Ch 8 Routes of drug administration

Question 1

What are the 6 rights of drug administration

Answer 1

*PDART*
Right:
1. Patient
2.Drug
3. Amount
4. Route
5. Time
6. Charting/ documentation

Question 2

How many times do you need to ensure the drug is correct?

Answer 2

3 times

Question 3

Can patient’s refuse medication?

Answer 3

Yes

In bill of rights

Question 4

Can you ever use an unlabeled or expired drug?

Answer 4

No, reason why you check 3 times

Question 5

Name the routes of drug administration?

Answer 5

1. Oral
2. Sublingual
3. Rectal
4. Topical
5. Parenteral

Question 6

What is the safest , most convenient way of giving medication?

Answer 6

Oral

Question 7

Does the parental route allow for retrieval in cases of overdose?

Answer 7

no

Question 8

Name an advantage and disadvantage or oral route drug administration

Answer 8

Advantage:

• safest method
• Easy retrieval of drug

Disadvantages:

• Bad odor/ taste
• harm teeth
• cause nausea

Question 9

Drug applied directly onto skin or mucous is termed: ____

Answer 9

Topical

Ex: 
lotion
Cream
Gel
Ointment

Question 10

Name an advantage of rectal route of drug administration

Answer 10

Avoids irritation of upper GI tract

Question 11

Name a disadvantage of rectal route

Answer 11

unpredictable retention of drugs

Question 12

Route that is administered by injection

Answer 12

Parenteral route

Question 13

What are the most common methods of parenteral

Answer 13

1. Intradermal
2. Subcutaneous
3. Intramuscular
4. Intravenous
5. Intraarterial

Question 14

name an adverse reaction to the parenteral route

Answer 14

1. Abscess

2. Necrosis

Question 15

Injection made into the upper layers of skin, parallel to skin surface is termed ____.

Answer 15

Intradermal

- 26-27 Gauge needle

Question 16

Injection made below the skin is termed _____.

Answer 16

Subcutaneous
@ 45-60 degree angle
25 gauge needle

Question 17

What injection is used when the drug is too irritating to be subcutaneous?

Answer 17

Intramuscular
90 degree angle

21-23 Gauge

Question 18

What are the 3 types of suspensions that can be injected via intamuscular

Answer 18

1. Aqueous solution
2. Aqueous suspension
3. Solution or suspension of oil

Question 19

name a reason that can cause pain of IM injections

Answer 19

1. Stretching of tissue

Question 20

What vein is on the medial anterior forearm?

Answer 20

Basilic vein

Question 21

What vein is on the lateral anterior forearm

Answer 21

Cephalic vein

Question 22

Where do the basilic and cephalic veins meet?

Answer 22

in the median cubital vein in the Antecubital space

anterior recess of elbow

Question 23

Why must an IV be “primed”

Answer 23

to ensure that air does not get into the veins

Question 24

Drug and or blood leakage into surrounding tissue is termed ______

Answer 24

Extravastation

aka : Infiltration

Question 25

What must be charted when dealing with IV

Answer 25

1. Drug name 2. Drug dose 3. Route of administration 4. Date 5. Time 6. Injection site * If starting an IV , chart the number of attempts

Question 26

_____ results in vasocrontriction, tissue contraction and decreased secretions thereby counteracting inflammatory effects

Answer 26

Astringent

Question 27

____ inhibits growth and development of microorganisms

Answer 27

Antiseptic or bacteriostatic

Question 28

____ soothes and softens to overcome dryness and hardness

Answer 28

Emollient

Question 29

____ is for the removal of dirt , debris, secretions or crust

Answer 29

Cleansing

Question 30

____ is used to remove the sensation of pain

Answer 30

Anesthetic

Question 31

____ is for the manifestations caused by allergic reactions

Answer 31

Antihistamine

Question 32

When is topical absorption increased?

Answer 32

When the skin is thin

Question 33

When oral method is unsuitable , what is the next safest drug administration route

Answer 33

rectal route

Question 34

What is the most hazardous route by which to give a drug?

Answer 34

Parenteral

Question 35

Where is the most common IV injection sites on the body?

Answer 35

Basilic or cephalic veins on the back of the hand or Basilic or cephalic veins in the antecubital space

Question 36

What is the most common IV needle used by imaging technologist?

Answer 36

winged tip or butterfly set