TEEX PARAMEDIC CH21. IV ACCESS
AND MEDICATION ADMINISTRATION
PT 1 (BEGINNING – ENTERAL)
What is the definition of a Metered Dose Inhaler (MDI)? - Answer-A handheld device
that produces a medicated spray for inhalation
What are the two parts of a Metered Dose Inhaler? - Answer-1. A medication canister
2. A plastic shell with mouthpiece
Who is most likely to use a spacer for MDI delivery? - Answer-Elderly and young people
Key steps to remember for MDI administration - Answer-1. Gently shake the MDI for
TWO TO FIVE SECONDS
2. As the pt inhales, press canister downward to admin medication
3. Have pt hold their breath for SEVERAL SECONDS.
What is the disadvantage of using a nebulizer or MDI? - Answer-Moving the aerosolized
medication into the lungs depends on adequate ventilation. Pt's with poor tidal volume
or minute volume cause medication to be ineffective because it can't reach the site of
action. Consider using in conjunction with BVM or ET Tube in these patients.
What are the 5 medications that can be delivered via the ET Tube? - Answer-NAVEL
Naloxone
Atropine
Vasopressin
Epinephrine
Lidocaine
What is NAVEL? - Answer-The medications that can be delivered via ET Tube. Narcan,
Atropine, Vasopressin, Epi, and Lidocaine
What changes are necessary when giving meds via ET Tube? - Answer-1. Increase IV
dosages from 2 to 2 1/2 times for ET admin
2. Dilute medication in normal saline to create 10mL solution
Key steps for giving medication via ET Tube - Answer-1. 2 to 2 1/2 dose of normal med
dose
2. Dilute with saline to create 10mL of solution
3. Quickly inject medication down ET Tube
, 4. Use several ventilations to aerosolize medication and enhance its absorption .
5. Ideally, you can use a commercially manufactured catheter to pass through ET Tube
for better medication injection
What is the ENTERAL medication route? - Answer-Medication that's absorbed via the
GI tract. Mouth -> Stomach -> Intestines -> Rectum
What are the 3 routes for enteral medications? - Answer-1. Orally
2. Gastric Tube
3. Rectally
What are the advantages of enteral medication administration? - Answer-1. Least
expensive route
2. Requires little equipment
3. Requires minimal training
4. You can often retrieve the medication after it's delivered (vomiting, spitting it out,
removing from rectum, etc)
What can alter the GI tract's chemical and physical environment? - Answer-Physical
activity, emotions, and food can significantly alter GI tract absorption. This makes
enteral med absorption unreliable.
What must all blood from the stomach and small intestine pass through? - Answer-The
hepatic circulation system (portal circulation). The liver's condition can change the
medication's effectiveness, distribution, metabolism.
What is the definition of oral medication administration? - Answer-Any medication taken
by mouth (orally) and swallowed into the gastrointestinal (GI) tract. From the GI tract,
the medication is absorbed and distributed throughout the body.
What must be present for a pt to receive oral medication admin? - Answer-Pt must have
adequate level of consciousness to support their airway. Pt's without this are at risk of
aspiration.
What are CAPSULES? - Answer-Contains liquid, dry, or beaded medication in a
SOLUBLE CASING.
What are TABLETS? - Answer-A medicated power compressed into a small, solid disk.
What are ELIXIRS? - Answer-Liquid medications combined with alcohol or placed in a
sweetened fluid.
What are EMULSIONS? - Answer-Medications combined with a fat or oil emulsifier
What are LOZENGES? - Answer-Solid forms of medication that dissolve slowly in the
mouth, thus permitting gradual swallowing.
AND MEDICATION ADMINISTRATION
PT 1 (BEGINNING – ENTERAL)
What is the definition of a Metered Dose Inhaler (MDI)? - Answer-A handheld device
that produces a medicated spray for inhalation
What are the two parts of a Metered Dose Inhaler? - Answer-1. A medication canister
2. A plastic shell with mouthpiece
Who is most likely to use a spacer for MDI delivery? - Answer-Elderly and young people
Key steps to remember for MDI administration - Answer-1. Gently shake the MDI for
TWO TO FIVE SECONDS
2. As the pt inhales, press canister downward to admin medication
3. Have pt hold their breath for SEVERAL SECONDS.
What is the disadvantage of using a nebulizer or MDI? - Answer-Moving the aerosolized
medication into the lungs depends on adequate ventilation. Pt's with poor tidal volume
or minute volume cause medication to be ineffective because it can't reach the site of
action. Consider using in conjunction with BVM or ET Tube in these patients.
What are the 5 medications that can be delivered via the ET Tube? - Answer-NAVEL
Naloxone
Atropine
Vasopressin
Epinephrine
Lidocaine
What is NAVEL? - Answer-The medications that can be delivered via ET Tube. Narcan,
Atropine, Vasopressin, Epi, and Lidocaine
What changes are necessary when giving meds via ET Tube? - Answer-1. Increase IV
dosages from 2 to 2 1/2 times for ET admin
2. Dilute medication in normal saline to create 10mL solution
Key steps for giving medication via ET Tube - Answer-1. 2 to 2 1/2 dose of normal med
dose
2. Dilute with saline to create 10mL of solution
3. Quickly inject medication down ET Tube
, 4. Use several ventilations to aerosolize medication and enhance its absorption .
5. Ideally, you can use a commercially manufactured catheter to pass through ET Tube
for better medication injection
What is the ENTERAL medication route? - Answer-Medication that's absorbed via the
GI tract. Mouth -> Stomach -> Intestines -> Rectum
What are the 3 routes for enteral medications? - Answer-1. Orally
2. Gastric Tube
3. Rectally
What are the advantages of enteral medication administration? - Answer-1. Least
expensive route
2. Requires little equipment
3. Requires minimal training
4. You can often retrieve the medication after it's delivered (vomiting, spitting it out,
removing from rectum, etc)
What can alter the GI tract's chemical and physical environment? - Answer-Physical
activity, emotions, and food can significantly alter GI tract absorption. This makes
enteral med absorption unreliable.
What must all blood from the stomach and small intestine pass through? - Answer-The
hepatic circulation system (portal circulation). The liver's condition can change the
medication's effectiveness, distribution, metabolism.
What is the definition of oral medication administration? - Answer-Any medication taken
by mouth (orally) and swallowed into the gastrointestinal (GI) tract. From the GI tract,
the medication is absorbed and distributed throughout the body.
What must be present for a pt to receive oral medication admin? - Answer-Pt must have
adequate level of consciousness to support their airway. Pt's without this are at risk of
aspiration.
What are CAPSULES? - Answer-Contains liquid, dry, or beaded medication in a
SOLUBLE CASING.
What are TABLETS? - Answer-A medicated power compressed into a small, solid disk.
What are ELIXIRS? - Answer-Liquid medications combined with alcohol or placed in a
sweetened fluid.
What are EMULSIONS? - Answer-Medications combined with a fat or oil emulsifier
What are LOZENGES? - Answer-Solid forms of medication that dissolve slowly in the
mouth, thus permitting gradual swallowing.
