Nursing Process and Client Teaching and Principles of Drug Administration Pt 2 Flashcards
Check the label on drug container
three times
the lower curve of the liquid
meeniscus
Offer _____________ to numb taste buds when giving bad-tasting drugs
ice chips
Administer no more than ______________ of solution intramuscularly at one site. Infants receive ___________________ of solution intramuscularly at one site and ___________________ subcutaneously.
2.5 to 3 mL; no more than 1 mL ; no more than 1 mL
Enteric-coated and timed-release capsules ___________________________ to be effective.
must be swallowed whole
Administer irritating drugs with food to ______________________
decrease GI discomfort
Administer drugs on an ______________ if food interferes with medication absorption.
empty stomach
Drugs given _________________ remain in place until fully absorbed. No food or fluids should be taken while the medication is in place.
sublingually or buccally
Is stored in a patch placed on the skin and absorbed through skin, thereby having systemic effect.
Transdermal
Can be applied to the skin in a number of ways, such as with a glove, tongue blade, or cotton tippedapplicator.
Topical
Administration of Eye Drops
- Wash hands.
- Instruct client to lie or sit down and to look up toward ceiling.
- Ceiling any discharge by gently wiping out from ________________
- Use separate cloth for each eye.
- Gently draw skin ____________________ to expose the ____________________.
- Administer the prescribed number of drops into the _____________________. Medication placed directly
inner canthus; down below the affected eye; conjunctival sac; centre of the sac
- Gently press on the ______________ with sterile cotton ball or tissue for _______________ after instillation to prevent systemic absorption through lacrimal canal.
- Client should keep eyes closed for _____________
following application to promote absorption.
lacrimal duct; 1 - 2 minutes; 1 - 2 minutes
Administration of Eye Ointment
- Squeeze strip of ointment (about 1/4 inch unless stated
otherwise) onto conjunctival sac. Medication placed
directly on cornea can cause discomfort or damage.
- Instruct client to close eyes for ________________.
- Instruct client to _________________ for a short time.
Apply at bedtime, if possible.
2 - 3 minutes; expect blurred vision
Administration of Eardrops
- Wash hands.
- Medication should be at __________________.
- Client should sit up with head tilted slightly toward the
____________________. To straighten the external ear canal for better visualization and to facilitate drops reaching the affected area.
- CHILD: _______________________. After 3 years of age,
same as adult.
- ADULT: _________________ on auricle.
- Instill prescribed number of drops.
- Take care not to contaminate the dropper.
- Have client maintain position for ______________.
room temperature; unaffected side; Pull down and back on auricle; Pull up and back; 2 - 3 minutes
Administration of Nose Drops & Sprays
- Have the client ______________.
- Have the client _______________ for drops to reach frontal sinus and _____________________ to reach the ethmoid sinus.
- Administer the prescribed number of drops or sprays. - - Some sprays have instructions to close one nostrils, tilt head to closed side and hold breathe or breathe through node for 1 minute
- Have client keep head tilted backward for _______________
after instillation of drops.
blow nose; tilt head back; tilt head to affected side; 5 minutes
deliver a very fine-sized particle spray of medication
Handheld nebulizers
are a convenient method of administration for these medications
Handheld metered-dose devices
are devices used to enhance the delivery of medication from metered-dose inhaler (MDI).
Spacers
The preferred client position for Inhalations is
semi- or high fowler’s.
are handheld devices that deliver medications to oropharyngeal and lower respiratory tracts.
metered-dose inhaler (MDI)
changes a liquid medication into a fine mist
Nebulizer (aerosol)
Nasogastric and Gastrostomy Tubes
1. Check for ____________________________.
2. Pour drug into syringe without plunger or bulb, release clamp, and allow medication to flow in properly,
usually by gravity.
3. Flush tubing with ______________ or prescribed amount.
4. Clamp tube and remove syringe
proper placement of tube; 50mL of water
Medications administered as suppositories or enemas can be given rectally for _______________________. The numerous small capillaries in the rectal area promote absorption.
local and systemic absorption
Suppositories tend to soften at room temperature and therefore need to be ___________________
refrigerated
