Pharmacology and Medication Administration Flashcards

A medication administered under the tongue is delivered via which route?

Answer: Sublingual

The sublingual route involves placing medication under the tongue to be absorbed directly into the bloodstream. This method bypasses the digestive system, allowing for rapid absorption. The buccal route involves placing medication between the cheek and gum.

Which of the following is NOT one of the 'Seven Rights' of medication administration?

Answer: Right Provider

The 'Seven Rights' are: Right Patient, Right Drug, Right Dose, Right Route, Right Time, Right Documentation, and Right Reason. Right Provider is not one of the core rights, although verifying the order with the prescribing provider is a crucial safety check.

The medical abbreviation 'q.i.d.' stands for:

Answer: Four times a day

The Latin abbreviation 'q.i.d.' (quater in die) means four times a day. It is important to distinguish this from 'b.i.d.' (twice a day), 't.i.d.' (three times a day), and 'q.d.' (every day).

What is the appropriate needle gauge and angle for an intramuscular (IM) injection in an average adult's deltoid muscle?

Answer: 25-gauge, 90-degree angle

For an average adult deltoid IM injection, a 22-25 gauge needle is typically used. The injection must be administered at a 90-degree angle to ensure the medication reaches the muscle tissue.

Which DEA schedule of controlled substances has a high potential for abuse and may lead to severe psychological or physical dependence, but has a currently accepted medical use?

Answer: Schedule II

Schedule II drugs have a high potential for abuse but are used medically (e.g., oxycodone, fentanyl, amphetamine). Schedule I drugs have a high potential for abuse with no accepted medical use. Schedule III drugs have a moderate to low potential for dependence.

A provider orders 500 mg of a medication. The medication is available as 250 mg per 5 mL. How many mL should be administered?

Answer: 10 mL

To solve this, use the formula: (Dose Ordered / Dose on Hand) x Quantity = Amount to Administer. In this case, (500 mg / 250 mg) x 5 mL = 2 x 5 mL = 10 mL. The patient should receive 10 mL.

A severe, life-threatening allergic reaction to a drug that requires immediate medical attention is known as:

Answer: Anaphylaxis

Anaphylaxis is a severe, systemic allergic reaction that can be fatal. It is characterized by symptoms like hives, swelling, and difficulty breathing. A side effect is a predictable, often mild, secondary effect of a drug, while an idiosyncratic reaction is an uncommon and unpredictable response.