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Medication Aide
Chapters 10-13
Solid and liquid oral dose forms
 Capsule
 Tablet
 Lozenge
 Elixir
 Emulsion
 Suspension
 syrup
Equipment to measure
 Souffle cup
 Medicine cup
 Medicine dropper
 Syringe
 teaspoon
How to administer oral,
sublingual, and buccal drugs
 Give most important drug first (cardiac or antibiotics)
 Give solid drugs first then liquids: do not mix solid drugs
with liquids
 Do not let container touch souffle or medicine cup
 Turn lip or cap upside down, do not touch inside of lid or
cap
 Use souffle or medicine cup for all capsules and tablets
 Check with nurse before crushing tablets or opening
capsules or scoring a tablet
 Do not mix drugs with food or fluids unless directed
 Have person drink before taking drug
 Have person place well back on tongue
 Give person fluids to swallow drug
 Have person keep head forward while swallowing
Cont…
 Encourage person to drink full glass of fluid
 Remind person to suck on lozenges
 Do not dilute liquid drug unless ordered
 Do not mix liquid drugs together
 Give cough syrup last
 Do not return excess liquid to container
 Sublingual (under tongue) no water to drink,
allow drug to absorb
 Buccal (placed between cheek and teeth) no
water drink, allow drug absorb
 If liquid is less then 5cc. Use a syringe to
measure
Problems swallowing
 Have resident in sitting position
 Give sip of water prior to administration
 Give medication one-at-a-time with adequate
fluid, do not rush resident
 Give most vital medications first
 place medication well back on tongue
 Use straw versus glass
 Give liquid medications slowly
 Check to be sure each medication swallowed
 Watch for choking, call for help immediately
 If problems persists, report to nurse
Topical Drugs
 Topical drugs
◦ Cream
◦ Lotion
◦ Ointment
◦ Powder
◦ Transdermal patches
 Equipment
◦ Gauze, cotton ball
◦ Washcloth, towel
◦ Tongue blade, cotton-tipped applicator
◦ Gloves, finger cot
administration
 Provide privacy
 Wear gloves
 Position person (exposed application site)
 Cleanse application site- will need to remove old application, you need to
rotate application site (nitroglycerine ointment & all transdermal’s)
 May need to shake lotion bottle, pour onto cotton ball, plastic cup or gauze
pad
 Use tongue blade to remove cream from jar
 It tube, squeeze small amount onto gauze pad
 Apply agent in thin layer, in direction of hair growth with firm gentle strokes
 Use gloved hand to apply powder in thin, even coverage
 Do not rub or massage nitroglycerine ointment into skin; write date, time,
your name on tape securing new application; document application site
 Transdermal disk or patch- similar to nitroglycerine application; date &
initial the patch prior to removing the plastic backing, place exposed side of
patch to skin, press firmly in place
 Apply clean gloves once the site has been cleaned, prior to applying the
new cream or patch
 If excess body hair is present, clip the hair close to the skin, but don’t
shave it
Eyes, ear, nose, and inhaled drugs
◦ Opthalmic drops
◦ Opthamic ointment
◦ Otic drops
◦ Nasal drops
◦ Nasal sprays metered-dose inhaled medication
 Equipment
◦ Gauze pads, cotton balls
◦ Washcloth
◦ Tissues
◦ Gloves
administration
 Eye
◦ Position person properly (supine, sitting, Fowler’s position; head
tipped back)
◦ Remove eye secretions with saline & guaze pads or washcloth
folded into fourth’s (clean inner aspect to outer)starting with the
eye farthest away from you
◦ Give eye drops at room temperature
◦ Don’t allow container to touch eye, face, etc.
◦ Apply ordered number of drops 1/2-3/4 inch above conjunctival
sac
◦ Drops-remind that will cause burning or blurriness
◦ If 1 kind-wait 1 min between drops-if more then 1 kind wait 1-5
min
◦ Ointment-remind that will cause blurriness
◦ Waste a small amt. on a tissue to ensure ointment is not
contaminated
◦ Squeeze ointment in strip fashion into conjunctival sac from inner
to outer aspect
◦ Have person close eye after application
◦ Use tissue to blot excess- do not rub or wipe
Cont…
 Ear
◦ Give ear drops at room temperature
◦ Position in side lying position (affected ear up)
◦ Remove excess cerumen with wet washcloth
◦ Pull adult ear upward and back
◦ Insert cotton plug loosely into ear if ordered; have person remain
on side for 5-10 minutes-may switch to other side after 5 min
 Nasal
◦ Tell patient medication may cause burning or stinging feeling
◦ Have them blow their nose prior to using the spray-unless has a
head injury or surgery or has had nasal surgery
◦ Position: drops- supine head over edge of mattress; or place a
rolled up towel under the neck area
spray- sitting or semi-fowler’s –block the opposite nostril that’s
being sprayed
Have take a deep breath as the spray is squeezed into the nose
Remind person not to blow nose after application for several minutes
Do not dispose of clip
Cont….
 Inhaled
◦ Follow manufacture’s directions with dry powder via dispenser
◦ Give broncho-dilator before cortico-steroid
◦ Check inside inhaler for foreign matter
◦ Shake canister-have take 2 deep breaths-hold the canister about 1”
from the mouth
◦ Have person exhale, squeeze dispenser on the count of 3 while
inhaling deeply, slowly 3-5 seconds
◦ Have person hold breath for at least 10 seconds, exhale slowly
◦ Person may use spacer if unable to follow directions well-this can
be placed in the mouth
◦ Wait 1 min. before giving 2nd puff if it is the same drug
◦ Wait 1-3 minutes before giving second inhaled drug if different
◦ Have person rinse mouth after inhaling cortico-steroid
◦ Clean inhaler & spacer after administration
◦ Nep. tx’s can be done by a med aide if the person has been stable
& documented as such for a period of 6 mo.’s without any problems
or complications
Vaginal and Rectal Drugs
 Drug forms
◦ Creams
◦ Gels
◦ Tablets
◦ Foams
◦ Suppositories
 Equipment
◦ Applicator
◦ Water-soluble lubricant
◦ Pillow
◦ Perineal pad or panty shield
◦ Gloves
◦ Paper towels, toilet tissue
How to administer
 Follow standard precautions
 Provide privacy
 Insert rounded end of suppository first
 Administer drug at room temperature
 Vaginal drugs
◦ Have woman void
◦ Position in lithotomy position
◦ Spread labia to expose vagina
◦ Apply perineal pad/panty shield after administration of drug
◦ Remain supine, hips elevated 5-10 minutes
 Rectal drugs
◦ Have person move bowels (if possible)
◦ Position in Sims’ position or left side lying
◦ Raise upper buttocks to expose anus
◦ Use lubrication such as KY gel
◦ Insert toward the spine
◦ Don’t leave the suppository in feces or it will not work
◦ Remain in position 15-20 minutes

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Day 3 Medication Aide

  • 2. Solid and liquid oral dose forms  Capsule  Tablet  Lozenge  Elixir  Emulsion  Suspension  syrup
  • 3. Equipment to measure  Souffle cup  Medicine cup  Medicine dropper  Syringe  teaspoon
  • 4. How to administer oral, sublingual, and buccal drugs  Give most important drug first (cardiac or antibiotics)  Give solid drugs first then liquids: do not mix solid drugs with liquids  Do not let container touch souffle or medicine cup  Turn lip or cap upside down, do not touch inside of lid or cap  Use souffle or medicine cup for all capsules and tablets  Check with nurse before crushing tablets or opening capsules or scoring a tablet  Do not mix drugs with food or fluids unless directed  Have person drink before taking drug  Have person place well back on tongue  Give person fluids to swallow drug  Have person keep head forward while swallowing
  • 5. Cont…  Encourage person to drink full glass of fluid  Remind person to suck on lozenges  Do not dilute liquid drug unless ordered  Do not mix liquid drugs together  Give cough syrup last  Do not return excess liquid to container  Sublingual (under tongue) no water to drink, allow drug to absorb  Buccal (placed between cheek and teeth) no water drink, allow drug absorb  If liquid is less then 5cc. Use a syringe to measure
  • 6. Problems swallowing  Have resident in sitting position  Give sip of water prior to administration  Give medication one-at-a-time with adequate fluid, do not rush resident  Give most vital medications first  place medication well back on tongue  Use straw versus glass  Give liquid medications slowly  Check to be sure each medication swallowed  Watch for choking, call for help immediately  If problems persists, report to nurse
  • 7. Topical Drugs  Topical drugs ◦ Cream ◦ Lotion ◦ Ointment ◦ Powder ◦ Transdermal patches  Equipment ◦ Gauze, cotton ball ◦ Washcloth, towel ◦ Tongue blade, cotton-tipped applicator ◦ Gloves, finger cot
  • 8. administration  Provide privacy  Wear gloves  Position person (exposed application site)  Cleanse application site- will need to remove old application, you need to rotate application site (nitroglycerine ointment & all transdermal’s)  May need to shake lotion bottle, pour onto cotton ball, plastic cup or gauze pad  Use tongue blade to remove cream from jar  It tube, squeeze small amount onto gauze pad  Apply agent in thin layer, in direction of hair growth with firm gentle strokes  Use gloved hand to apply powder in thin, even coverage  Do not rub or massage nitroglycerine ointment into skin; write date, time, your name on tape securing new application; document application site  Transdermal disk or patch- similar to nitroglycerine application; date & initial the patch prior to removing the plastic backing, place exposed side of patch to skin, press firmly in place  Apply clean gloves once the site has been cleaned, prior to applying the new cream or patch  If excess body hair is present, clip the hair close to the skin, but don’t shave it
  • 9. Eyes, ear, nose, and inhaled drugs ◦ Opthalmic drops ◦ Opthamic ointment ◦ Otic drops ◦ Nasal drops ◦ Nasal sprays metered-dose inhaled medication  Equipment ◦ Gauze pads, cotton balls ◦ Washcloth ◦ Tissues ◦ Gloves
  • 10. administration  Eye ◦ Position person properly (supine, sitting, Fowler’s position; head tipped back) ◦ Remove eye secretions with saline & guaze pads or washcloth folded into fourth’s (clean inner aspect to outer)starting with the eye farthest away from you ◦ Give eye drops at room temperature ◦ Don’t allow container to touch eye, face, etc. ◦ Apply ordered number of drops 1/2-3/4 inch above conjunctival sac ◦ Drops-remind that will cause burning or blurriness ◦ If 1 kind-wait 1 min between drops-if more then 1 kind wait 1-5 min ◦ Ointment-remind that will cause blurriness ◦ Waste a small amt. on a tissue to ensure ointment is not contaminated ◦ Squeeze ointment in strip fashion into conjunctival sac from inner to outer aspect ◦ Have person close eye after application ◦ Use tissue to blot excess- do not rub or wipe
  • 11. Cont…  Ear ◦ Give ear drops at room temperature ◦ Position in side lying position (affected ear up) ◦ Remove excess cerumen with wet washcloth ◦ Pull adult ear upward and back ◦ Insert cotton plug loosely into ear if ordered; have person remain on side for 5-10 minutes-may switch to other side after 5 min  Nasal ◦ Tell patient medication may cause burning or stinging feeling ◦ Have them blow their nose prior to using the spray-unless has a head injury or surgery or has had nasal surgery ◦ Position: drops- supine head over edge of mattress; or place a rolled up towel under the neck area spray- sitting or semi-fowler’s –block the opposite nostril that’s being sprayed Have take a deep breath as the spray is squeezed into the nose Remind person not to blow nose after application for several minutes Do not dispose of clip
  • 12. Cont….  Inhaled ◦ Follow manufacture’s directions with dry powder via dispenser ◦ Give broncho-dilator before cortico-steroid ◦ Check inside inhaler for foreign matter ◦ Shake canister-have take 2 deep breaths-hold the canister about 1” from the mouth ◦ Have person exhale, squeeze dispenser on the count of 3 while inhaling deeply, slowly 3-5 seconds ◦ Have person hold breath for at least 10 seconds, exhale slowly ◦ Person may use spacer if unable to follow directions well-this can be placed in the mouth ◦ Wait 1 min. before giving 2nd puff if it is the same drug ◦ Wait 1-3 minutes before giving second inhaled drug if different ◦ Have person rinse mouth after inhaling cortico-steroid ◦ Clean inhaler & spacer after administration ◦ Nep. tx’s can be done by a med aide if the person has been stable & documented as such for a period of 6 mo.’s without any problems or complications
  • 13. Vaginal and Rectal Drugs  Drug forms ◦ Creams ◦ Gels ◦ Tablets ◦ Foams ◦ Suppositories  Equipment ◦ Applicator ◦ Water-soluble lubricant ◦ Pillow ◦ Perineal pad or panty shield ◦ Gloves ◦ Paper towels, toilet tissue
  • 14. How to administer  Follow standard precautions  Provide privacy  Insert rounded end of suppository first  Administer drug at room temperature  Vaginal drugs ◦ Have woman void ◦ Position in lithotomy position ◦ Spread labia to expose vagina ◦ Apply perineal pad/panty shield after administration of drug ◦ Remain supine, hips elevated 5-10 minutes  Rectal drugs ◦ Have person move bowels (if possible) ◦ Position in Sims’ position or left side lying ◦ Raise upper buttocks to expose anus ◦ Use lubrication such as KY gel ◦ Insert toward the spine ◦ Don’t leave the suppository in feces or it will not work ◦ Remain in position 15-20 minutes

Editor's Notes

  1. Chapter 10, p. 128-138
  2. Chapter 11, p. 140-147
  3. Chapter 11, p. 145
  4. Chapter 12, p. 150-160
  5. Chapter 13, p. 163-170