Lab 6-powder meds/suppositories
diluent
A substance capable of dissolving a drug and holding it in a solution
a nurse is preparing to reconstitute a powdered medication. After gathering supplies, identifying the appropriate diluent, and performing hand hygeine, what steps should the nurse take? 1) withdraw diluent 2) roll vial 3) inject diluent 4) cleanse top of vials with an antiseptic 5) aspirate medication dose
- cleanse top of vials with an antiseptic - withdraw diluent - inject diluent -roll vial - aspirate medication dose (*To reconstitute a powdered med: -gather equip, powdered med, correct diluent -hand hygiene -remove sterile cap from diluent + powdered medication vials. -Cleanse each vial top with a separate antiseptic swab. -Insert the syringe into the vial of the diluent and aspirate the correct amount of fluid. -Once complete, remove syringe + insert into powered med vial. - Inject diluent into med. - Remove syringe + gently roll unti dissolved. -Use new syringe + needle to aspirate the prescribed dose of medication + give to patient.
When are the 3 checks?
-at med cart-(pull meds out) -before leave med cart -bedside
How does the body absorb rectal drug?
-body heats drug-->melts -rectal tiss absorbs it
What bedside...what should you ask?
-name -DOB -allergies?
types of diluent
0.9% sodium chloride 5% dextrose in water sterile water bacteriostatic water
List the steps to insert suppository...
1) check vitals 2) sims position 3) insert 3-4 inch drug (*vitals=baseline for normal body) (*3-4 inch=so sphincter does not push it out)(stick inside as much as you can so stays inside)
When are the 3 checks? (*watch youtube vid)(or ATI)
1) take med out of the drawer 2) pour med 3) at bedside
A nurse is preparing to administer oxacillin 375 mg IM. The nurse reconstitutes a vial of oxacillin to yield a final concentration of 250mg/1.5mL. How many mL should the nurse administer? (*round to nearest tenth)
2.3 mL (*do usual dosage calc)(but round to tenth)(cuz in directions) (*no directions=round to hundredth)
Is done 3 times to check the 5 rts
3 check's (*make sure ur giving rt med/to rt patient)
"alert and oriented"
AO
What 3 factors shokuld you consider when allowing patient to administer own rectal drug?
AO mobile gender (*female may be more comfortable with another female nurse) (*mobile=move)(can move on own)(can put drug on own) (*AO=alert/oriented)(won't do something weird with drug)
a nurse is prepating to reconstitute cephalexin for oral administration. Which of the following diluents should the nurse add to the medication? A) 5% dextrose in water B) bottled water C) bacteriostatic water D) 0.9% sodium chloride
B) bottled water (*bottle + tap water=oral) (*0.9%=IV)
a nurse has reconstituted a powdered medication. Which of the following information should the nurse include on the written label? A) diluent used B) date of preparation C) medication concentration D) full name of preparer E) time diluent was added F) expiration date and time
B) date of preparation C) medication concentration E) time diluent was added F) expiration date and time
given by injection
IV
Why do we use sharpie + not ballpt pen on med patches?
ballpt pen can poke hole thru patch (*meds flow out)
to give over a long period of time
bolus
A nurse is preparing to reconstitute and administer a powdered medication in a multidose vial. Which of the following actions should the nurse plan to take? a) use a filtered needle to administer the medication b) Briskly shake the medication vial after adding the diluent. c) Label the vial with the date adn time before administering the medication. d) Swab the rubber seal on teh vial with triclosan prior to adding the diluent.
c) (*reconstitute=new drug) (*so must add new label)
What to do before applying a med patch?
clean area w/ warm washcloth (*no soap...may interact w/ med patch)
What info should be on label for med patch?
date time initial
What are the 5 rights of medication administration?
drug dose route time patient (*first 3=drug label) (*last 2=on Dr's order)
reconstitute
make a powder medication into a liquid
Can you apply ointment with bare hands if skin is intact?
no (*hands will absorb ointment) (*wear gloves)
Do you need to apply ice or heat to topical ointment?
no (*may affect effects of ointment) (*cold=crusty)(not on skin) (*hot=too absorbed fast)(not on skin) (*rm temp=on skin)
Can you use a "single-dose" vial multiple times?
no (*single=1 time use)
given by mouth
oral
difference between an oral syringe and a parenteral syringe
parenteral syringes have a Luer-lok hub
drug given to the butt What's another name for it?
rectal drug suppository
Why do we clean the area before adding a med patch?
so skin absorbs med better (*if oily....med will stick onto oil...not skin)
what kind of water can you use to reconstitute oral medication?
tap water bottled water
Once absorbed, the rectal drug stimulates the ______ nerve which leads to normal body funct
vagal
nerve that regulates organ funct ex) digest, heart rate, resp rate, reflexes, cough
vagal nerve (*vagal nerve)
FUN FACT: Why is the vagus nerve called the "vagus nerve?"
vagus="wandering" wander=go down long paths vagus nerve wanders from brain thru body
Why should you put cold drops in the ear canal?
vomit (*must be rm temp)
IN GENERAL: -always wear GLOVES!!!! (*won't get docked for it) -oldies--> slower, but still normal funct -AO-> can do it themselves...just guide them -not AO--> do it for them -almost every drug can be given "rectally" (*life-threatening sit)
yupp
