Term
| How are inhaled medications absorbed? |
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Definition
| Through the alveolar epithelium of lower resp. tract |
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Term
| What are the types of inhaled medications? |
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Definition
| metered-dose inhaler (MDI), diskus, nebulization |
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Term
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Definition
| metered-dose inhaler with a canister that delivers a precise set dose of medication when activated. |
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Term
| What is the problem with MDI? |
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Definition
| Patients use them incorrectly. A patient may activate the medication to quickly or not enough. |
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Term
| Why would a patient use a spacer when using an MDI? |
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Definition
| it allows for better inhalation of the drug. Patients get a higher dose of the medication in their lungs. |
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Term
| When giving a patient a corticosteroid and a bronchodialator via MDI, which medication would you give first? |
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Definition
| the bronchodialator because it will allow the lungs to be open and better administration of the corticosteroid. |
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Term
| What procedure should you do before/after giving an inhaled medication? |
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Definition
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Term
| What are reasons for an injection administration of a drug? |
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Definition
| Rapid absorption, GI disturbances, unconscious patients |
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Term
| What are the routes for injections? |
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Definition
|
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Term
|
Definition
| glass flask that contains single dose of med (must break glass to use) |
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Term
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Definition
| glass bottle with self-sealing stopper (must inject equal amount of air into vial first) |
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Term
| What are prefilled cartridges? |
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Definition
| a cartridge is inserted into a reusable holder. (tubex or carpuject) |
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Term
| How does air affect an IM injection? |
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Definition
| bubbles of air affect the amount of dose. |
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Term
| What must you do for a vial before drawing the medication? |
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Definition
| Inspect the vial, then inject the same amount of air as your dose that you will administer. |
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Term
| What are the parts of a syringe? |
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Definition
| barrel,tip,plunger, hub, shaft, bevel |
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Term
| What pieces of the syringe are sterile? |
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Definition
| inside the barrel, part of the plunger that enters the barrel, and the needle itself. |
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Term
| What factors help determine the size of the needle you will need to use? |
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Definition
| Where you will be giving it and the route. |
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Term
| What factor helps determine what syringe to use when giving an injection? |
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Definition
| dosage of the drug to be administered. |
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Term
| What are the steps in giving an injection? |
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Definition
| stab, stabilize, plunge, pressure on injection site, needle safety device. |
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Term
| when are the drug effects that you must monitor? |
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Definition
| therapeutic effect, side effect, toxic effect, allergic reactions, idiosyncratic effect. |
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Term
| Who can change the medication label? |
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Definition
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Term
| What does a nurse assess about a drug and the patient before giving the drug? |
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Definition
| why, system affected, and nursing implications. |
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Term
| What are the 7 essential components of a medication order? |
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Definition
| pt. name, date & time, name of drug, dose, route, frequency, physician. |
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Term
| When should a nurse question an order? |
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Definition
| Whenever a nurse is a confused about the order, why it is being given, if patient is allergic to med, if nurse cant read the order.. |
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Term
| What are the sites of inject for intradermal? |
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Definition
| injection into the dermal layer of skin just below epidermis. Inner surface of forearm, dorsal aspect of upper arm, upper chest, and back beneath scapulae. |
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Term
| What needle gauge,length and angle is used for an intradermal injection? |
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Definition
| 25-28 g length: 1/2 inch angle: 10-15 degrees with bevel up |
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Term
| What is the max dose and what is a intradermal injection used for? |
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Definition
| 0.25 ml used for skin or allergy testing. |
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Term
| What are the sites for a subcutaneous injection? |
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Definition
| Into layer of fat below the dermis and above the muscle layer. Upper arms, thighs, abdomen, and back. |
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Term
| What is the gauge, needle length, and angle of a subcutaneous injection? |
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Definition
| 25-28 g length: 5/8-1/2 inch angle:45-90 degrees. |
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Term
| What is the max dose and what is a subcue injection generally used for? |
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Definition
| 1ml insulin, tuberculin meds, heparin. |
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Term
| What are the intramuscular injection sites? |
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Definition
| injection into muscles, deltoid, vastus lateralis, ventrogluteal. |
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Term
| What is the gauge, needle length, and angle of a intramuscular injection? |
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Definition
| 18-23g length: 1-3 inches angle: 90 degrees. |
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|
Term
| What are the adult max doses of an intramuscular injection? |
|
Definition
deltoid: 1ml (based on client size)
vastus lateralis: 4ml
ventrogluteal: 4ml |
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