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Ch 15
| Question | Answer |
|---|---|
| Aspirate | To withdraw fluid using suction |
| Diluent | A liquid substance that dilutes or lessons |
| Form | Physical characteristics of a medication |
| Gauge | The inner measurement of a hollow space in a needle |
| Induration | The hardening of a normally soft tissue |
| Local | Affecting the area where applied |
| Precipitate | Solid particles that settle out of liquid |
| Reconstituted | A dried substance (powder) that has been restored to a fluid form, so it can be injected |
| Route | The means by which a drug enters the body |
| Systemic | Affecting the entire body |
| Viscosity | Resistance to flow; the thicker the liquid, the higher the viscosity |
| Wheal | A raised mark on the skin |
| Three and seven rights are checked when preparing the medication. | Three and seven |
| What are live virus vaccines? | MMR, smallpox, varicella, yellow fever |
| What is the process for checking for the right medication? | Check the medication label against the physician’s order three times |
| When do you check the medication label against the order? | At three specific points: when obtaining the medication from the cabinet, before withdrawing, preparing the medication, and before putting the medication away or discarding the right patient |
| What rights are checked when with a patient prior to administrating the medication? | The containing right patient (using two identifiers), right drug, right route, right dosage, and right time. |
| What are the administration technique when administrating a transdermal patch? | Apply the patch to a clean, dry, hairless area of skin, rotate sites to prevent irritation, and ensure the old patch is removed before applying a new one, wear gloves to avoid absorbing the medication yourself. |
| As a medical assistant how do you apply a topical medication to a patient’s skin? | Use a sterile applicator ( like a tongue depressor or swab) to apply the cream or ointment to ensure |
| What is VIS? | Vaccine information statement is a document produced by the CDC that informs vaccine recipients or parents/ legal guardians about the benefits and risk of a vaccine |
| What should be charted in the health record when giving VIS to a patient? | The edition date of a VIS (found on the back), the date the vis was provided to the patient/ guardian. The office address, name, and title of the person administering the vaccine, the date of administration the vaccine manufacture , and the lot number. |
| As a medical assistant how do you give medication via the nasal route? How would you document this? | Have the patient blow their nose, sit upright with their head slightly tilted back, insert the spray into one one nostril while closing the other, and inhale during the spray. Document the date/time, medication and dose, nostril used, patient response, an |
| How do you prepare oral medication? | Check the medication order against the label three times. Measure liquids at eye level using the meniscus, for solids, pour the correct number of tablets into the cap before tuberculin. |
| What type of needle and syringe should be used when giving an intradermal injection? | A tuberculin syringe (1mL) with a 25-to 27 gauge needle, usually 3/8 to 5/8 inch long. |
| What part of the needle attaches or screws into the syringe? | The hub |
| What is Lumen? | The hollow, internal space or “bore” of the needle. |
| When giving two intradermal injections in the same site how far apart should the injections be? | At least 2 inches apart |
| Multidose vials are good for how long? | 28 days once opened |
| What are the advantages of parenteral medication administration? | Rapid absorption, bypasses the digestive system |
| What would you do if you are giving an IM injection and you hit the bone? | Withdraw the needle slightly (about 1/4 inch) and then administer the medication |
| What is the mantoux tuberculin skin test(TST)? | A standard method of determining whether a person is infected with myc |
| When giving an adult a 0.5 mL SUBQ injection at a 45 degree entry what type of needle and syringe would you use? | A1 to 3 mL syringe with a 25-gauge, 5/8 inch needle. |
| What are the signs and symptoms for anaphylaxis? | Hives, itching, swelling of the throat/ tongue, difficulty breathing (wheezing) rapid pulse , and a drop in blood pressure. |
| What is the deltoid site and how is it used? | Located in the upper arm( 2-3 finger breadths below the acromion process) . It is used for small- volume IM injections ( usually 1 mL or less) such as vaccines |
| What is the reasons you would get a false negative TST result? | Weakened immune system ( immunosuppression), very recent TB infection, or incorrect administration |
| What is two step TST testing? | A method used to detect individuals with” boosted” immunity from an old infection. A second test is performed 1-3 weeks after the first negative result. |
| What is a tuberculin blood test? | An interferon- gamma release assay to TB bacteria in a blood sample. |
| What is the air lock technique and how do you perform it? | Used in IM injections to prevent medication from leaking into subcutaneous tissue. It involves drawing 0.2 to 0.5 mL of air into the syringe after the medication; the air “locks” the drug in the muscle. |
| What are the nine rights of medication administration? | Right medication, right dose, right route, right time, right patient, right education, right to refuse, right technique, right documentation |
| How would you give medication on an empty stomach? | Give the medication 1 hour before a meal or 2 hours after a meal. |
| When administering acetaminophen po tablets what element is included in the documentation? | The dose ( 650mg), route(po), time administered, and after administration (to assess effectiveness) |
| How do you select an appropriate injection site? | By assessing the volume of medication, the tissue type required (IMVS SQ), and the patients muscle mass or adipose tissue.ensure the site is free of lesions bruising, or information. |
| What is the technique when giving an injection? | Use the z-track method for IM injections to prevent leakage, maintain a steady, hand, and inject the medication slowly (typically 10 seconds permL). |
| How can you reduce pain and anxiety with injections? | Use distraction techniques, explain the produce clearly, and ensure the patient is comfortable relaxed position. |
| When giving an adult a 0.5 mL SUBQ injection using a 90 degree entry what needle and syringe should be used? | A 1 mL tuberculin syringe ( or 3 mL syringe) with a 25 to 27 gauge, 1/2 to 5/8 inch needle |
| What is the technique for giving enoxaparin (Lovenox)? | Injection into ( the “love handles”). Do not expel the air bubble from thr prefilled syringe before injection, and do not rub the site afterward. |
| Inactivated | Vaccine contains a dead organism |
| Attentuated | Vaccine contains a live bit weakened microorganism |
| Dtap | Vaccination contains a full strength dose of tetanus vaccine and acellular petussis |
| Tdap | Vaccination contains a full strength dose of tetanus vaccine and a smaller dose of diphtheria vaccine. |
Created by:
lowery.aaliyah