2nd part

Question 0

Enteral Routes are?

Answer 0

ORAL:by mouth, abbreviated PO;

Most efficient and cost effective method; can be used only if not destroyed by gastric secretions

Question 1

METHODS OF DRUG ADMINISTRATION

What are 3 routes?

Answer 1

Enteral
Parenteral
Topical

Question 2

What are 3 enteric routes?

Answer 2

Sublingual
Buccal
Rectal

Question 3

A sublingual drug is placed where?

Answer 3

under tongue

Question 4

The buccal route is placed where?

Answer 4

against the cheek until it dissolves

Question 5

When would we need to give a drug rectally?

Answer 5

If patient is unable to retain oral drugs, difficult to determine correct dosage as absorption erratic

Question 6

Where are topical routes?

Answer 6

Directly to skin, eyes, nose and throat

administered respiratory mucosa via inhalation

Question 7

What is transdermal application?

Answer 7

Medicine applied to skin versus debit affect absorbed more slowly and commonly used for chronic pain or cardiac therapy

Question 8

What is an example of Transdermal application?

Answer 8

Nitroglycerin: can give you headache: Make sure NOT to touch

Question 9

What is Parenteral drug administration?

Answer 9

(can be injected into the skin, intravenous (vein) interartial (artery)
Drug penetrating skin
Injection
(Nurses and physicians are the only people that can administer them)

Question 10

What do needle lengths range from?

Answer 10

3/8 to 2 inches

They are made of stainless steel

Question 11

The name anatomy of a syringe.

Answer 11

HUB: part that attaches to the syringe
SHAFT: elongated portion of the needle
LUMEN: Hollow tube running length of shaft
BEVEL: angled up

Question 12

What is the needle gage determined by?

Answer 12

The Viscosity

thickness of fluid

Question 13

The smaller the lumen equals what type of gauge?

Answer 13

larger gauge

Question 14

What determines the needle length?

Answer 14

THe injection area

Question 15

How do we determine what syringe to use?

Answer 15

The usage amount

Question 16

mL is the same thing as what?

Answer 16

cc

Question 17

Where do we discard needles?

Answer 17

in the sharps container

Question 18

When do we recap a needle?

Answer 18

NEVER

Question 19

Where do we hold the needle?

Answer 19

by the barrel

Question 20

what is a vial?

Answer 20

glass container with rubber stopper in plastic protective cap

(remover plastic cap, check date, time open then clean with alcohol
insert needle into vial, inject air, turn upside down,, pull plunger and tap out air bubbles)

Question 21

Vials are?

Answer 21

MULTIDOSE

Question 22

Ampules are?

Answer 22

Single dose/use

Question 23

What do you do if ampule shatters?

Answer 23

MUST be discarded

Question 24

Where are intramuscular injections done?

Answer 24

Dorsal gluteal Ventrogluteal Deltoid (in the muscle)

Question 25

What type of needle do we use for a elderly person and why?

Answer 25

A shorter needle because they have lost muscle mass

Question 26

What dosage is given for intramuscular injections?

Answer 26

3mL or more | 3mL is same as 3cc

Question 27

What is Peripheral Intravenous Drug?

Answer 27

One of the most HAZARDOUS routes to drug administration due to directly and circulatory system (bc it goes straight to the heart; then going to the rest of the body (scope radiographers practice includes venipunture) (This is the only method by which radiographers can administer contrast media parenterally)

Question 28

What are materials needed for a IV drug administeration?

Answer 28

Butterfly needle, tourniquet, antimicrobial swabs, clean gloves, contrast agent drawn up in syringe bag or bottle, IV tubing, IV infusion set, clear adhesive (Echo contrast administered via IV)

Question 29

Where is venipucture placed?

Answer 29

Vein in hand or arm lower extremity for emergency use due to increased risk of embolus formation(DVT) DO NOT select of vein over a joint as movement will dislodge

Question 30

what is volar?

Answer 30

palm side up of wrist not used due to proximity to radial nerve, which would mean extreme pain

Question 31

VENIPUNTURE | where is basilic and cephalic?

Answer 31

Basilic: Under am (base of arm) Cephalic: on top of arm

Question 32

who is most likely to become dehydrated from contrast media?

Answer 32

the elderly

Question 33

What is Intravenous Infusion?

Answer 33

Antecubital vein to keep arms straight | Assess for signs of circulatory impairment

Question 34

INTRAVENOUS INFUSION | The accumulation too fast can result in what? and can become?

Answer 34

Result in fluid intoxication or pulmonary edema: life-threatening (do not discontinue infusion without a physician order except for emergencies) (when transporting pt., unplug IV infusion and plug in immediately when in US room

Question 35

What is a nosocomial infection?

Answer 35

Infection acquired DURING MEDICAL CARE (Hospital, nursing home, or doctors office) -resulting of organisms becoming RESISTANT to antibiotics -Infection contracted after birth of infected mother -Pt. may not develop symptoms until AFTER LEAVING THE FACILITY