CMT Final Study Guide 100% Correct

How and where are medications stored? - Answer In a locked medication cart or room Procedure for administering rectal medications - Answer Remove and check medication at least 3 times Squeeze a small amount of lubricant onto a paper towel Wash hands and put on gloves Position resident of left side exposing buttocks, make sure area is clean of PU, feces, and urine If necessary, provide peri care Lubricate suppository or applicator Tell them they will feel a bit of pressure, but should not try to push Separate buttocks and insert suppository beyond the sphincter against the rectal wall(up to middle joint of finger) Wipe excess lube from anus Observe resident every 5 to 10 minutes for results Procedure for administering nose drops - Answer Wash hands and put on gloves Observe for nasal secretions, blow gently and wipe clean if necessary Position the resident: Lying down for NOSE DROPS Sitting up for NASAL SPRAY (Tilt head back slightly) A. Administer the dosage (drop # of drops toward the septum without touching the nasal membrane) B. Insert spray nozzle gently into the nose and spray Wipe nozzle with alcohol wipe Who destroys unwanted medications? - Answer Pharmacist and licensed nurse within 30 days What would you do if you had a question? - Answer Ask licensed nurse or doctor BEFORE giving the medication How often do controlled substances get counted? - Answer every shift Anaphylactic effect - Answer severe, life threatening hypersensitivity to a drug Cumulative effect - Answer buildup a drug in the body that may occur rapidly or slowly over time Hypersensitivity - Answer extreme physical sensitivity to particular substances or conditions Psychological Effect (dependence) - Answer a compulsion to use a drug, often for its mood altering effects, preoccupation with obtaining and using a drug Controlled Substance - Answer drugs covered by the Federal and State Substance Acts (e.g. codeine) Antagonism - Answer condition in which two drugs work against each other, decreasing effectiveness of one or both (e.g. tetracycline and antacid) Contraindication - Answer existing conditions that the resident may have which are incompatible with the drug (e.g. Inderal given to an asthmatic resident)