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Questions and Answers
Ms. P is prescribed Amoxil suspension QID. What is the MOST important initial nursing action to ensure accurate medication delivery?
Ms. P is prescribed Amoxil suspension QID. What is the MOST important initial nursing action to ensure accurate medication delivery?
- Administering the medication with meals to minimize gastrointestinal upset.
- Measuring the dose using a household teaspoon for consistency.
- Shaking the bottle thoroughly before measuring each dose. (correct)
- Diluting the suspension with water to improve palatability.
Ms. P is starting Advair Diskus. What is the MOST important instruction to provide to Ms. P to minimize potential adverse effects?
Ms. P is starting Advair Diskus. What is the MOST important instruction to provide to Ms. P to minimize potential adverse effects?
- Rinse the mouth with water after each Advair Diskus use. (correct)
- Inhale deeply and hold breath for 30 seconds after each dose.
- Use a spacer device to enhance medication delivery to the lungs.
- Clean the Diskus device weekly with a dry cloth.
Ms. P is prescribed Polysporin ear drops. Prior to administering the ear drops, which action is MOST appropriate?
Ms. P is prescribed Polysporin ear drops. Prior to administering the ear drops, which action is MOST appropriate?
- Having Ms. P lie on her back for 30 minutes after administration.
- Providing a small snack to prevent dizziness.
- Warming the ear drops to body temperature. (correct)
- Cleaning the external ear with a dry cotton swab.
Ms. P is prescribed Advair Diskus. What is the MOST important principle that the caregiver understands regarding the medication's use?
Ms. P is prescribed Advair Diskus. What is the MOST important principle that the caregiver understands regarding the medication's use?
Ms. P is prescribed Amoxil suspension. After 3 days, her symptoms improve. What instruction should be emphasized to ensure optimal therapeutic outcomes?
Ms. P is prescribed Amoxil suspension. After 3 days, her symptoms improve. What instruction should be emphasized to ensure optimal therapeutic outcomes?
Ms. P is prescribed Advair Diskus. Which observation would warrant immediate communication with the healthcare provider?
Ms. P is prescribed Advair Diskus. Which observation would warrant immediate communication with the healthcare provider?
Ms. P is prescribed Polysporin ear drops. Which documented observation would be MOST concerning and require immediate action?
Ms. P is prescribed Polysporin ear drops. Which documented observation would be MOST concerning and require immediate action?
What differentiates an adverse drug reaction (ADR) from a side effect?
What differentiates an adverse drug reaction (ADR) from a side effect?
Flashcards
Polysporin Ear Drops
Polysporin Ear Drops
Polysporin: Antibiotic ear drops to treat ear infections.
Amoxil Suspension
Amoxil Suspension
Amoxil: Antibiotic suspension to fight infections.
Advair Diskus
Advair Diskus
Advair Diskus: Combination of a bronchodilator and steroid, replacing Ventolin, used to control asthma symptoms.
Why Shake a Suspension?
Why Shake a Suspension?
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Medication Observations
Medication Observations
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ADR vs. Side Effect
ADR vs. Side Effect
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Diskus Lifespan
Diskus Lifespan
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Shake the Diskus?
Shake the Diskus?
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Study Notes
- Ms. P's prescription cream was discontinued
- Ms. P developed a flu virus with worsened asthma, ear infection and a productive cough
New Doctor's Orders (DOT)
- Polysporin (antibiotic) ear drops to each ear daily for 7 days in the evening
- Amoxil antibiotic “suspension” 30ml four times a day (QID)
- Advair Diskus medication to replace Ventolin at bedtime
Special Considerations
- Advair contains Ventolin and Fluticasone (steroid)
- Shake Amoxil Suspension before pouring
- Provide oral care after diskus administration
Medication Responsibilities
- Polysporin ear drops administered daily in the evenings, with ear hygiene as needed
- Amoxil suspension shaken before pouring, ensure correct 30 ml dose is given four times daily
- Advair Diskus should replace Ventolin, assist with one dose at bedtime, provide water to rinse mouth after use to prevent medicine from sticking
Suspension Instructions
- Shake well before pouring
- Use oral syringe or medicine cup
- Finish the full prescription
Observations
- Polysporin ear drops: for swelling and redness indicating allergic reaction
- Amoxil suspension: rash, swelling, breathing issues, nausea, diarrhea
- Advair Diskus: white patches in mouth (oral thrush), increased heart rate, shakiness, sleep disorder
Adverse Drug Reaction (ADR) vs Side Effect
- ADR is an unintended, potentially harmful or life-threatening reaction to a drug
- Side effects are usually manageable, like dizziness and drowsiness
Diskus Information
- A diskus is good for 30 days after activation
- Do not shake the diskus, it contains dry powder
Breath Holding
- Clients should hold their breath for 10 seconds after inhaling medication to allow time for the lungs to absorb the medicine
Ear Drop Administration Position
- Have Ms. P lie on her side with the unaffected ear down and affected ear facing up.
- Clean the ear if needed with cotton ball gently.
- Pull the ear auricle up and back for adults, or the ear lobule down and back for children under 3 years.
- After drops, have Ms. P stay lying for ~5 minutes and gently massage the tragus
Dosette Handling
- As an HCA, do not place medications in a dosette
- Explain that filling dosettes is outside the scope of your role
- Offer to ask the nurse or pharmacist to pre-fill one for her for the week
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