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Ch 43
Assisting with Meds
| Question | Answer |
|---|---|
| Adverse effect | dangerous or unwanted side effect of a med |
| alternative remedies | herbal or other"natural" products that do not require a physicians prescription |
| anaphylaxis | severe allergic reaction that occurs rapidly and causes a life threatening response involving whole body |
| antigen | substance (usually a protein) that the body recognizes as foreign and that can evoke an immune response |
| blister pack | transparent moulded piece of plastic with multiple compartments, sealed to a sheet of cardboard with a foid backing, used to package individual dose meds |
| a blister pack is also referred to as__________________ | bubble pack |
| distribution | path the drug takes from the bloodstream to body tissues of the intended site of action |
| dosette | container that stores meds in separate compartments arranged by day or hour |
| a dosette is also referred to as a ________________ | pillbox |
| drug antagonism | an unusually weak drug effect that occurs when two plus drugs are taken at the same time |
| drug interaction | combined action that a med and other substance (drug, alcohol, food) has on body |
| drug synergism | unusually strong drug effect that occurs when taking two plus drugs at the same time |
| excretion | exiting the body, esp thru stool, urine, lungs, skin |
| generic name of a drug | the name given to a drug approved by health Canada |
| generic name of a drug is also referred to as the _________________ | official name |
| medication | drug or other substance used to prevent or treat disease or illness |
| metabolization | chemical reactions that take place to convert a drug from smaller molecules into waste products before it can exit the body |
| metered dose inhaler (MDI) | pressurized canister of meds that releases a single dose of meds into mist |
| over the counter (OTC) meds | meds that can be bought without a dr prescription |
| polypharmacy | the use of more meds by a client than is medically required |
| prescription (Rx) meds | meds that are prescribed by a dr and dispensed by pharmacist |
| route | how meds enter and are absorbed by body |
| side effects | response to meds that occurs in addition to the intended/ main response |
| therapeutic effect | causing a desired, positive effect in the body |
| trade name of drug | name given to a drug by manufacturer |
| the trade name of the drug is also referred to as ___________________ | the proprietary name |
| self directed medication management | taking your meds independently |
| PSWs may be ___________________ for assisting a client taking meds | responsible |
| assisting a client with meds is the same as administering meds t/f | f; assisting means to help, administering means to give |
| assisting a client with meds is strictly a ______________________, which means you perform the function clients would normally perform with their own hands and feet to obtain meds | mechanical function |
| administering meds involves ________________ meds or getting them into a persons body | measuring |
| administering meds is ____________________ of a PSW, however may be a controlled act delegated if circumstances are right | beyond the scope of practice |
| it is the PSW's employers responsibility to ensure formal training, supervision and monitoring by registered staff when administering meds is delegated t/f | t |
| it is the PSW's responsibility to ask questions for clarification and to safely follow instructions given when delegated the controlled act of administering meds t/f | t |
| the PSW is not ultimately responsible for meds that you assist the client with because you are not a regulated health care worker t/f | f; PSW are responsible |
| always heck the care plan to know how much assistance the client needs with meds t/f | t |
| PSW's in retirement homes and home care do not assist with meds as a duty t/f | f; those are places that assisting with meds may be in the job description |
| assisting with meds must be specifically part of the PSW's job description and within their _____________________ in their province | scope of practice |
| depending on the province a nurse / RPN / registered psychiatric nurse must teach a PSW how to assist with meds t/f | t |
| PSW should ensure that they are clear about what their duties include and that they are have been taught how to perform each of the tasks that they are expected to do t/f | t |
| oxygen therapy is not considered a drug so PSW's need no special training to assist a client with it t/f | f; oxygen therapy is considered a medication and has potential to be very dangerous |
| PSW role may include reminding a client to take their meds and bringing medication container to the client t/f | t |
| PSWs may be asked to bring prepoured meds, prefilled syringes, blister packs or dosettes to a client t/f | t |
| if a client can not read the prescription label, you must get a nurse to help because helping is outside your scope of practice t/f | f; PSW's may assist with reading medication bottles if clients cant |
| loosening/ removing container lids or opening blister packs is a role a PSW can do t/f | t |
| PSW's may be expected to ___________ the dosage on the medication label with the clients __________________________________ | check, medication admin record |
| PSW's may provide ____________________ as needed with medications | water or other fluids |
| PSW's can ________________ as the client places the meds into their hand/ spoon/cup | supervise |
| PSW's may not steady the hand of a client while they place meds or administer eye drops and nasal sprays t/f | f; that is a role the PSW may serve |
| its important PSW's document the clients MAR the meds given as per ________________________ | employer policy |
| PSW's are responsible for monitoring the outcome of drug therapy t/f | f; dr's, nurses or case managers are responsible |
| PSW's must ___________ and ________________ any changes in clients behaviour or condition after a drug is given | observe, report |
| _______________ or _____________ teach clients about the meds they have been prescribed | nurses, pharmacists |
| what 5 things should a client be able to know after being taught about the meds they are prescribed? | 1) know how to take meds accurately 2)know desired effects 3)know when and how to take meds 4)know any adverse effects to watch for 5)know foods/ meds to avoid |
| if a client doesn't know the 5 things they should have been taught after meds are prescribed, its important to take their meds away t/f | f; notify your supervisor if the client doesn't know the important facts of taking their meds |
| if a client can not fill their dosette, its important the PSW do so t/f | f; its is not a PSW's responsibility, a nurse or family member may do so |
| before assisting with meds always check the ___________ which should list any meds the client is _______________ to | MAR, allergic |
| medic alert bracelets indicate _____________________________ | any drug allergies |
| meds can __________ illness and pain or _________________ health or ______________ illness | treat, promote, prevent |
| an example of a medication treating illness and pain would be _________________ | ibuprofen |
| an example of a medication promoting health would be _________________ | stool softener |
| an example of a medication preventing illness would be __________________ | antibiotics |
| PSW's are responsible for assisting or administering injections and IV meds t/f | f; that is outside scope of practice and a controlled act. PSW's are not responsible for assisting or administering injections or IV's |
| ____________ and ___________________ are necessary to ____________ the drug so that the body can rid itself of the remaining materials | absorption, distribution, metabolize |
| metabolization of medications often happens in the kidneys t/f | f; usually the liver |
| the body excretes metabolized medication waste product through stool or ___________________ | urine |
| drug synergism could cause the client to become extremely ___________, __________________ or ___________________ | drowsy, hyperactive, nauseated |
| an example of _____________________ is a client taking an antihistamine when a narcotic is active in their system which will make the client much more drowsy | drug synergism |
| when combined drugs can effect the clients ________________ or _____________________, so be careful when assisting with multiple drugs | heart function, blood pressure |
| an example of ___________________ is an antacid might prevent an antibiotic or birth control pill from being absorbed in the stomach | drug antagonism |
| clients on prescribed meds should not consume ________ or take ___________ without first consulting a dr, pharmacist or nurse | alcohol, OTC meds |
| route: oral (solid/ semi solid) form: capsule description:________________________________________ | small gelatin containers that hols meds |
| route: _______ form:lozenges description: flat discs containing meds in flavoured base; held in mouth, dissolved and meds slowly released | oral (solid/ semi solid) |
| route:oral (solid/ semi solid) form:_____________ description:dry, powdered meds formed into hard discs/ cylinders | tablets |
| sublingual | meds placed under the tongue and dissolved or absorbed into the body |
| if the route of meds is oral they can be ______ or _____________ or __________________ | solid , semi solid, liquid |
| oral meds are taken by injection t/f | f; taken by mouth |
| route:oral (liquid) form: __________________ description: meds dissolved in liquid containing alcohol/ water/ flavouring | elixirs |
| route: oral (liquid) form: suspensions description:___________________________________________ | meds suspended in liquid that should be shaken/ stirred before use |
| route:_________________ form: syrups description: meds dissolved in concentrated sugar solution | oral (liquid) |
| route: topical (applied to skin or mucous membrane) form:________________ description: semi solid material containing meds: contained to the area they are applied | ointments/ creams |
| route:topical (applied to skin or mucous membrane) form:___________________ description: meds on sm disc/ patch that is applied to unbroken skin; absorbed into bloodstream thru skin over 24 hr period | trans dermal discs/ patches |
| route:_____________________ form: suppositories (rectal/ vaginal) description:solid form meds for insertion into rectum/ vagina; body temp causes it to dissolve and meds released/ absorbed by mucous membrane | topical (applied to skin or mucous membrane) |
| route: eye/ ear/ nose form :____________________ description: liquid form of meds in special container that allows on drop to be administered | drops |
| route:parenteral (injected) form:liquid for injection description:_____________________________ | liquid form of meds injected by syringe; may be injected into muscle, vein, under skin |
| syringe | consisting of a plastic tube filled with medication, a plunger and an attached needle |
| intramuscular | injection into muscle |
| intravenous | injection into vein |
| subcutaneous | injection into under skin |
| route: inhalation (breathed in thru the mouth/ nose) form:____________ description: meds particles suspended in air/ gas inhaled into lungs; admin through MDI | aerosols |
| MDI | metered dose inhaler |
| metered dose inhalers are also referred to as ________ or ___________ | puffer, inhaler |
| MDI's with holder chambers are encouraged with clients who are very _______, old or ___________ | young, frail |
| use of holding chambers for MDI's are preferred as they _________________ the meds from landing on the tongue or tasting the meds | prevent |
| its important to follow the supervisors guidelines for assisting clients with meds t/f | f; follow employer guidelines |
| always _________________ and work in a _______ environment, away from any distractions | wash your hands, well lit |
| review the care plan with another PSW before assisting the clients with meds t/f | f; review with supervisor |
| know the correct ________ of __________ medication | dose, each |
| bring the right meds container to the client and read the label carefully, comparing both labels with care plan and MAR t/f | t |
| its ok to leave meds on clients bedside table for easy reach t/f | f; do not leave meds on clients bedside table |
| after placing meds in a clients hand, provide for privacy as per DIPPS t/f | f; do not assume the client will take meds correctly, remain with the client until meds have been taken |
| if the client knows what the container contains, its ok to let them take their meds from an unlabelled bottle t/f | f; never let a client take meds from a container with no lablel or is unreadable |
| notify your supervisor of ___________ or ______________ meds | expired, deteriorated |
| if you notice meds are running low, tell the client, family or your supervisor t/f | t |
| check with the supervisor before discarding any __________ meds | unused |
| if a client has questions about the meds, finish assisting them with the meds and then call your supervisor t/f | f; stop immediately, do not assist, call your supervisor asap |
| report these 4 things to your supervisor: | 1)client doesn't take meds 2)client doesn't understand why they are taking meds, dosage or schedule 3)client refuses/ forgets/ omits meds 4)adverse effects are observed |
| if your client forgets a dose, assist them with a double dose t/f | f; never give a double dose if a dose is missed, contact supervisor |
| report these 5 things to your supervisor if your client: | 1)wants meds not on MAR/ care plan 2)wants to take meds not in dosette 3)is taking any nonprescription drugs/ alcohol 4)c/o drugs not working 5)wastes meds |
| _____________ and ______________ if a med has not been taken or has been omitted. explain why | report, record |
| report suspected ________________ to your supervisor | polyphamacy |
| _______________ usually not considered part of conventional medicine | alternative remedies |
| its important to assist clients with any medications they are taking, including alternative remedies to show respect for their beliefs t/f | f; assist only with meds in care plan. notify your supervisor if a client requests help with meds not in care plan |
| clients may request the PSW purchase or obtain OTC meds or alternative remedies for them, its important to refuse firmly and contact your supervisor t/f | t |
| meds can have ___________, ______________ or ____________ effects according to ____________ in the body the meds work | topical, local, systemic, where |
| ___________ are classified as to how they work | drugs |
| in some clients most drugs may cause ______________ or ______________ | nausea, vomiting |
| PSW's must check with their supervisor to find out if there are any specific observations that must be made for a particular client taking a specific med t/f | t |
| drug classification: Alzheimer's disease meds drug action;_______________ eg: donepezil hydrochloride (aricept) obs/ resp: RE nausea, diarrhea, vomiting, muscle cramps. client may be fatigued easily | treat mild to moderate symptoms of Alzheimer's disease |
| drug classification: analgesics (non narcotic) drug action; relieve mild to moderate pain eg: acetaminophen (Tylenol) ob/resp:________________________________ | might cause stomach ache; often instructed to take with food |
| drug classification: analgesics (narcotic) drug action: relieve severe pain eg: _______________________ ob/ resp: report excessive drowsiness, constipation | acetaminophen 325 mg; caffeine and codeine 30 mg (Tylenol 3) |
| drug classification: _____________ drug action: relieve heart burn eg: calcium bicarbonate (Tums) ob/ resp: not taken within 2 hrs of another med; interferes with absorption | antacids |
| drug classification: antianginals drug action: relieve anginal chest pain eg: nitroglycerine (nitrostat) ob/resp:________________________ | may cause dizziness in client; wear gloves while handling some of these to avoid headache |
| drug classification: antianxiety meds drug action: ________________ eg: lorazepam (ativan) ob/resp: may cause drowsiness/ sleepiness. client should avoid driving | reduce anxiety |
| drug classification: antibiotics drug action: eliminate/ reduce harmful bacteria eg: ampicillin (novi ampicillin) ob/resp:___________________________ | check for diarrhea, vomiting, some clients may experience bitter after taste. ensure client finishes entire course prescribed unless pharmacist advises otherwise |
| drug classification: anticoagulants drug action: reduce blood clotting eg: warfarin (coumadin ob/ resp: _______________________ | make sure clients more prone to bruising/ bleeding; they must use care when brushing teeth or shaving. report bruises on body, blood in urine |
| drug classification: _______________ drug action: reduce seizures eg:phenytoin sodium ( dilantin) ob/resp: make sure mouth care done often; thickening of gums may cause tenderness | anticonvulsants |
| drug classification: anti emetics drug action: reduce nausea/ motion sickess eg:_________________ ob/ resp: clients requires good mouth care to eliminate mouth sores/ odour | scopolamine (transderm-V) |
| drug classification:___________________ drug action: reduce BP eg:ramipril (Altec) ob/resp: client should get up slowly to avoid dizziness/ light headedness | antihypertensives |
| drug classification: antiparkinsons agents drug action: reduce symptoms of parkinsons eg: levdopa-carbidopa (sinemet) ob/resp:________________________________ | report dizziness, pain, drowsiness, irritability |
| drug classification: anti psychotics drug action:________________________ eg: haloperidol (haldol) ob/resp: watch for hand tremors/ diziness; notify nurse if you see any grimaces | reduce psychosis, severe agitation, severe vomiting/ hiccups |
| drug classification: antitussives drug action: liquefy phlegm, making it easier to cough eg: dextromethorphan (robitussin DM) ob/resp:_____________________________ | should be taken after other drugs; clients should not drink fluids for 10-15 mins to allow drug absorption into throat tissue |
| drug classification:___________________ drug action: reduce virus reproduction eg: acyclovir (Zovirax) ob/ re:report headache and nausea | antivirals |
| drug classification: broncho dilators drug action: reduce spasm in breathing passages eg: salbutamol (ventolin) ob/resp:_____________________________________________ | watch for dry muoth. may cause shakiness and tremors in hands and increased heart rate |
| drug classification: decongestants drug action: reduce nasal congestion eg: pseudophedrine (sudafed) ob/ resp:_______________________________________ | may cause dry mucous membranes and rebound congestion (congestion gets worse after drug wears off) |
| drug classification: diuretics drug action: _______________________________ eg: furosemide (lasix) ob/resp: depending on drug, some clients must eat more K rich foods; more freq U may occur | lower blood pressure and body swelling by increasing urinary output |
| drug classification:__________________________ drug action: improve insulin production in body eg: glyburide (diabeta) ob/resp: report nausea, vomiting, diarrhea, dizziness, weakness | hypoglycemia agents |
| drug classification: laxatives drug action: help with BM eg: bisacodyl (dulcolax) ob/resp:____________________________________________ | may cause diarrhea; encourage plenty fluids and high fibre diet to reduce need for laxatives |
| drug classification:_________________________________ drug action: reduce pain that comes with swelling eg: ibuprofen (motrin) ob/resp: may cause upset stomach. so should never be taken on empty stomach | nonsteroidal anti inflammatory drugs (NSAID) |
| drug classification: thyroid replacements drug action:_______________________________________ eg: levothyroxine sodium (eltroxin) ob/ resp: report menstrual irregularities, nausea or vomiting | make up for lack of natural thyroid |
| factors that effect drug actions in the body inc: | 1)age 2)body size 3)sex 4)genetic factors 5)emotional state 6)physical condition |
| young children, older adults may _______, ____________, __________ and ________ drugs differently from the way young adults do because their digestive organs may not be efficient enough | absorb, distribute, metabolize, excrete |
| a dose of meds in a ______________ adult might be an over dose in a ___________ adult of the same age because drug level would be more concentrated in the _______________ person | large, small, smaller |
| some drugs may be stored in the adipose tissue which could lead to a build up of that drug in the body over time t/f | t |
| drugs dont affect males and females differently t/f | f; they do affect them differently because of size, hormones and muscle mass |
| some people have an ________________ tendency to react to certain meds | inherited |
| severe ______________ will usually cause a persons HR and BP to change, which may in turn change the way a drug is absorbed, metabolized and excreted | emotion |
| certain diseases will affect how well a drug is absorbed, distributed, metablized or excreted t/f | t |
| a med may be ordered because of its side effect on someone t/f | t |
| many __________________ are predictable ad harmless but some can be _________________ or _______________ causing the dr to stop the meds being used | side effects, serious, harmful |
| antibodies | chemicals released by the body that fight and attack drugs when they cause an allergic reaction |
| antibodies attack ____________________ | antigens |
| mild drug allergy symptoms inc: | skin rashes, swelling, puffiness, nasal drainage, itchy eyes |
| moderate drug allergy symptoms inc: | fever, wheezing, extreme weakness, nausea, vomiting |
| severe drug allergy symptoms inc: | anaphylactic shock, severe low BP, cardiac arrest |
| anaphylactic shock takes minutes to happen t/f | f; can take seconds |
| anaphylactic shock is an _________ and the ____________ must be activated immediately | emergency, EMS |
| its the role of the PSW to perform complex drug calculations t/f | f; its the role of the nurse. PSW may perform simple calculations when the assist with meds, usually involving prn meds |
| insulin is ordered on a ____________________; the amount of insulin given is based on clients blood sugar results | sliding scale |
| PSW's can trust their own instinct when doing calculations t/f | f; always check with supervisor to make sure the calculations are correct |
| clients med needs and your responsibility are detailed in the __________ and clients ___________ | care plan, MAR |
| the MAR always contains: | 1)clients name 2)name, dose, admin instructions for each med 3)place to sign or initial after admin the med |
| the MAR may contain: | 1)clients allergies 2)expected adverse effects 3)special instructions |
| in facilities, a ________ is responsible for signing or installing the MAR, which may be printed out daily for each client | nurse |
| in ____________ settings, the MAR is kept only when necessary to track specific meds and dosages, if MAR is used its kept in the home | community |
| in community setting, a ________________ signs the MAR if they administer the meds, or the ____________ signs the MAR if they self administer | nurse, client |
| PSWs may need to fill out the MAR if the client is physically incapable of doing so t/f | t |
| the rights of assisting with meds inc: | 1)right med 2)right person 3)right dose 4)right route 5)right time 6)right day 7)right reason 8)right expiry date 9)right documentation |
| when meds are taken in liquid form, the dose may be measured in _____________________ or ____________________ or_________________ | imperial(ounces), metric(mL), household (tsp, tbsp) |
| its acceptable for clients to use household tsp measurements when the prescription calls for ml t/f | f; only use the measurement form the prescription calls for |
| ensure the client uses measuring spoons and cups and not their household spoons t/f | t |
| its not important for meds to be taken at the exact time required t/f | f; must be taken at correct time to be effective |
| make sure meds are not taken: | 1)wrong time of day 2)too close to meals 3)too far from meals 4)too close to other meds |
| when meds are required to be taken on an empty stomach, the appropriate time to wait before or after a meal is 30 min t/f | f; 1 hour before meals, two hours after meal |
| tell your supervisor if there is evidence of ________________ from client about taking pills | confusion |
| if you are going out with the client at the time their meds must be taken, take them prior to leaving the house t/f | f; bring meds with you to continue taking the meds at correct time |
| meds must be taken for the right reason, report to your supervisor any medication use that makes it seem the client is unaware of the risks of taking certain meds incorrectly t/f | t |
| if you have doubts about the expiry date of meds you are assisting with, throw them away and get new ones t/f | f; report to your supervisor before assisting with meds. expired meds could lose their potency or become toxic through chemical changes |
| if you have any questions about documentation, you need to ask another PSW for clarification t/f | f; ask your supervisor |
| regulations state that the info required on med labels must inc: | 1)prominently displayed 2)easy for purchaser to understand 3)expressed in plain language 4)graphics/ txt can not impede clarity of info 5)brand name assessment to help consumers not confuse two drugs |
| report drug errors by ______ or _________________ immediately | you, someone else |
| it is your responsibility to access the situation and decide next course of action t/f | f; your supervisors responsibiity |
| ____________________ to report a med error could result in immediate ___________________ or civil action | deliberate failure, dismissal |
| medication errors can be the result of : | 1)problems with technique 2)omission 3)incorrect documentation 4)failure to follow a "right" |
| if there is a medication error, a ____________________ must be filled out by you, the supervisor and a copy attached to the clients chart | incident report |
| medications have a _____ hr window to be given | one |
| A.C.T.I.O.N | Assess/ observe the situation Contact your supervisor Talk to family member Identify how you can help Open chart/ document Note to follow up |
| problems taking medications to observe for inc: | 1)client taking meds prescribed to someone else 2)client took wrong meds 3)client took wrong dose 4)client took meds at wrong time 5)client used wrong method of taking meds |
| what is on a prescription label? | 1)pharmacy name/ address 2)Rx No. 3)patients name 4)drug name/ dose/ strength 5)date filled 6)ex date 7)dr name 8)times it can be refilled 9)total No. pills 10)how often/ when to take |
| when storing medication place meds in common area with other medications to help the client remember t/f | f; store in a special place separate from other meds |
| store meds in containers with original labels and tightly sealed lid in a cool dry place t/f | t |
| proper storage of meds includes following _________________________________ eg store in fridge | any special instructions |
| contact your supervisor if a client takes their meds in the wrong way or using wrong method t/f | t; eg not taking plastic off suppository before inserting |
| contact your supervisor if the client is having ______________ seeing, swallowing, taking or preparing meds, opening bottle, remembering | difficulty |
| if your client is refusing to take their meds, calmly explain why they must and document their refusal t/f | f; contact your supervisor immediately |
| your supervisor must be contacted if a client is having financial difficulties and cant fill their prescription t/f | t |
| if your client does not have a reliable care giver it is your responsibility to stay with them until they take their meds t/f | f; contact your supervisor immediately to inform them that the client does not have adequate support with med help |
| contact your _____________ if your client is having difficulty leaving the _______________ or has no______________________ | supervisor, home, transport |
| contact your supervisor if your client has _________ or ____________ meds and is continuing to use them | old, expired |
| contact your supervisor if the medication ______________ conditions are poor | storage |
| changes in your clients condition to note inc: | 1)BM/ U changes 2) memory/ behaviour/ mood/ thinking pattern 3)mobility 4)appetite 5)energy levels 6)sleeping patterns 7)comfort level 8)other |
| changes in BM to note inc: | 1)diarrhea 2)constipation 3)gas |
| changes in U to note inc: | 1)frequency 2)odour 3)colour |
| changes in mobility to note inc: | 1)problems walking 2)standing up 3)dizziness 4)falls |
| changes in appetite to note inc: | 1)increase 2)decrease 3)nausea 4)dry mouth 5)thirst |
| changes in energy levels to note inc: | 1)more tired than usual 2)more energy than usual |
| changes in sleeping patterns to note inc: | 1)difficulty staying awake 2)difficulty falling asleep |
| changes in comfort levels to note inc: | 1)unusual discomfort 2)pain 3)headache |
| when assisting with medication use disposable gloves for : | 1)rectal suppositories/ enemas 2)eye meds/ ointments 3)ear drops 4)transdermal discs 5)MDI 6)MDI with holding chamber |
| the only time a PSW does not need to wear disposable gloves when a assisting with medication is with __________________ | oral medications |
| no matter what medication route you are assisting with always practice __________________ | hand hygiene |
| no matter what medication route you are assisting with you must always _______________________ | provide privacy |
| when assisting with a rectal suppository or enema, the client must stay in the __________ position on left side for at least _____ to ______minutes | sims, 15, 20 |
| do not use __________________ when assisting a client with a rectal suppository or enema, instead use a ______________________ | petroleum jelly, water based lubricant |
| if a client can not manually open a blister pack, it is ________ for you to do so | ok |
| when assisting with transdermal discs, _________ the skin that had been covered by the old patch | wash |
| when assisting with transdermal discs, have the client ___________ a new site | select |
| when assisting with transderml discs, make sure that the medicated surface is not touched by an ungloved hand t/f | t |
| some agency policies require that you write the date and time (before or after applying) on a _____________________________, | transdermal disc |
| if a client is using two _____________ always double check with either client or supervisor which ____________ the client should take first | asthma medications, MDI |
| when assisting with an ____________ assist the client to ____________ the container vigorously | MDI, shake |
| if two puffs are required from an MDI, wait at least ______ min between puffs of med | 1 |
| when assisting with MDI meds if switching to another medication, wait at least _______ mins before switching to the other med | 5 |
| when assisting with an MDI with a holding chamber the client should breath normally for at least _______ breaths | 6 |
| when assisting with an MDI with a holding chamber, have the client rinse their mouth with _________ and ______________ | water, spit it out |
Created by:
Wil.Wilson
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