Shared Flashcard Set

Details

Topical meds
Med Lab
36
Nursing
Undergraduate 1
12/03/2013

Additional Nursing Flashcards

 


 

Cards

Term
What are trans-dermal patches commonly used for?
Definition
to deliver hormones, narcotic analgesics, cardiac medications, and nicotine
Term
What patch has the most adverse drug effects?
Definition
Narcotic Analgesics
Term
Fentanyl (Duragesic)
Definition
May be applied to the chest, back, flank, and upper arm: ia reapplied every 3 days
Term
Fentanyl (Ionsys)
Definition
may be applied to the chest or upper arm; it is reapplied every 24hrs or after 80 doses delivered. It contains metal parts, so should be removed before MRI, cardioversion, or defibirlation.
Term
Nitroglyerine
Definition
may be placed on any hairless surface except on extremities below the knees or elbows, with chest being the preferred site. It is reapplied ever 12 - 14 hours. Pt should go without it 10 - 12 hours per day to make sure a tolerance doesn't develop.
Term
secretions from what protect the eye from pathogens?
Definition
conjuctiva
Term
Should the equipment, solutions, and ointments introduced into the conjunctival sac be sterile or clean?
Definition
sterile
Term
What should the nurse do to prevent eye drops from flowing into the tear duct and becoming systemic?
Definition
Apply gentle pressure over inner canthus.
Term
If an eye drop is placed on eyelid or outer margin of the eyelid due to patient blinking what should you do?
Definition
don't count it as a drop and readminister. Consider approaching the patient from below the line of site.
Term
When irrigating the eye, how close should you hold the syringe?
Definition
2.5cm from inner to outer canthus
Term
Should technique for instilling ear drops be clean or steril?
Definition
sterile
Term
Assess affected ear for....
Definition
redness, erythema, edema, drainage, or tenderness.
Term
when administering ear drops, what side should the patient be laying on?
Definition
unaffected side
Term
How long should medication stay in the ear and the patient remains in position after ear drops administered?
Definition
minimum of five minutes
Term
How should nose droppers be placed?
Definition
Just above naris, about 1/3 of an inch
Term
vaginal suppositories should be inserted how far?
Definition
about the length of your finger
Term
How far should rectal suppositories be inserted?
Definition
3 - 4 inches
Term
How long must a rectal suppository remain in place in order to be effective?
Definition
35-45 minutes
Term
How long should a patient wait after using inhaler before taking second puff?
Definition
1 -5 minutes
Term
What are indications of infiltrate (subQ)at IV site?
Definition
swelling, leakage at site, coolness, pallor
Term
What are indications of phlebitis at IV site?
Definition
redness swelling and heat
Term
What causes phlibitis?
Definition
chemical reaction or mechanical trauma
Term
What are S&S of infection to IV sites?
Definition
redness, pus, warmth, induation, pain. If systemic chills, fever, tachycardia, hypotension
Term
Microdrip
Definition
60gtt
Term
macrodrip
Definition
10, 15,20 gtt/min
Term
rollar clapms
Definition
decreases lumen of tubing so flow rate is smaller
Term
Burette chambers are also called:
Definition
Buretrols
Salusets
volutrols
Term
huber needle
Definition
Used for IV ports and has 90* angle
Term
Extravasation
Definition
tissue breakdown from irratation IV solution
Term
Blood tubing
Definition
10gtt/ml (at Mott)
Term
Change IV tubing
Definition
(every 3 days) 72 hrs
Term
Change IV bags or bottles
Definition
Q24h
Term
Change bag
Definition
within a half hour of it emptying.
Term
Saline lock
Definition
an intravenous site that is used for intermittent use
Term
Central IVE
Definition
superior inferior vena cava
Term
PICC
Definition
central catheter into a peripheral vein
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