Problems with drug administration

I. Terminology

1. nebulized inhalation therapy

The spraying of medication in the form of an aerosol, which is inhaled by the respiratory tract, for the purpose of preventing and treating disease.

2. Hypodermic injection

A method of injecting small amounts of medicine into the subcutaneous tissue.

3. intramuscular injection method

The method of injecting the medicine into the muscle tissue.

4. Oxygen nebulization inhalation method

It is the use of high-speed oxygen airflow, so that the drug solution to form a mist, with the inhalation into the respiratory tract.

5. Intradermal injection method

The method of injecting a small amount of medicine between the epidermis and the dermis.

6. Intravenous injection method

Method of injecting medication from a vein.

2. Judgment questions

1. When setting up the medication, the aqueous solution may be dispensed first, followed by the solid medication.

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2. Drugs with an expiration date are also used like other drugs.

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3. Valuable medicines, highly toxic medicines and narcotic medicines are available on doctor's prescription.

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4. Volatile drugs such as ethanol, peracetic acid and sugar coated tablets should be packed in colored bottles with tight lids.

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5. When oral medicines are issued, if the patient is not present, they should be given to the patient in the same room for safekeeping so that they can be taken in time.

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6. Intradermal injection is the injection of medicine into the subcutaneous tissue.

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7. The Chinese meaning of the foreign abbreviation DC is stop.

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8. Appetite-enhancing stomachicides should be taken before meals, while digestion-enhancing stomachicides should be taken after meals.

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9. When giving oral medication, if the patient has questions, the nurse should patiently explain.

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10. The abbreviation for "drop" is Gtt.

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11. Ferrous sulfate can be taken with tea.

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12. After dispensing medication to a patient, the cup is retrieved, rinsed, and then soaked and sterilized for use.

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13. When injecting oils, suspensions, and strong stimulants, use thicker and longer needles.

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14. For subcutaneous injection of less than 1m1 of drug solution, it must be aspirated with a 1ml syringe.

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15. When injecting subcutaneously or intramuscularly, the drug can be injected if there is any blood return.

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16. Oil and mixed plethora of liquids should be used with a slightly longer needle.

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17. After the skin test injection, pull out the needle quickly and press the needle eye.

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18. A patient with a history of penicillin allergy. The nurse can give an intradermal injection for the test.

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19. The gluteus maximus muscle is not easily selected for intramuscular injections in infants and children under 2 years of age.

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20. For intravenous injection, choose a vein that is thick, straight, elastic, not easy to slide, avoiding joints and venous valves, and easy to fix.

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21. During intravenous injection, if there is localized pain, swelling, and no blood return on test pumping, the remaining medicine can be pushed through quickly.

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22. Femoral venous injection is often used in emergencies for pressure infusion, blood transfusion, or collection of blood specimens.

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23. Intramuscular injection can be used when injecting highly irritating or large amounts of drugs.

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24. Penicillin test solution contains 500u per milliliter.

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25. Yukomycin rapid allergy is the use of penicillin molecules in an aqueous solution after ionization, the negative ions contain allergens, electrified, its negative ions can be transmitted into the subcutaneous through the negative electrode, and the body's proteins combine to become antigens, penicillin home allergy, the electrode plate, the skin There is a positive reaction phenomenon.

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26. After blood collection from the femoral vein, a sterile cotton swab should be used to compress the puncture site.

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27. Tetanus antitoxin skin test, if the result is not certain, isotonic saline test can be carried out, if the same result occurs, it means that the former is negative.

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28. Iodine allergy test method can be intradermal test method and intravenous test method.

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29. Cytochrome c intradermal test solution contains 7.5 mg per ml.

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30. Allergic reactions are caused by the interaction of antigens and antibodies on sensitized thread cells.

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31. A positive intradermal penicillin test should be retested in another case.

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32. The triangle formed by placing the tip of the index finger and the tip of the middle finger at the inferior border of the anterior superior iliac spine and the iliac crest is the site of the gluteus medius and gluteus minimus injections.

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33. TAT injection is prohibited for those who have a positive allergy test to TAT.

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34. After ultrasonic nebulization inhalation treatment. The power switch should be turned off first, and then the nebulizer switch.

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35. Oxygen nebulization inhalation method of nebulizer liquid must be submerged in the bottom of the elbow, otherwise the liquid can not be sprayed.

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1. Solid tablets can be taken directly by hand.

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2. If the amount of medicine is less than 1 ml, it must be taken with a dropper, which should be slightly tilted.

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3. Highly toxic drugs, anesthetics and light deterioration of drugs should be locked for safekeeping.

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4. Where there is no label or the label is vague should be labeled for immediate use.

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5. The Chinese translation of the foreign abbreviation qh means once every hour.

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6. For oral administration, if it is an oil solution, use a measuring cup.

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7. The angle of subcutaneous injection should not exceed 45°.

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8. When cough syrup and paracetamol are given to a patient at the same time, the patient should be instructed to take the cough syrup first.

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9. The Chinese translation of the abbreviation 12m means 12 noon.

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10. In order to avoid contact with the teeth when taking acids and iron, a drinking straw can be used to suck in the medicine. You can use a drinking straw to suck in the medicine and rinse your mouth after taking the medicine.

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11. Sulfonamides and sweating medicines, should drink more water after taking.

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12. Triple bromide tablets are susceptible to deliquescence and should be stored in tightly capped bottles.

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13. Take the outer upper 1/3 of the line between the anterior superior iliac spine and the coccyx as the site of injection in the gluteus medius muscle.

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14. When injecting all kinds of viscous oils, they can be warmed up first and then injected.

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15. The lateral femoral muscle injection is located on the lateral aspect of the upper thigh, about 7.5 cm wide.

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16. For prophylactic inoculation, the lower edge of the deltoid muscle of the upper arm is often chosen for subcutaneous injection.

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17. When injecting, do "two fast and one slow", i.e., enter the needle quickly, push the medicine quickly, and pull out the needle slowly.

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18. When injecting intradermally, disinfect the skin with 2% tincture of iodine, leave it to dry and then deiodize it with 70% ethanol, leave it to dry and then inject.

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19. For intramuscular injection, the needle plug needs to be inserted all the way in to make the drug easily absorbed.

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20. Most bacterial vaccines are administered by subcutaneous injection.

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21. For the elderly and infirm, who need to give drugs intravenously for a long period of time, in order to be able to see the blood in a single shot, a thicker, obvious and easy to see vein puncture should be chosen.

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22. Before using a penicillin tester for skin testing, the skin on the inside of the anterior tube should be wiped clean with alcohol.

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23. The needle may penetrate the muscularis propria if it pierces the skin at an angle of more than 45°.

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24. When performing a tetanus antitoxin test, it may not be necessary to repeat the test if it has been used before and is not more than one week old.

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25. The deltoid injection area, because of its ease of manipulation, can be frequently used for intramuscular injections.

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26. Oxygen inhalation is preferred for resuscitation of anaphylaxis.

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27. Streptomycin skin test solution contains 2500u per 0.1ml.

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28. Allergy test is prohibited for those with history of penicillin allergy.

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29. There are two methods of gluteus maximus injection: the cross method and the joint method.

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30. The skin must be sterilized with alcohol for penicillin allergy test.

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31. When a patient is found to be in penicillin anaphylaxis in a primary health center, he is immediately sent to a higher hospital for rescue.

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32. Ultrasonic nebulization inhalation method is the application of ultrasonic sound energy, so that the drug solution into a fine aerosol, and then inhaled by the respiratory tract.

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33. When using the ultrasonic nebulizing inhaler, in order to shorten the warm-up time, warm or hot water can be added to the water tank.

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34. Oxygen nebulization inhalation method is to use high-speed oxygen airflow, so that the drug solution forms a mist and enters the respiratory tract with inhalation.

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35. After oxygen nebulization inhalation treatment, the oxygen switch should be turned off first and the nebulizer removed later.

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3. Fill in the blanks

1. Drugs are widely used in , and diseases, and the direct performer of drug administration is .

Prevention; diagnosis, treatment; nurses; to ensure rational; safe administration; role; adverse effects: dose; usage; contraindications;

Route of administration; assessment of the patient; care recipients

2. Drugs are placed in , , , , , , , , , , , , and other categories, the first to use, to prevent failure.

Internal; external; injection: poisonous drugs; anesthesia; special book; shift

3. The bottle should be clearly labeled. For internal use, for external use, and for highly toxic drugs. The name of the drug should be in English and Chinese, and labeled and , handwriting .

Blue edge; red edge; black edge: concentration; dosage; clear

4. Drugs should be checked, where there is no or, the drug has been, the drug has , , and other phenomena, are not allowed to use.

Periodic; labeling; labeling fuzzy; expired; discoloration; turbidity; mold; precipitation

5. Drug treatment process is strictly enforced in the three checks and seven pairs, the three checks are , , , ; seven pairs are on , , , , , , , , , , , , , , , , , , , , , , and so on.

Pre-operation check; operation check; operation check; bed number: name; drug name; concentration; dosage; method; time

6.

Sublingualization; aspiration; oral; injection rectal administration; topical application

7. Translate the following foreign writing into Chinese: qh , qod , qid , am , hs , prn , qn , 12mn , im , ac .

Once an hour; every other day; 4 times a day; in the morning; before going to bed; need to pair; once a night; 12 midnight; intramuscular injection; before meals

8. Oral administration is the most , the safest method of drug delivery. Because of the slow absorption, it is not suitable for , and should not be used for , the person should not use this method of drug delivery.

Commonly used; convenient; first aid; unconsciousness; vomiting

9.Fasting due to or , not , and make a good . When issuing medicine, if the patient raises questions, should be modest, re-confirmation of the correctness of the given, and then given to the patient to take.

Special examination; surgery; medication; handover; listening; checking; explanation

10. To the teeth have corrosive effect and staining of the teeth of the drug, such as , , when taking in order to avoid and , can be used to inhalation of the drug solution, after taking the drug. Taking , should be avoided, because and the tea in contact, the formation of insoluble, hindering the absorption.

Acids; iron; dental contact; drinking straws: gargling; iron; tea; iron; tannins; iron salts; absorption

11. Stimulating appetite appetite stimulants should be taken in , because they stimulate the gastric juices, which can enhance .

Before meals; taste receptors; mass secretion; appetite

12. Digestive drugs, as well as drugs that irritate the gastric mucosa, should be taken in , in order to make and evenly mixed, conducive to or the stimulation of the gastric lining.

After meals; drugs; food; food digestion; reduce the drug

13. After the issuance of the drug, always observe and , contact with the doctor in a timely manner, as appropriate.

The effect of medication; adverse reactions

14. Nebulized inhalation therapy is the liquid to , inhaled by the respiratory tract, to achieve and the purpose of the disease.

Aerosol spraying; prevention; treatment

15. Personalized medicines should be stored separately, indicating , , and , to prevent errors.

Name; bed number; drug name; dosage

16. Oxygen atomization inhalation method is the use of , so that the drug solution to form , along with the entry of the respiratory tract.

High-speed oxygen stream; mist; inhalation

17. Injections are given into the body to achieve and disease.

Aseptic medicinal solution; prevention; treatment

18. Before injection, the air in the syringe should be , especially for intravenous injections, to prevent air from entering . In venting the air, waste of medicinal solution should be prevented.

Exhaustion; blood vessels to form air embolism

19. After the needle is inserted, before injecting the medicine, the piston should be pumped to check . Intravenous injections must be injected only when the drug is injected. If there is blood return, the injection should be , not injected into the .

Is there any blood return; if blood return is seen; subcutaneous; intramuscular; withdraw the needle and reintroduce it; intravascular .

20. to the patient injection, lift the patient, dispersal of its; take, so that, easy; injection to do, that is, and to be fast, push the liquid; on the irritating drugs, the needle should be, and, otherwise easy to cause and; such as the need for simultaneous injection of a number of drugs, pay attention to, should be injected or the first, and then injected, push the drug should be slower, in order.

Thought concern; attention; appropriate position; intramuscular relaxation; into the needle; "two fast and one slow"; into the needle; dialing the needle; to be slow; thick and long; into the needle to be deep; hard pain: contraindications; non-irritation; irritation of weak; irritation; alleviation of the disease

21. syringe by and two parts. The front end of the empty brief is , the empty brief is labeled , the rear of the piston is , . Its specifications are , , , , , , , , ml8 kinds

Empty cylinder; piston; nipple; capacity scale; piston shaft; piston handle; 1; 2; 5; 10; 20; 30; 50; 100

22. The construction of the needle is divided into , and , 3 parts.

The tip of the needle; needle stem; needle plug

23. Commonly used needle models are , , , , , , , , , , , , , , , , , , , , , , , , and several kinds.

41/2; 5; 51/2; 6; 61/2; 7; 8; 9