M6 PII Medication Administration
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| Assess TPN patients periodically by performing? | regular interval finger sticks (blood glucose)
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| Six rights of medication administration | Client, Medication, Time, Route, Dose, Documentation
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| 3-way check on client identification | Ask for full name, check ID bracelet, ask for DOB
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| Administer meds within this time frame | 30 mins prior to 30 mins after scheduled time
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| What is sublingual? | Under tongue
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| What is buccal? | between gums and inner cheek
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| Instillation Route through eyes? | Ophthalmic
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| Instillation Route through Ears? | Otic
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| Instillation Route through Nose? | Nasal
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| What should the patient do BEFORE using a nasal spray? | clear nasal passages
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| Pull down and back on patient ears younger than? | 3 years of age
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| What type of needle is used on Ampules? | Filtered Needle
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| Size of syringe and needle is based on? | Viscosity of solution
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| Which method of medication administration provides the fastest action? | Parenteral
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| What is the nasal route used for? | to shrink the mucosa or administer antibiotics
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| Tablets are mixed with __ ml's of water when administered through NG tube. | 30
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| Flush the tube with __ to __ ml's of water after administration? | 30-50
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| Placement of NG tube is verified by? (hospital setting) | X-Ray
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| This type of medication dissolves at body temperature. | Suppositories
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| With NG tubal meds, suction should not be reconnected for __ minutes. | 30
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| What temperature should ear drops be at when administered? | Room Temperature
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| What are exudates? | buildup around eye
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| How far should the patient hold the inhaler from his/her mouth? | 0.5-1 inch
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| Which syringe holds a total of 1ML? | Tuberculin
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| Name four types of syringes. | Tuberculin, Insulin, 3 ML - 50 ML, Disposable Injection 0.5 ML
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| Intradermal needle length | 3/8 - 5/8 inch
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| Subcutaneous needle length | 5/8 - 1/2 inch
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| Insulin needle length | 1/2 - 5/16 inch
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| Intramuscular needle length | 1 - 1.5 inch
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| Most fully developed muscle in infants | Vastus Lateralis
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| Three signs of fluid overload | Anxiousness, dyspnea, weak and rapid pulse
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| Why is a large vein with rapid blood flow needed for infusion of TPN? | to dilute the solution rapidly
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| Too rapid of TPN infusion can cause? | Hyperglycemia
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| TPN infusion rate should be monitored every __ hours. | 4
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| Blood glucose should be monitored every __ to __ hours during TPN infusion. | 6-8
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| Vital signs every __ to __ hours during TPN infusion. | 4-8
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| Parenteral Nutrition also known as | Hyperalimentation
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| PPN stands for? | Peripheral Parenteral Nutrition
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| PICC stands for? | Peripherally inserted central catheter
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| PCA stands for? | Patient Controlled Analgesia
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| Who programs the PCA pump per physician's order? | RN
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| Medication given directly through Heparin lock is administered by who? | RN
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| Five methods of IV therapy administration | IV Push, IV access device, Intermittent Infusion (piggyback), Continuous, Patient Controlled Analgesia
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| Why must air be injected into vial prior to removal of medication? | to prevent development of vacuum
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| How many ML's can be administered subcutaneously? | 1ML
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| Why is the Z-track method used? | to administer medications that are irritating to the tissues
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| List four IM sites | Gluteal, Vastus Lateralis, Ventrogluteal, Deltoid
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| Injections into the Deltoid muscle must be __ ML's or less | 1
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