From Foundations of Nursing by Christensen and Kockrow, Chapter 23, pages 681-736
For adults and children older than 3 years of age, pull earlobe upward and back
For children younger than 3 years of age, turn head with affected side up, pull earlobe downward and back
Irrigating an ear is an independent nursing intervention. No need for an order
Tell patient to remain in same position for 5 to 10 minutes to allow medication to drain into ear by gravity.
Head forward and upward
Head forward and downward
Head backward and downward
Head backward and upward
MDI delivers a measured dose
Nasal Sprays are accurate
Both MDI and Nasal Sprays are percutaneous forms of medication
MDI and Nasal sprays are exactly the same.
Achieved by placing a tablet between the cheek and the teeth
A drug that is administered Buccal can also be administered sublingual
Tablets are the most common form of buccal administration
Rapid onset of drug's active ingredient is due to absorption into the capillaries of the mucous membranes of the cheek
Vial
Ampule
Canister
Capsule
Vial
Ampule
Canister
Capsule
Have patient open lips and place inhaler 1 to 2 inches from mouth with opening towards back of pharynx. Lips will not touch inhaler.
Have patient open lips and place inhaler 1/2 to 1 inch from mouth with opening towards back of pharynx. Lips will not touch inhaler.
Have patient open lips and place inhaler 1 to 2 inches away from the mouth with opening toward back of pharynx. Lips will not touch inhaler.
Have patient exhale, then grasp mouthpiece with teeth and lips while holding inhaler with thumb at mouthpiece and fingers at the top.
Have patient exhale fully, then grasp mouthpiece with teeth and lips while holding inhaler with thumb at the mouthpiece and fingers at the top
Have patient inhale fully, then grasp mouthpiece with teeth and lips while holding inhaler with thumb at the mouthpiece and fingers at top
Have patient open lips and place inhaler 1/2 to 1 inch from mouth
Have patient open mouth and position inhaler 1 to 2 inches away from the mouth
Breath in slowly for 3 to 5 seconds and hold breath for 20 seconds
Breath in quickly for 5 to 6 seconds and hold breath for 30 seconds
Breath in quickly for 3 to 4 seconds, and hold breath for 1 minute.
Breath in slowly for 2 to 3 seconds, and hold breath for 10 seconds
2 to 5 hours
2 to 5 seconds
2 to 5 minutes
10 to 15 minutes
5 to 10 minutes
5 to 10 seconds
15 to 20 minutes
15 to 20 seconds
Places the medication under the patient's tongue
Gives the patient a glass of water
Uses 3 identitifiers
Applies six rights
Dysphagia
Urgent need to provide absorption
Urgent need for immediate onset
Some medications are altered by the GI tracts
Patient dislikes oral medication
Plunger inside the barrel
Outside of a barrel
Point of a needle
Rubber Stopper
1 mL
3 mL
5 mL
10 mL
Achieved by placing medication beneath the tongue until it is dissolved
They bypass the liver which reduces time it takes to produce a drug's desired effect
While tablet is being dissolved in the mouth, it is acceptable for the patient to drink a glass of water.
It is acceptable to squeeze liquid out of a capsule if ordered by sublingual route
Epidural
Intramuscular
Subcutaneous
Intradermal
Intravenous
0.5 mL
1 mL
1.5 mL
2 mL
Small doses of epinephrine
Subcutaneous medication
Electrolytes
Intradermal skin test
Mantoux
It has the smallest needle
It is calibrated in units
It is the most effective syringe
It was designed for insulin
U100 syringe holds 100 units of insulin per 1 mL
U100 syringe holds 100 units of insulin per 10 mL
U50 syringe holds 50 units of insulin per 0.5 mL
U30 syringe in 0.3 mL size
1 mL
3 mL
5 mL
Tuberculin
SubQ
IM
ID
IV
Diameter of the lumen determines the gauge
The smaller the gauge, the larger the diameter
A 29-30 gauge needle has a large diameter
The thicker the medication, the smaller the gauge
Butterfly and over-the-needle catheter are the two types of IV needles
Butterfly needle (scalp or winged needle) is useful for short term IV fluids
Over the counter needles are called Angiocaths, Jelcos, Abbocaths, or Insytes
The catheter should not be used for long term IV because it is flexible
It is possible to use Angiocaths for an indefinite period of time