Week 3: Topical Medications/ Pain Flashcards
What are common topical/ non-parental routes of medication administration?
Skin applications, nose instillations, eye drops, ear instillations, vaginal installations and rectal instillations.
How should you prepare the skin before medication ointment/ cream is applied to skin?
Skin should be cleansed gently and thoroughly with soap and water before medications are applied
What happens if medications are applied over skin leasions/ wounds?
Dead tissues harbor microorganisms thus blocking contact of medication with tissues to be treated
Why must non-parental medication dosages be used with caution when with children/ newborns?
Since barrier function of skin is relatively immature, there are high chances of toxicity
What may patient’s experience if ear drops are instilled directly from a refrigerator?
Vertigo (dizziness) and or nausea.
- Ear is sensitivie and these meds must be kept at roo temperature
Ear drops technique for children under 4? What about for Adults?
Pinna down and back.
Up and out for children over 4 and adults
Where should rectal suppositories be placed?
Past internal anal sphincter and against rectal mucosa or may be expelled before it can be dissolved and absorbed
What are type of inhaler is always given first and why?
Administer bronchodilator first so that lungs can open and medication after can be administered better
How long should you wait between inhalers?
20-30 seconds
What are MDI’s?
Metered dose inhalers. Require most hand strength and hand-breath coordination.
What are DPI’s?
Dry powdered inhalers. Activated by breath and do not require coordination.
Explain OPQRSTU? (Len style)
Onset: When did this pain start? (Time and date)
Provokes: What makes your pain worse/ better?
Quality: What words would you use to describe your pain?
Region/ Radiating: Does your pain move anywhere?
Severity: On a scale of 0 to 10 with 0 being no pain and 10 being he worst pain you can imagine, how much does it hurt right now?
Timing: How often does this pain occur and when does it hurt the worst?
Understanding: How is this pain impacting your life?
Visceral vs. Somatic pain?
Visceral: Organs, kidneys, gallblader, etc and can radiate.
Somatic: Skin and surface tissues, joints tendons muscles
Visceral vs. Somatic pain?
Visceral: Organs, kidneys, gallblader, etc and can radiate.
Somatic: Skin and surface tissues, joints tendons muscles
Visceral vs. Somatic pain?
Visceral: Organs, kidneys, gallblader, etc and can radiate.
Somatic: Skin and surface tissues, joints tendons muscles
