*NURSING > Class Notes > Drug Administration guidelines: Best Study Notes (64) (All)

Drug Administration guidelines: Best Study Notes (64)

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Precautions for drug administration Confirm the patient’s identity Topical administration Topical drugs To apply a paste, a cream, or an ointment ♦ To prevent skin irritation from accumulated d... rug, remove residue from previous applications before each new application. ♦ Always wear gloves to prevent your skin from absorbing the drug. ♦ Never apply ointment to the eyelids or ear canal unless ordered. The ointment may congeal and occlude the tear duct or ear canal. ♦ Inspect the treated area often for adverse or allergic reactions. Equipment For a transdermal patch For transdermal ointment To apply a transdermal patch To apply transdermal ointment After applying transdermal drugs Special considerations To instill eyedrops To apply eye ointment After instilling eyedrops or applying ointment Implementation Equipment Special considerations Nasal drugs To use a nasal spray To use a nasal aerosol Special consideration To insert an ointment, a cream, or a gel After vaginal drug insertion Special considerations Respiratory administration Handheld oropharyngeal inhalers Implementation To use a metered-dose inhaler To use a turbo-inhaler To use a dry-powder, multidose inhaler To use a holding chamber (InspirEase) Special considerations Enteral administration Oral drugs Implementation Drugs given by nasogastric tube or gastrostomy tube Giving a drug by NG tube Giving a drug by gastrostomy tube Buccal and sublingual drugs Rectal suppositories or ointment Special considerations Inserting a rectal suppository Parenteral administration Subcutaneous injection For single-dose or multidose vials Giving the injection Special considerations Intradermal injection Special considerations Intramuscular injection Drug precautions Drug-tobacco interactions ascorbic acid (vitamin C) Possible effects chlordiazepoxide hydrochloride, chlorpromazine hydrochloride, diazepam Possible effects hormonal contraceptives that contain estrogen and progestogen Possible effects Nursing considerations propoxyphene hydrochloride Possible effects propranolol hydrochloride Possible effects Nursing considerations theophylline Possible effects Drug-alcohol interactions Compatibility of drugs with tube feedings Drug-alcohol interactions Effects of mixing drugs and alcohol Analgesics Anxiolytics Antidepressants Antihistamines Antipsychotics Hypnotics Monoamine oxidase inhibitors Oral antidiabetics Cephalosporins metronidazole disulfiram DRUG Aminoglycosides amikacin gentamicin kanamycin neomycin netilmicin streptomycin tobramycin Amphetamines amphetamine benzphetamine dextroamphetamine methamphetamine Reporting adverse drug reactions Monitoring patients using herbs aloe capsicum cat’s claw chamomile (German, Roman) echinacea evening primrose fennel feverfew flaxseed garlic ginger ginkgo ginseng (American, Panax, Siberian) goldenseal kava milk thistle nettle passionflower St. John’s wort SAM-e saw palmetto valerian Taking medications safely at home [Show More]

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