ATI 8 - Safe Admin of Meds Flashcards

(30 cards)

1
Q

type of cups

A

use rigid, plastic cup

-not paper cups

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2
Q

T/F mix med w formula

A

FALSE
avoid mixing or putting in a bottle
-infant might NOT take entire feeding

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3
Q

position for infant vs small child receiving oral meds

A

infant: semi-reclining

small child: upright position

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4
Q

where to administer medication

A

upright positionside of mouth in small amounts

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5
Q

how to promote swallowing in infants

A

stroke under chin while holding cheeks together

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6
Q

how to provide atraumatic care

A
  • mix med in small amt of sweet nonessential food (applesauce or sherbet)
  • offer juice, soft drink, or snack after admin
  • use nipple to allow sucking after med admin
  • add flavoring to med
  • reward w prize or sticker afterwards
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7
Q

how to admin med via feeding tube

A
  • confirm placement
  • use liquid formulation
  • DO NOT add med to formula bag
  • flush tubing after admin of each medication
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8
Q

positions for optic med

A

supine or sitting

  • extend head + look up
  • pull lower lid down
  • apply to conjunctiva
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9
Q

ointment admin

A

fr inner to outer canthus

-preferably before naptime or bedtime

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10
Q

how to provide atraumatic care - OPTIC meds

A

-if infant’s eyes are clenched closed, place drops in nasal corner (will enter when they open their eyes)
-apply light pressure to lacrimal conjunctiva for 1 min
(to prevent weird taste)
-play games as distraction

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11
Q

otic med admin position

A

prone or supine

-w affected ear upward

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12
Q

pull pinna DOWN + back for…

A

kids younger than 3 yo

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13
Q

how to provide atraumatic care - OTIC meds

A
  • warm refrigerated meds to room temp
  • massage outer area for few secs after admin
  • play games as distraction
  • praise child after
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14
Q

nasal admin positions (infant vs child)

A

infant: football hold
child: head hyperextended

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15
Q

how to provide atraumatic care - nasal

A

insert tip into naris vertically

  • then angle it before admin
  • play gammes
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16
Q

before admin of nasal med, remove ____

17
Q

use a __ for aerosol admin

18
Q

atraumatiic care - aerosol

A

allow parents to hold child during tx

-use distraction

19
Q

how far to inser rectal med

A

small child: < 0.5in

older child: 1 in

20
Q

after rectal admin…

A

hold buttocks together for 5 - 10 min

21
Q

if giving half dose of rectal med..

A

cut lengthwise

22
Q

T/F perform rectal admin quickly

A

TRUE

-be quick and use distraction

23
Q

when applying a topical/transdermal med…

A

apply to the body or major muscle

-try to hide it from small childer

24
Q

infant/child will require _____ before injections

A

to be secured

25
when selecting injection site, consider the following:
- med amt, viscosity, type - muscle mass, condition, access of site, potential for contamination - tx course + number of injectn - age + size
26
admin INTRADERMAL location, degree, + needle
- inside surface of forearm - 15 degree - TB needle w 26-30ga + bevel
27
admin SUBCUTANEOUS location, degree, + needle
- lateral of upper arm, abdomen, anterior thigh - inject vol less than 0.5mL - 1 mL syringe - 26-30 ga - 90 (45 degree if thin)
28
admin INTRAMUSCULAR location, degree, + needle
ventrogluteal or deltoid for kids; vastus lateralis for infant/small child - 22-25 ga, 0.5-1 in needle - 0.5mL for bb, 2mL for kids
29
best positions for intramuscular injections
supine, side-lying, prone
30
atraumatic care for injections
- lidocaine for 60min prior - use smallest gauge - therapeutic hugging - secure firmly to decr mvmt - encourage parent to hold child after - sucrose pacifiers for infants