question

What equipment is used to measure enteric medication?

answer

medicine cups, droppers, calibrated spoons, and oral syringes

question

Which systems are used when measuring enteric medication?

answer

metric, apothecary, and household

question

What is a meniscus?

answer

a curve in the surface of the liquid; measurement is taken at the bottom of the curve

question

When should med cups not be used?

answer

for measurements lower than 5 mL

question

When measuring medications smaller than 5 mL, what instruments should be used?

answer

dropper calibrated spoon oral syringe

question

Why would a dropper be used to adminsiter medication?

answer

*deliver medication to eyes, ears and nose *used for oral pediatric doses *units of measure vary with dropper

question

Which patients would use calibrated spoons?

answer

elderly and pediatric patients

question

What are calibrated spoons used for?

answer

to administer medication directly into the mouth or into a food or beverage

question

What are the instructions for proper use of a medicine cup?

answer

*locate appropriate calibration *place cup on a flat surface while pouring liquid medicine *check measurement with cup at eye level *make measurement at lowest level of meniscus

question

What are the instructions for proper use of a dropper?

answer

*measure proper amount before delivery *hold dropper vertically *count slowly and allow drops to fully form

question

What measurements can be made with a calibrated spoon?

answer

teaspoons, tablespoons and milliliters, should not be replaced by household spoons

question

Besides measurement, what else should medications be checked for?

answer

expiration date, changes in clarity, color or consistency

question

What safety features do oral syringes have to prevent them from being confused with hypodermic syringes?

answer

*eccentric tips *tinted' *tips that have a different shape and size than hypodermic syringes

question

Are oral syringes sterile?

answer

no

question

What are some important rules for safety when using an oral syringe?

answer

(never attach a needle to an oral syringe *never inject an oral dose *in emergencies you may use a hypodermic syringe without a needle to measure and administer liquid oral doses

question

What are some methods of parenteral medication administration?

answer

*Topical & Transdermal medications *Inhalers *Sublingual medication *Injections

question

What are the methods of administration by injection?

answer

*Intravenous (IV) *Intramuscular (IM) *Intradermal (ID) *Subcutaneous (Subcut)

question

How are standard syringes calibrated?

answer

milliliters (mL)

question

What size do standard syringes come in?

answer

3 mL, allow for measurement of small doses

question

What does it mean to say that standard syringes are zero calibration?

answer

the edge of the barrel near needle is where measurement starts

question

Which of the two rings is closest to the needle and used for measurement?

answer

the leading ring is closest to the needle and used for measurement, the trailing ring is the ring farthest from the needle

question

What additional features do safety syringes have over standard syringes?

answer

includes a safety mechanism, and reduce chance of accidental needlestick injury

question

How many doses are contained in a prefilled syringe?

answer

one

question

Is it still necessary to measure doses in a prefilled syringe?

answer

yes, and it should be measured carefully, any excess medication should be discarded before injection

question

What steps should be followed before administering a prefilled syringe?

answer

*measure dose carefully *discard any excess medication in a prefilled syringe prior to injection *examine the markings to determine whether the syringe is calibrated in milliliters or milligrams *calculate doses accordingly

question

Can insulin syringes be used to measure other types of medication?

answer

no

question

How are insulin syringes calibrated?

answer

U-100, or 100 units of insulin per 1 mL

question

What sizes are insulin syringes available in?

answer

50 and 100 unit capacities

question

What are tuberculin syringes used for?

answer

*subcutaneous injections *intradermal injections *doses less than 1 mL

question

What are examples of medications administered via tuberculin syringes?

answer

*PPD skin test *vaccines *heparin *pediatric medications *allergen extracts

question

how are tuberclin syringes calibrated, and why is this important to note?

answer

they are calibrated in hundredths of a mL, important because they require careful measurement; measurements are close together adn require careful alignment with leading ring

question

How are syringes for established IV lines used?

answer

used to administer medication and fluids directly into a patient's vein by using the injection port of an IV line

question

What are the advantages of using syringes for IV lines?

answer

*eliminate repeated punctures *decreases risk of needlestick injuries *allow compatible drugs to be administered together *enable periodic drug deliver *allow dilation of medication

question

What volumes would large capacity syringes typically have?

answer

5 mL, 6 mL, 12 mL; calibrations may vary

question

Describe the role of the cartridge in medication delivery

answer

-prefilled container shaped like a syringe barrel *one dose of medication *fits a reusible syringe *ie tubex, carpuject

question

Describe the role of ampules in medication delivery

answer

*sealed container holding one dose of medication *snaps open *uses a standard syringe to withdraw medication

question

Describe role of vials in medication delivery

answer

*container covered with a rubber stopper *contains one or more doses of medication *may contain liquid or powder medication

question

What are the exceptions to the rule that the person who prepares a syringe for injection should administer injection?

answer

1. pharmacy techs who prefill syringe 2. nurses or medical assistants preparing a syringe for physician 3. healthcare workers teaching a patient to administer own medication

question

What size needle gauge would be used for intradermal injections?

answer

25-26

question

What size needle gauge would be used for subcutaneous injections?

answer

23-27

question

What size needle gauge would be used for intramuscular injections?

answer

18-23

question

What does the gauge of a needle measure?

answer

the interior diameter

question

What would a smaller gauge on a needle indicate?

answer

larger diameters

question

components of medication order (9)

answer

1a. full name of patient 2a. date of birth 3a. full name of the drug 4d. dose 5d. route 6d. frequency 7. prescribing physician 8. date of prescription 9. PRN including reason

question

dose

answer

amount of medication order

question

route

answer

how the drug enters the body

question

AP

answer

licensed health care provider with prescriptive authority

question

frequency

answer

how often the medication is taken

question

information that must be on MAR

answer

1. Name of medication, dose, route and frequency 2. times that accurately reflect times specified 3. Name/DOB/other identifier of patient 4. date orders were written 5. special instructions or information required by facility

question

information on medication label and package insert

answer

1. drug name 2. form of drug 3. dosage strength 4. total amount in container 5. warnings 6. route of administration 7. storage requirements 8. manufacturing information

question

generic name

answer

official name used for national listings, USP , NF

question

trade name

answer

brand name, used to market drug, property of drug company-registered mark

question

forms of drugs

answer

solid oral medication (tablets, capsules, gelcaps, caplets) liquids (oral injections, inhalants, drops, sprays, mists) other (ointments, creams, lotions, patches, suppositories, shampoos)

question

dosage strength

answer

the amount of drug present per dosage unit or form of the drug

question

manufacturing information that must appear on labels

answer

name of manufacturer, expiration date, lot number, bar codes

question

directions for reconstituting

answer

type and amount of diluent solution strength once reconstituted time period for safe administration

question

forms of oral medications

answer

tablets scored chewable enteric coated

question

capsules

answer

gelatin shell holds drug, some should be swallowed whole, others may be opened and mixed with food

question

controlled release medication

answer

usually swallowed whole

question

scored

answer

tablet may be broken to give a partial dose only when tablets are........

question

never crush or break

answer

enteric coated medication controlled release medication (CR) extended release medications (ER/XL) sustained release medications (SR)

question

initials and time and date

answer

what must you write when reconstituting a drug

question

measuring oral medications

answer

droppers calibrated spoons medicine cups oral syringes

question

patient education

answer

check for language barriers make sure pt/caregivers can read and understand label check for drug allergies review dose, frequency, and length of time drug is to be taken review special instructions describe adverse effects refer to label as needed

question

parenteral medication packaging

answer

single use ampules single use prefilled syringes multi use vials

question

routes of parenteral medication

answer

intradermal (ID) intramuscular (IM) Intravenous (IV) subcutaneous (subcut) inhalant transdermal

question

first step in the prescription/medication delivery process

answer

prescription and medication order

question

8 components of a medical order

answer

1. pt name 2. dob 3. date/time written 4. drug name 5. dose 6. route 7. time/frequency 8. signature of AP

question

what must outpatient prescription orders contain besides 8 components of medication order?

answer

quantity prescriber number number of refills instructions

Medical dosages quiz #3 – Flashcards

Unlock all answers in this set

Haven't found what you were looking for?

Search for samples, answers to your questions and flashcards