ATI Pharmacology Final Exam Study Guide: Updated A+ Guide Solution

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)