Podcast
Questions and Answers
Nicotine is commonly administered via which delivery system in an antismoking program?
Nicotine is commonly administered via which delivery system in an antismoking program?
- Sublingually
- Enterally
- Transdermally (correct)
- Intravenously
When applying topical nitroglycerin ointment, what is the most important step a nurse must take?
When applying topical nitroglycerin ointment, what is the most important step a nurse must take?
- Apply it to the medial aspect of the thigh.
- Squeeze it onto the applicator paper and place it on the skin. (correct)
- Shave the skin before application.
- Massage it thoroughly into the skin.
A 2-year-old child is being treated for an external ear infection. What is the correct ear position for the nurse to administer eardrops?
A 2-year-old child is being treated for an external ear infection. What is the correct ear position for the nurse to administer eardrops?
- Pull the affected ear up and back.
- Pull the affected ear down and back. (correct)
- Place the child on his or her abdomen with the affected ear facing the floor.
- Pull the affected ear down and forward.
When instilling ophthalmic drops, which action minimizes the risk of systemic absorption?
When instilling ophthalmic drops, which action minimizes the risk of systemic absorption?
A patient is being instructed on using a dry powder inhaler (DPI) for newly diagnosed asthma. How should the nurse instruct the patient to determine when to replace the inhaler?
A patient is being instructed on using a dry powder inhaler (DPI) for newly diagnosed asthma. How should the nurse instruct the patient to determine when to replace the inhaler?
Which of the following is the correct technique for applying lotions?
Which of the following is the correct technique for applying lotions?
A patient is prescribed a transdermal patch. What instruction should the nurse include in the patient's education?
A patient is prescribed a transdermal patch. What instruction should the nurse include in the patient's education?
What is the primary advantage of administering medications via sublingual or buccal routes?
What is the primary advantage of administering medications via sublingual or buccal routes?
What is the primary purpose of performing a patch test?
What is the primary purpose of performing a patch test?
Following application of eardrops, how long should the patient remain in position?
Following application of eardrops, how long should the patient remain in position?
Which of the following techniques is essential when using a metered-dose inhaler (MDI)?
Which of the following techniques is essential when using a metered-dose inhaler (MDI)?
When administering vaginal medications, in which position should the nurse place the patient?
When administering vaginal medications, in which position should the nurse place the patient?
A nurse is preparing to administer nose drops. Which instruction should the nurse provide to the patient?
A nurse is preparing to administer nose drops. Which instruction should the nurse provide to the patient?
Which type of dressing is best suited for maintaining a moist wound environment?
Which type of dressing is best suited for maintaining a moist wound environment?
Following the use of vaginal medication, what should the patient be instructed to do?
Following the use of vaginal medication, what should the patient be instructed to do?
What type of solution should be used to clean any exudate from the eye before administering medication?
What type of solution should be used to clean any exudate from the eye before administering medication?
When administering a wet dressing, what is important to do before application?
When administering a wet dressing, what is important to do before application?
Medications administered via inhalation are aerosolized. What does this mean?
Medications administered via inhalation are aerosolized. What does this mean?
Why is important to avoid touching the eye with the dropper or tube when administering eye medication?
Why is important to avoid touching the eye with the dropper or tube when administering eye medication?
Which percutaneous dosage form is described as non-greasy and easily removed with water?
Which percutaneous dosage form is described as non-greasy and easily removed with water?
What is the purpose of covering nitroglycerin ointment with plastic wrap after application?
What is the purpose of covering nitroglycerin ointment with plastic wrap after application?
What is the next step after 'clean the area' in the procedure protocol?
What is the next step after 'clean the area' in the procedure protocol?
Which action is most important for the nurse to perform before administering medications for percutaneous absorption?
Which action is most important for the nurse to perform before administering medications for percutaneous absorption?
A nurse is teaching a patient about the use of nasal spray. Which of the following instructions should the nurse include?
A nurse is teaching a patient about the use of nasal spray. Which of the following instructions should the nurse include?
According to the seven rights of drug administration, what should always be followed during the use of percutaneous administration?
According to the seven rights of drug administration, what should always be followed during the use of percutaneous administration?
What should be documented for percutaneous administration?
What should be documented for percutaneous administration?
What patient education should be included when applying medication to patients with percutaneous administration?
What patient education should be included when applying medication to patients with percutaneous administration?
What equipment is needed for patch testing in a clinic?
What equipment is needed for patch testing in a clinic?
How long is a patch typically left in place for a patch test?
How long is a patch typically left in place for a patch test?
Flashcards
Percutaneous Administration
Percutaneous Administration
Application of medications to the skin or mucous membranes for absorption.
Drug Administration Rights
Drug Administration Rights
Always follow the seven rights of drug administration.
Creams
Creams
Non-greasy and easily removed with water; a type of topical medication.
Lotions
Lotions
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Ointments
Ointments
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Dressings
Dressings
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Patch Testing
Patch Testing
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Applicator Paper
Applicator Paper
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Transdermal Delivery
Transdermal Delivery
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Sublingual Tablets
Sublingual Tablets
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Buccal Tablets
Buccal Tablets
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Ophthalmic Medications
Ophthalmic Medications
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Administering Eardrops
Administering Eardrops
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Nebulizers and Inhalers
Nebulizers and Inhalers
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Vaginal Medication Administration
Vaginal Medication Administration
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Study Notes
Percutaneous Administration
- It involves applying medications to the skin or mucous membranes for absorption
- This includes the topical application of ointments, creams, dressings, lotions, or powders to the skin
- It covers the inhalation of aerosolized liquids or gases and instillation of solutions into the mucous membranes of the mouth, eye, ear, nose, or vagina
General Administration Guidelines
- Adhere to the seven rights of drug administration
- Perform a premedication assessment and provide explanations
- Patient education encompasses hand washing, proper application techniques, frequency of treatment, specific cautions for the drug, potential adverse effects, and when to contact a healthcare provider
- Accurate documentation includes the date, time, drug, dosage, route, and any patient symptoms like rash or vesicles
Topical Medications: Creams, Lotions, Ointments, and Dressings
- Creams are non-greasy and can be removed with water
- Lotions have soothing properties
- Ointments are oil-based, and medications stay in contact with the skin for a longer duration
- Dressings include dry gauze, transparent films, and hydrocolloid dressings
- Dressings should be used according to the orders
Procedure Protocol for Topical Applications
- Always wash hands and wear gloves
- Position the patient appropriately and clean the application area
- When using lotions, shake well until a uniform suspension is obtained
- For ointments, use a tongue blade to remove the desired amount
- For powder application, ensure the skin is clean and dry, shake well to break up clumps
- Dressings should be spread with the prescribed amount onto the dressing
- In wet dressings, wring out wet dressings to prevent dripping
Transdermal Drug Delivery
- Achieved by either a disk or patch that provides a controlled release of medication
- Washing hands and putting on gloves are necessary before proceeding
- Position the patient and apply the topical disk or patch
- Application frequency depends on the specific drug
- Wash hands again after application
- Label the applied disk with the time, date, and the nurse's initials
Sublingual and Buccal Tablets
- Sublingual tablets are placed under the tongue
- Buccal tablets are held in the buccal cavity
- Both offer rapid absorption and onset of action
- The action is usually systemic rather than localized to the mouth
Eye Medication Administration (Eyedrops, Ointments, Disks)
- Medications used for the eye must be labeled ophthalmic and sterile solutions
- Inspect the affected eye and clean any exudate
- Expose the lower conjunctival sac and approach the eye from below
- Avoid touching the eye with the dropper or tube
- Apply gentle pressure on the inner corner of the eyelid for 1 to 2 minutes after application to prevent systemic absorption
Ear Medication Administration (Eardrops)
- All medications used for the ear must be labeled otic
- Ensure the ear is clear of wax and the medication is warmed to room temperature
- For patients younger than 3 years, pull the earlobe downward and back
- In patients older than 3 years, pull the earlobe upward and back
- The patient should stay in position for a few minutes after application
Nose Drops and Nasal Spray Administration
- The patient should gently blow their nose beforehand
- For nose drops, position patient lying down with their head hanging back
- Use nose spray with the patient upright
- Block one nostril while using the spray
- Patients must shake the bottle and insert the tip into the nostril
- Spray while the patient inhales
Inhalation Medication: Nebulizers and Inhalers
- To use a nebulizer, prepare medication and fill the nebulizer
- The patient exhales through pursed lips
- Put nebulizer in mouth; do not seal completely
- Metered-dose inhalers and dry powder inhalers, followed instructions printed on each inhaler
Vaginal Medications Administration
- Instruct the patient to empty the bladder before administration
- Wash hands and put on gloves before administration
- Fill the applicator with the prescribed medication
- Place patient in lithotomy position
- Elevate hips with a pillow
- Spread the labia and gently insert applicator or suppository
- Instruct the patient to remain in position for 5 to 10 minutes after application
- Wash the applicator with warm, soapy water after each use
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