Adult Health I
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| ____ produces the most rapid absorption of meds | injections
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| ___ pass thru the gastric mucosa rapily | acidic meds
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| 6 names for liquid meds | elixar, extract, aqueous solution, aqueous suspension, syrup, tincture
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| a troche (lozenge) is ___ | tablet that dissolves in mouth to release med--not meant for ingestion
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| aerosol is ___ | aqueous solution sprayed--not meant for ingestion
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| liniment is ___ | applied to skin and contains alcohol, oil, or soapy emollient
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| expected effect of med | therapeutic effect
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| unintended, secondary effect | side effect
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| severe response to med | adverse effect
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| may develop after prolonged intake of med or when a med accumulates in blood | toxic effect
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| unpredictable effects...reaction different then normal | idiosyncratic reaction
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| life-threating | anaphylactic reactions
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| order carried out until prescriber cancels it by another order ot until a prescribed number of days elapse | standing order
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| med given to pt only when needed/wanted | prn order
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| med given only once at a specified time | single one time order
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| med given immediatly | STAT order
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| med given as quickly as possible | NOW order
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| meds outside of hospitial and directions are given | prescription
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| what are the 6 rights of med admin? | right med, right dose, right pt, right route, right time, and right documentation
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| what are 7 rights of a pt recieving meds? | right to be informed, right to refuse med, right to have qualified nurse, right to be informed of experimental nature of med, right to recieve appropriate supportive therapy, right to not recieve unnescessary med, right to receive labeled med
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| easiest and most common route of med | oral
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| medication in a skin patch and absorbed thru skin | transdermal
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| O.D. | right eye
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| O.S. | left eye
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| O.U. | both eyes
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| when admin med in eye dropper should be held __ | 1/2-3/4 inch above conjuctiva sac
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| when admin med in ear dropper should be held ___ | 1/2 inc above ear canal
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| when admin med in nose dropper should be held ___ | 1 inch above nares
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| when admin medss through inhalation pt should inhale med deeply for ____ sed then hold breath for ____ sec | 3-5 sec........5-10 sec
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| how long should pt wait in between puffs of med | 1-2 min
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| do not shake ____ inhalers | dry powder
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| shake ___ inhalers 5-6 times | metered dose
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| pt should not blow nose for ___ min after admin and stay in ___ position | 5 min...surpine
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| for retum admin pt should be in ___ position | left sims
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| inject in dermal just under epidermis | intradermal injections
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| ex of intradermal admin | TB skin test
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| what degree should intradermal injection be given | 5-15 degree angle and NO massage with 26-27 gauge needle
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| injection into tissue | subcutaneous injection
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| ex of subq injection | insulin or heparin
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| what degree should subq injections be given | 90 degrees if you can pull skin up 2 inches if not give at 45 degree angle
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| what size needle used for subq injections | 3/8 - 5/8 in....25-27 gauge...insulin 26-31 gauge
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| injection into muscle | intramuscular injection
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| best sites for subq are... | outer posterior aspects of upper arms, abd from below costal margins to the iliac crests, anterior aspects of thighs
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| most frequent site for heperin injections | abdomen
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| alternative sites for subq injections | scapular areas and dorsal glutal areas
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| used for irritating meds | intramuscular injections
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| intramuscular med can be ___ max in one syringe | 3 mL
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| what size needle for intramuscular injections? | 18-27 gauge (average 25)....1-3 inches long
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| what should you do before injecting med for intramuscular injections | aspirate to check for blood
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| what method is used for intramuscular injections? why? | z-track method...to prevent med from leaking into sub tissue
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| what are intramuscular sites? | vastus lateralis, ventrogluteal, deltoid
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| what degree do you insert intramuscular injections? | 90 degrees
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| what size needle used for pt 200-250 lbs | 2 inches
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| what size needle used for pt 250-300 lbs | 2 1/5 inches
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| what size needle used for pt 300 or more lbs | 3 inches
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| what size needle used for pt 150-200 lbs | 1 1/5 inches
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| what size needle used for pt under 150 lbs | 1 inch
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| how many inches to clean injection site | 2 inches
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| how long do you leave needle in after intramuscular injection? | 2-10 seconds
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| smaller the gauge ____ the diameter | larger
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| what 2 insulins CANNOT be mixed | lantus and levemir
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| regular insulin is the only insulin for ___ | intravenous use
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| what is the most effective position for breating | 45 degree semi-fowler's position
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