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Pediatrics Ch22
Administering Parenteral Medications
| Question | Answer |
|---|---|
| What needs to be done to infants and small children when administering nose, eye, and eardrops | Mummy restraint when only one nurse is available |
| Why might a drug be prescribed for instillation in the ear | Pain relief |
| What temperature should refrigerated ear drops be before administration | Room |
| What is checked before ophthalmic medication is administered | Bottle label for correct medication and concentration |
| When is hand hygiene performed in regards to ophthalmic medication | Before and After |
| How is ophthalmic medication administered | Gentle pressure is applied in the opposite direction to the open eye with the thumb and index finger – older child is instructed to look up – with a hand on the forehead, and medication is instilled into the conjunctival sac |
| What kinds of drugs come in the form of suppositories | Sedatives & Antiemetics |
| How are children’s suppositories shaped | Long and Thin |
| How are adult’s suppositories shaped | Cone shaped |
| To what point is a suppository inserted | Beyond the anal sphincter and half as far as the forefinger will reach |
| What does a nurse do after a suppository is inserted | Apply pressure to the anus by gently holding the buttocks together until the child’s desire to expel the suppository subsides |
| How is a child positioned for nosedrop administration | On the back with the head over the side of the mattress or the neck extended over a pillow |
| Which hand should instill nosedrops | Right |
| How long is a child kept in the position for nosedrop administration after they are given | ½ to 1 minute |
| What is charted after nosedrop instillation | Time, Name of drops, Strength, Number of drops given, How procedure was tolerated, and Untoward reactions |
| In what position is a child receiving eardrops placed | Supine with unaffected ear down |
| How is the ear of a child under 3 held | Pinna down and back |
| How is the ear of a child over 3 held | Pinna up and back |
| What may facilitate entry of the drops into the ear | Gently massaging the area in front of the ear |
| What is documented regarding administration of ear drops | Time, Drug Name, Number of drops, Ear used, Untoward reactions, Whether or not the patient obtained relief |
Created by:
futurenurse
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