chapter 6 administration of drugs Flashcards
Patients who have a nasogastric tube may be given the medication through
a tube
Some buccal drugs have to be placed against
the cheeks to be absored
You must wear gloves, it is a CDC (center for disease control and prevention) recommendation and is called
standard precautions
Occupational safety and health administration (OSHA) guide lines:
The guide lines are to prevent blood-born pathogens
Administration of drugs by subcutaneous route:
It is injecting the medication just below the dermis (between the skin and the muscles)
The drug is absorbed slower than IM route•
Patient care considerations for subcutaneous drug administration:
A small volume 0.5-1 ml is used for subcutaneous injection•The sites of subcutaneous injections are the upper arm, the upper abdomen the upper back and the upper thigh, injection sites must be rotated to insure better absorption
Administration of drugs by the intramuscular route:
Is injection inside the muscle•Drugs which are irritant to the subcutaneous tissue can be given through the IM route
Patient considerations for Intramuscular drug administration:
If the volume is more than 3ml you have to divide the dose into two ore more injections as more than 3 ml will not be absorbed properly
The Z-track method:
is used when a drug is highly irritant to the subcutaneous tissue.
Administration of drugs by the intravenous route (IV)
The drug is delivered directly into the blood stream•It is the fastest injection
Intravenous pumps:
The intravenous pumps infuse medication under pressure
intravenous controllers:
the intravenous controllers let the infusion go into the blood stream without pressure
Patient care considerations for intravenous drug administration:
After the IV infusion is started document in the patients chart•The infusion rate must be checked regularly•The needle site is inspected for redness, swelling, or other problems
Extravasation:
is the escape of the IV fluid from the blood vessel into the surrounding tissue
Infiltration:
the collection of fluid in the tissue when the needle or catheter are out of the vein
