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Chapter 15
Administering medications
| Question | Answer |
|---|---|
| which rights are checked when preparing the medication? | Medication, Dose, Route, and Time |
| which rights are check with the patient prior to adminstering the medication? | Patient, Education, To refuse, and Technique |
| what are virus vaccines? | live-attenuated; subunit, recombinant, polyccharide, and conjugate; viral vector vaccines that use a live virus, whether weakened or just specific parts |
| what is VIS? | vaccine information statements |
| what must be charted in the health record when giving VIS to a patient? | the edition date, the date the vis was provided, and date when the vaccine was administered. The office address name, title of the person who administered, the manufacturer and lot number |
| How do you verify the right medication? | check the medication order against the label 3 times with activities in between |
| when do you check the medication label against the order? | when grabbing the medication from the storage area, before preparing the medication, and before it is returned to the storage area |
| what is a live virus vaccine? | when the microorganism is alive but weakened in the lab |
| how to administer a transdermal patch and what is the adminstration technique? | write the date and time on the new patch, wear gloves, remove the old patch and any residual medication, apply the patch in a new location |
| what is the adminstration technique for topical medication? | wear gloves, use a sterile applicator to apply rub creams, tap lotions, apply ointment with an applicator, rub linaments, and for aerosol hold it 3-6 inches form the skin |
| how does one prepare an oral medication? | match the medication to the order and give the correct dosage |
| what is a need that screws onto a syringe? | hypodermic |
| what is the hollow space inside the needle? | lumen |
| know how to withdraw fluid using a syringe? | add air into the vial then flip and suction the fluid |
| an intradermal injection has what size needle and syringe? | 1/4-1/2 inch, 25-27 gauge with a 1 mL syringe |
| how would one administer medication via the nasal route? | wearing gloves, have the patient blow their nose and sit upright. The patient should sniff when administered and chart as intranasal |
| when giving 2 intradermal injections in the same area, how far apart should the injections be? | at least 2 inches |
| what are multidose vial good for? | 28 days after opened |
| Mantoux Tuberculosis Skin Test | an intredermal injection of the TB vaccine |
| you're giving a FM injection to a patient and hit bone, what do you do? | pull the needle back 1/4-1/2 inches and inject the medication |
| whats an advantage of parental medication administration? | it is useful with GI distress or if the patient is unconscious, it offers good absorption, the onset is more rapid and the duration is longer |
| what needle and syring would be used for a SUBQ injection of 0.5mL of medication at a 45 degree angle? | 3mL syringe with a 5/8inch needle |
| what is a sign or symptom of anaphylaxis? | warmness, flushing, throat tightening, difficulty swallowing, cough, shortness of breath, dyspnea, wheezing, anxiety, loss of consiousness, shock, pain, cramping, vomitting, diarrhea, palpitations, and dizziness |
| what is the airlock technique? | remove the bubbles from the syringe and measure the meds, then add 0.2-0.5 mL of air |
| what is true regarding the TBT? | there are 2 approved TBTs, you only need one test, and a yearly skin or TBT is required for MAs |
| 2 step TST | 2nd injection can be done 1-3 weeks after the first |
| what does a false negative TST mean? | the comes back negative even when the person is infected with TB |
| giving the name of the medication and verifying the perons's allergies is part of what rule of medication administration? | Right education |
| what is the means by which the drug enters the body? | route |
| The provider ordered acetominephine, and the MA triple checks the order with the medication label. what rule is this? | Right medication |
| the provider ordered acetominephine tablets po. How is the medication administered? | by mouth |
| what needle and syringe would be used for a 0.5mL SUBQ injection at 90 degrees? | 1mL syringe and 1/2 inch needle |