Medication Administration for Ms. Luck

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Questions and Answers

When administering eye drops, why is applying gentle pressure to the inner corner of the eye recommended?

  • To ensure even distribution of the medication across the entire surface of the eye.
  • To prevent the medication from draining into the nasal passage, allowing for better absorption. (correct)
  • To reduce any discomfort or stinging sensation caused by the eye drops.
  • To stimulate tear production and enhance medication absorption.

When administering eye drops, into what part of the eye should the drop be instilled?

  • Into the upper eyelid while the client looks down.
  • Onto the inner corner of the eye, allowing it to disperse naturally.
  • Into the lower eyelid while the client looks up. (correct)
  • Directly onto the eyeball while the client looks straight ahead.

When assisting with an MDI, what is the recommended waiting time between puffs of the same medication?

  • 30-60 seconds to allow for better absorption and prevent mixing of doses. (correct)
  • Immediately administer the second puff.
  • 2-5 minutes to ensure the medication reaches the lower airways.
  • 15-30 seconds to allow for partial absorption.

If a client needs to take two different MDI medications, what is the recommended minimum waiting time between the administrations?

<p>Wait at least 2 to 5 minutes to allow the first medication to take effect. (D)</p> Signup and view all the answers

What is the primary reason for using an Aero Chamber/Spacer when administering medication via a Metered Dose Inhaler (MDI)?

<p>To ensure proper delivery of the medication to the lungs. (B)</p> Signup and view all the answers

During inhalation with an Aero Chamber/Spacer, what does a whistling or squealing sound typically indicate?

<p>The client is breathing in too fast, which may reduce medication effectiveness. (C)</p> Signup and view all the answers

Following MDI administration, including the use of a spacer, what aftercare step is specifically mentioned as important?

<p>Providing oral care. (C)</p> Signup and view all the answers

When administering an eye ointment, how is the ointment typically applied?

<p>Apply a thin strip along the inside of the lower eyelid from inner to outer corner. (C)</p> Signup and view all the answers

Flashcards

Eye Drop Pressure

Applying gentle pressure to the inner corner of the eye after administering eye drops helps prevent medication drainage into the nasal passage, maximizing absorption.

Eye Drop Placement

Instill eye drops into the lower eyelid while the client looks up.

Eye Ointment Application

Apply ointment as a thin line along the inside of the lower eyelid from the inner to the outer corner.

MDI Puff Interval (Same Med)

Wait 30-60 seconds between puffs of the same MDI medication to allow for better absorption of each dose.

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MDI Puff Interval (Different Meds)

Wait 2-5 minutes between different MDI medications to allow each medication to take effect before the next one is administered.

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Aero Chamber/Spacer Purpose

An Aero Chamber/Spacer helps deliver MDI medication more effectively to the lungs.

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Aero Chamber Whistle

Whistling from the Aero Chamber indicates breathing is too fast. Slow, steady breaths are needed.

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MDI + spacer process

To give medication using an MDI with a spacer you need to shake the inhaler well, exhale completely, put the inhaler in your mouth, press down on the inhaler to release the medicine, breathe in slowly and deeply, hold your breath for 5-10 seconds, exhale slowly.

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Study Notes

  • Ms. Luck, in her 40s with Long Covid, requires assistance with medication administration and has recently developed Conjunctivitis.

Ms. Luck's 0800 Medications:

  • Salbutamol (Ventolin) MDI 2 puffs
  • Budesonide (Pulmicort) MDI 2 puffs
  • Polysporin (antibiotic) eye drops 1 drop to Right Eye.
  • Document all medications on the MAR immediately following administration.

Special Considerations for Medication Administration:

  • Give medication with water only
  • Use an Aero Chamber/Spacer for MDI administration
  • Provide oral care after MDI administration

Eye Drop Administration:

  • Apply gentle pressure to the inner corner of the eye for 30-60 seconds after administering eye drops to prevent drainage into the nasal passage.
  • Administer eye drops into the lower eyelid while the patient looks up.
  • For eye ointment, apply a thin amount along the inside of the lower eyelid from inner to outer corner, and ask the patient to blink slowly to spread it evenly.

MDI Administration:

  • Wait 30-60 seconds between puffs of the same MDI medication to allow for better absorption of the first dose.
  • Wait at least 2-5 minutes between different MDI medications to allow the first medication to take effect.
  • Aero Chamber/Spacer delivers medication to the lungs properly.
  • An Aero Chamber/Spacer should not squeal or whistle; this indicates the breathing is too fast, and slow, deep breathing promotes better medication absorption into the lungs.

Post-MDI Instructions:

  • Rinse mouth after using an MDI to reduce oral thrush, dryness, irritation, and to wash away any stuck medication.

Lozenges as Medication:

  • Lozenges are medication only if they contain medicinal ingredients like pain killers, while candy lozenges without such ingredients are not medication.

Assisting vs. Administering Medications:

  • Assisting with medications means helping a client take their own medication.
  • Administering medications means directly giving medication to a client who cannot take it themselves.

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