ATI Pharmacology Final Exam Study Guide 2020/2021

Pharm Final Exam Study Guide 2020/2021 Medication Administration, Prioritization (11 MC) • Eye Drops and Ointments: apply in the conjunctival sac • Ear Drops: o Adult: pull the ear up and back o Children under 3 years: pull the ear down and back • Rectal suppositories: place patient on the left side in the sims position, lift buttock, lightly lubricate suppository with water-soluble lube, insert past anal sphincter and into rectum approximately 3 in or 7-8 cm., have patient remain in sims position for 5-10 minutes • IM: 90 degree angle o Gauge: 19, 20, 21, 22 o Length: 1, 1 ½, 2 in. o Locations: deltoid, vastus lateralis, dorsogluteal, ventrogluteal • SQ: 45 degree angle o Gauge: 23, 25, 26 o Length: 3/8, ½, 5/8 in. o Locations: back of the arm, 1 inch away from umbilicus, love handles, outside of thigh • Intradermal: 10-15 degree angle o Gauge: 23, 35, 36 o Length: 3/8, ½, 5/8 in o Locations: Inside forearm, back (allergies) • Never give injections in the inner thigh • Insulin is always measured in units • Insulins are always SQ • Regular insulin can be given IV • Give 2 month old injection in outer thigh • Give at least 30 mL for someone to swallow pill • Priority one: ABCs, vitals, lab values • Priority two: change in mental status, untreated medical problems, pain, urinary elimination problems • Priority three: health problems that don’t fit first or second categories • When mixing insulin, (cloudy, clear, clear, cloudy) Nursing Process, Principles, Lifespan, & Med Errors (4 MC) • 10 Rights of Medication Administration: o Right drug o Right dose o Right time o Right patient o Rig