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Class 11-05
M6 PII Medication Administration
| Question | Answer |
|---|---|
| Assess TPN patients periodically by performing? | regular interval finger sticks (blood glucose) |
| Six rights of medication administration | Client, Medication, Time, Route, Dose, Documentation |
| 3-way check on client identification | Ask for full name, check ID bracelet, ask for DOB |
| Administer meds within this time frame | 30 mins prior to 30 mins after scheduled time |
| What is sublingual? | Under tongue |
| What is buccal? | between gums and inner cheek |
| Instillation Route through eyes? | Ophthalmic |
| Instillation Route through Ears? | Otic |
| Instillation Route through Nose? | Nasal |
| What should the patient do BEFORE using a nasal spray? | clear nasal passages |
| Pull down and back on patient ears younger than? | 3 years of age |
| What type of needle is used on Ampules? | Filtered Needle |
| Size of syringe and needle is based on? | Viscosity of solution |
| Which method of medication administration provides the fastest action? | Parenteral |
| What is the nasal route used for? | to shrink the mucosa or administer antibiotics |
| Tablets are mixed with __ ml's of water when administered through NG tube. | 30 |
| Flush the tube with __ to __ ml's of water after administration? | 30-50 |
| Placement of NG tube is verified by? (hospital setting) | X-Ray |
| This type of medication dissolves at body temperature. | Suppositories |
| With NG tubal meds, suction should not be reconnected for __ minutes. | 30 |
| What temperature should ear drops be at when administered? | Room Temperature |
| What are exudates? | buildup around eye |
| How far should the patient hold the inhaler from his/her mouth? | 0.5-1 inch |
| Which syringe holds a total of 1ML? | Tuberculin |
| Name four types of syringes. | Tuberculin, Insulin, 3 ML - 50 ML, Disposable Injection 0.5 ML |
| Intradermal needle length | 3/8 - 5/8 inch |
| Subcutaneous needle length | 5/8 - 1/2 inch |
| Insulin needle length | 1/2 - 5/16 inch |
| Intramuscular needle length | 1 - 1.5 inch |
| Most fully developed muscle in infants | Vastus Lateralis |
| Three signs of fluid overload | Anxiousness, dyspnea, weak and rapid pulse |
| Why is a large vein with rapid blood flow needed for infusion of TPN? | to dilute the solution rapidly |
| Too rapid of TPN infusion can cause? | Hyperglycemia |
| TPN infusion rate should be monitored every __ hours. | 4 |
| Blood glucose should be monitored every __ to __ hours during TPN infusion. | 6-8 |
| Vital signs every __ to __ hours during TPN infusion. | 4-8 |
| Parenteral Nutrition also known as | Hyperalimentation |
| PPN stands for? | Peripheral Parenteral Nutrition |
| PICC stands for? | Peripherally inserted central catheter |
| PCA stands for? | Patient Controlled Analgesia |
| Who programs the PCA pump per physician's order? | RN |
| Medication given directly through Heparin lock is administered by who? | RN |
| Five methods of IV therapy administration | IV Push, IV access device, Intermittent Infusion (piggyback), Continuous, Patient Controlled Analgesia |
| Why must air be injected into vial prior to removal of medication? | to prevent development of vacuum |
| How many ML's can be administered subcutaneously? | 1ML |
| Why is the Z-track method used? | to administer medications that are irritating to the tissues |
| List four IM sites | Gluteal, Vastus Lateralis, Ventrogluteal, Deltoid |
| Injections into the Deltoid muscle must be __ ML's or less | 1 |
Created by:
raoul.lopez
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