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CRMA Administration

Waban CRMA 24hr Medication Administration

QuestionAnswer
What is a strength of a medication? The amount of medication in a single dosage/serving (eg. number of mg)
What is a dosage of a medication? How much to administer (eg. number of tablets)
What is an indication of a medication why it is being taking
What is a side effect of a medication An unwanted effect when taking a medication (eg. nausea, diarrhea, dizziness, etc.)
What is the peek of a medication? When it reaches it's fullest potential in the body, when it works the best
What is a duration of a medication? How long it works and stays in your body for.
What is a route? How a medication is administered (oral, topical, etc)
What are the different routes of medication administration? Oral, sublingual (under tongue), buccal (cheek), otic (ear), ophthalmic (eye), nasal (nose), topical, transdermal (patches), rectal, vaginal, subcutaneous (injected into the fatty tissue)
Where do you administer an oral medication? mouth and swallowed
Where do you administer a subligual medication? Under the tongue and allowed to disolve
Where do you administer a buccal medication? Inside the mouth against the cheek
Where do you administer an otic medication? ears
Where do you administer an ophthalmic medication? eyes
Where do you administer a transdermal medication? On the skin, on the upper back, shoulders, or upper chest
Do you need to wear gloves when administering medications to all of the routes? NO
Which route of administration do you not need to wear gloves for? oral
When administering oral medications, do you administer liquid medications or pill forms first? Pills before liquids
What type of liquid medication do you need to shake? Suspension
When applying a topical medication, how much do you apply? A thin layer or prescribed amount
When applying a topical medication, what should you do first? Wash and dry the affected area
Do you cover a topical medication? No. Only if ordered
How would you administer a transdermal patch? Wash and dry the area. Initial and date the patch. Place patch on upper body (back, upper arms, upper chest) rotating the areas used.
How do you dispose of a used transdermal patch that is not a controlled substance? Fold in half, wrap in gloves, throw in trash.
How do you dispose of a used transdermal patch that is a controlled substance? Fold in half, package for destruction, add used patch to a used patch count and count until destroyed by nursing.
How long do you need to wait between dosages/puffs when administering an inhaler? 1-2 minutes
What should the individual do after taking an inhaler? Rinse their mouth.
When administering a nasal spray, how should the individual be positioned? Sitting upright with head slightly forward
When administering a nasal spray, what should the individual do first? Blow nose
How do we position the ear for an adult when administering an ear drop? Pull ear up and back
How do we position the ear for a child when administering an ear drop? Pull ear down and back
Where do you place the drops when administering an eye drop? In the pocket created by gently pulling down the lower lid.
When administering an eye ointment, which direction do you administer the ribbon of ointment? Inner canthus (by the nose) toward the outer canthus (outside corner of the eye).
When administering a rectal suppository, how should the individual be positioned? Laying on their left side with right leg slightly bent up towards their abdomen.
When administering a rectal suppository, how far in do you insert it? 1-1.5 inches in adults, 0.5-1 inch in infants
When is the best time to administer a vaginal medication? bedtime
How should an individual be positioned for a vaginal medication? On their back with knees bent up and spread to the sides
How far in do you administer a vaginal medication? 2-4 inches past the labia
When administering medications, how many "CHECKS" do you do? 4
When administering medications, when do you do your "CHECKS"? Pull. Pour/Pop. Put Away. Document.
When doing a "CHECK" when administering meds, what are you comparing? Label to MAR that all member rights match.
When pouring medications from a bottle, where should you pour the pills? Into the cover of the bottle first, then into the med cup.
When you pop a medication from a bubble pack, what do you need to do to that pack? Initials and date above the bubble you just popped from.
How do you document you gave a medication on a paper MAR? Initials in the appropriate box.
How do you document a hold/refusal/med error on a paper MAR? Circle initials on the front of the MAR, document the note on the back of the MAR as to why they didn't take their meds as prescribed.
How do you document you administered a PRN medication on a paper MAR? Initial the front of the MAR. On the back of the MAR document in the Notes (date, time, medication, dosage, route, reason given, results/follow-up, signature).
When administering a PRN medication, what should you check first? The last time it was administered and has it been enough time between dosages.
What should be the first thing you do when you go to administer medications? Wash your hands.
Can you crush medications? Only with a doctor's order
Can you crush ALL medications with a doctor's order? No. Cannot crush enteric coated or anything that is time released/sustained release.
True/False. When preparing medications, you should pre-pour all the medications to ensure that there is enough time to administer to everyone within your window. FALSE. Pre-pouring is against policy, and increases the chances of making an error.
Created by: jdonovancrma
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