Ppt chapter 33

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Ppt chapter 33

  1. 1. Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins Chapter 33 Topical and Inhalant Medications
  2. 2. Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins Topical Route • Cutaneous applications – Inunction application – Transdermal applications o Skin patches o Drug paste
  3. 3. Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins Pathway for Absorption From a Transdermal Skin Patch
  4. 4. Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins Topical Route (cont’d) • Ophthalmic applications • Otic applications • Nasal applications • Sublingual and buccal applications • Vaginal applications • Rectal applications
  5. 5. Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins Question •Is the following statement true or false? The conjunctiva lines the inner eyelids and the anterior surface of the sclera.
  6. 6. Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins Answer True. The mucous membrane of the eyes, called the conjunctiva, lines the inner eyelids and the anterior surface of the sclera.
  7. 7. Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins Question •Is the following statement true or false? When instilling ear medication in a young child, the nurse pulls the ear up and back.
  8. 8. Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins Answer False. When instilling ear medication in a young child, the nurse pulls the ear down and back. For an adult, the nurse pulls the ear up and back.
  9. 9. Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins Instilling Eye Medications (Refer to Skill 33-1 in the textbook.)
  10. 10. Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins Administering Nasal Medications (Refer to Skill 33-2 in the textbook.)
  11. 11. Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins Administering Medications Vaginally Vaginal Applicator
  12. 12. Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins Administering Medications Vaginally Vaginal Applicator Insertion
  13. 13. Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins Transdermal Medications Insert Nursing Guidelines 33-2
  14. 14. Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins Question •Is the following statement true or false? In a sublingual application, medication is introduced into the bloodstream by dissolving or mixing medication in water and ingesting thereafter.
  15. 15. Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins Answer False. In a sublingual application, the drug is placed under the tongue and is left to dissolve slowly and become absorbed by the rich blood supply in the area.
  16. 16. Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins Inhalant Route • Advantage of administering drugs via the inhalant route • Definition of aerosol and its purpose in administering medication
  17. 17. Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins Inhalant Route (cont’d) •Definition of inhalers – Dry powder inhaler – Metered-dose inhaler – Nebulizer – Definition of a spacer and its advantage
  18. 18. Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins Question •Is the following statement true or false? Drug residue accumulates only in the mouthpiece of faulty inhalers.
  19. 19. Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins Answer False. Drug residue may accumulate in the mouthpiece of all inhalers, so the client should rinse the mouthpiece in warm water after use.
  20. 20. Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins Parts of an Inhaler
  21. 21. Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins Using a Metered-Dose Inhaler
  22. 22. Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins Spacer and Inhaler
  23. 23. Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins Nursing Implications • Nursing diagnoses – Deficient knowledge – Ineffective therapeutic regimen management – Impaired gas exchange – Impaired skin integrity – Impaired tissue integrity
  24. 24. Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins Ineffective Breathing Patterns
  25. 25. Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins General Gerontologic Consideration • Instilling eye medications in older adults • Complex eye medication regimes in older adults • Precautions when administering eye medications in older adults • Physical problems associated with administering drugs or relief in older adults • Educating older adults in complicated inhalant route administration processes
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