Medication Return Flashcards
From how far away should the eye be irrigated?
1 inch
How long should the lacrimal ducts be held for if an eye drop is systemic?
1-2 minutes
How far above the eye should an eye dropper be held?
1/2 inch at least
How long should a patient lie on their side after being given ear drops?
5-10 minutes
How long should a cotton ball be kept in the ear after medication is given
15 minutes
What should you always ask the patient to do before giving nasal medication?
blow your nose and breath out deeply before administering (ALSO BLOCK ONE NOSTRIL)
What 4 things should be done before giving vaginal medication?
- Ask the patient to void
- Clean Labia
- Ask the patient to remain in this position for 5-15 minutes after giving
- Apply lube to the pill and your finger
What 4 things should be done before giving rectal medication?
- Ask the patient if they need to deficate
- Ask the patient to remain in this position for 10 minutes if possible
- Apply lube to the pill
How far should a rectal pill be inserted?
1-3 inches
What should always be done when applying skin medication?
Put on gloves, Cleanse the skin before applying the new medication (Remove old patch before this)
How long should a path be held down for after applying it?
10 seconds
What should be written on a patch?
Date
Time
Initials
What steps should be followed when giving inhaler medications?
- Rinse mouth out
- Shake inhaler
- Ask to breathe out
- Ask to slowly inhale and hold for 10
- RINSE MOUTH IF CORTICOSTEROID
What is different about drawing up from an ampule?
- Use a filter needle
- Draw up an extra 0.2mL of air
How much fat is needed for you to pinch the skin during sub Q?
2 inches or less is the cutoff (45 if under 2)
What needs to be done with an intramuscular injection site before giving medication?
- Clean
- Aspirate
What rate should intramuscular medication be given at?
1ml/10 seconds
How long should an intramuscular medication needle be held in the skin after medication is given?
10 seconds then withdraw it and release the skin
What is the maximum amount the Dermis, Subcutaneous, and intramuscular layers can take?
- Dermis: 0.1mL
- SubQ: 1.0mL
- IM: Deltoid (1mL) Vfntrogluteal (5mL) Lateralis (3mL)
What gauge of needle does intradermal take?
26-28g
What is the rule of thumb when choosing needle gauges?
Choose big long for intramuscular and short small for intradermal
What NEEDS to be checked when LOOKING OVER MEDICATIONS?
- NAME
- ROUTE AND DOSE
- USE FOR PATIENT
- CONTRAINDICATIONS (IF BRADYCARDIC CHECK ASSESSMENT)
- ADV EFFECTS
Digoxin (What is it?)
- Digoxin (oral)
- For atrial fibrillation and HF
- Contradicted in HEART RATE BELOW 60, arrhythmias, alcohol intolerance, ventricular arrhythmias, use with timolol.
- ADV: bradycardia, arrhythmia, nausea, vomiting.
Cefazolin (What is it?)
Cefazolin (IM)
- For pneumonia, UTI’s, infections
- Contraindicated in allergy to penicillin
- ADV: diarrhea, nausea, vomiting