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Chap - 8


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