possible aspiration, cannot be used if patient unconscious or NPO | disadvantages of oral administration |
sometimes ordered when patient unable to swallow | nasogastric (NG) tube administration |
includes: ability to bypass mouth/pharynx when necessary & elimination of numerous injections | advantages of NG tube administration |
when a patient is conscious an NG tube administration of medication can cause __ of tube in nose/mouth for prolonged periods of time | discomfort |
if patient unable to take nourishment by mouth for a very extended period of time, sometimes a __ __ is inserted through skin of abdomen, directly into stomach | gastric (G-)tube |
sometimes called a peg tube | G-tube |
when nausea/vomiting present, or patient unconscious/unable to swallow medications are sometimes administered via the | rectal route |
includes: bypassing action of digestive enzymes, avoidance of irritation to upper GI tract, & usefulness w/dysphagia | advantages of rectal route administration |
includes: many meds unavailable in suppository form, difficulty retaining suppository, irritation to mucous membranes, & absorption may be irregular/incomplete | disadvantages of rectal route administration |
when a patient vomits approx. 20 mins. after taking a prescribed medication the health care worker should | report to person in charge |
when preparing to administered liquid meds, health care workers should hold med. cup at __ __ before pouring | eye level |
when the meds in syringe is emptying, during administration of meds via NG tube, the health care worker must | flush the tube with water |
once the patient's ID band has been checked, the health care worker should | call patient by name and explain the medication's actions |
when administering oral medications, it is preferable that the patient is offered __, to swallow the medication | water |
GI contents & motility affect the __ & __ of medication absorption | rate; degree |
the 1st thing health care providers should do before administering any oral medications | wash their hands |
when administering an oral medication, via syringe, the syringe should be placed in the | pocket between cheeks & gums |
timed-release capsules & enteric-coated tablets should never be __ or __ prior to administration | crushed; opened |
when a patient refuses to take a prescribed medication, the 1st action a health care worker should take is to | determine the reason for refusal |
if a patient is receiving several medications, the health care worker should give the __ __ medication first | most important |
if a patient is NPO for a diagnostic procedure, & has several oral medications prescribed qd, the health care worker should administer medications | after the test is completed |
when preparing to deliver medication via NG tube, it is essential that the correct __ placement is verified prior to administration | tube |
a retention enema must be retained for approximately 30 minutes in order for | absorption of medication |
a health care worker should open a unit-dose medication packet when | actually with the patient |