Medication Administration

  1. To convert Fahrenheit to Celsius
    Subtract 32 from temperature then x .0555

    98.6F - 32 x 0.555 = 36.9 (37C)
  2. To convert Celsius to Fahrenheit
    • Multiply by 1.8 then + 32
    • 37C x 1.8 + 32 = 98.6F
  3. To Calculate the volume to be administered
    Desired dose (mg) divided by concentration of drug on hand (mg/mL) = volume to be administered
  4. To calculate the concentration of drug on hand 
    (per milliliter)
    Total Weight of the Drug(amount on hand mg,g)  divided by Total Volume in Milliliters = Weight per Milliliter

    100mg (total weight) / 10mL (total volume) = 10mg/mL
  5. The "six rights" of medication administration
    • Right:
    • Patient
    • Drug
    • Dose
    • Route
    • Time
    • Documentation
  6. Techniques used to gain vascular access in the prehospital setting
    • Cannulation of peripheral extremity vein
    • External jugular vein cannulation
    • Intraosseous access
    • Longterm vascular access devices
  7. What critical information does the Medic need to know about their drugs they carry
    • Indications
    • Contraindications
    • Therapeutic effects
    • Side effects
    • Appropriate doses
  8. The two different ways IV solutions are categorized
    Crystalloid or Colloid (dissolved components or make up)

    Isotonic, Hypotonic, Hypertonic (based on tonicity)
  9. Reflects the concentration of sodium in a solution and the movement of water in relation to the sodium levels inside and outside the cell
  10. a 7 year old requires 0.02mg/kg of drug. You have 1 mg in 10 mL. the child weighs 60lb. What is the desired dose?
    How much volume will you give?
    • Step 1: Convert child's weight; 60 / 2.2 = 27kg
    • Step 2: Determine desired dosage; 0.02mg x 27kg = 0.5mg
    • Step 3: Determine concentration 
    • 1mg / 10mL = 0.1mg/mL
    • Step 4: Determine how much volume to administer; 0.5mg / 0.1mg/mL = 5mL
  11. To adjust the flow rate according to the patient's clinical condition (or as dictated by medical control) you must know:
    • The volume to be infused
    • The period which is to be infused
    • How many drops per milliliter (gtt/mL)
  12. Calculating fluid infusion rates formula:
    Volume to be infused (administered) x gtt/mL (drip set) divided by time (in minutes)
  13. You must use caution when cannulation of leg veins because they can place the patient at greater risk of
    • Venous thrombosis
    • Pulmonary embolism
  14. Points where one vein may split into two
  15. To document the establishment of an IV line you need to include
    • The:
    • Gauge of needle
    • IV attempts vs. successes
    • Site
    • Type of fluid administered
    • Rate at which fluid is running
  16. To convert a larger unit of weight to a smaller one
    • Multiply by 1000 or
    • or move the decimal point three places right

    (1.6 = 1600)
  17. When dividing medication dosages you want divide?
    The Volume (mL) into the Weight (mg,g,kg)
  18. How do you convert mL to L
    Divide the smaller unit of volume by 1000 or move decimal three places to the left
  19. How do you convert L to mL
    Multiply L by 1000 or move decimal three places to the right
  20. How do you convert a smaller unit of weight to a larger unit when the difference is 1000
    move the decimal three places to the left
  21. Enteral medications are those that are given through:
    Some portion of the digestive or intestinal tract
  22. Enteral & Alimentary medications are administered (how)?
    • Orally
    • Through feeding tubes
    • Rectally
  23. The time drugs are absorbed from the stomach and intestines
    30 - 90 minutes
  24. Subcutaneous (SC) injections are given into the:
    Loose connective tissue between the dermis and muscle layer
  25. Common sites for Subcutaneous injections
    • Upper arms
    • Anterior thighs
    • Abdomen
  26. Responsive patients should receive ________prior to infusion of fluids when performing IO infusion
    1% Lidocaine
  27. A saline lock is attached to the end of an IV catheter and filled with approximately 2 mL of NS to keep what from happening
    Blood from clotting at the end of the catheter
  28. GENERIC NAME: THIAMINE HCl (vitamin B1)
    • BRAND NAME: Betalin
    • CLASS: Vitamin
    • No brand name
    • CLASS: Pituitary (antidiuretic) hormone
    • BRAND NAME: Isoptin, Calan, Verelan
    • CLASS: Calcium channel blocker

    CLASS: Ultra-short-acting depolarizing-type skeletal muscle relaxant
  32. Patients can draw in as much as how much of their tidal volume through an open external jugular  vein
  33. The water that bathes the cells, accounts for about 10.5% of body weight. 
    Cerebrospinal fluid
    Intraocular fluid
    Interstitial fluid
  34. The water within the blood vessels, carries red blood cells, white blood cells, and vital nutrients.
    4.5% of body weight
    Intravascular fluid
  35. The best choice of fluids for prehospital care of injured patients who need body fluid replacement
    Crystalloid solutions
  36. Thrombophlebitis
    Inflammation of the vein
  37. Allergic reactions associated with IV therapy:
    • Itching (pruritus)
    • Shortness of breath
    • Edema of the face & hands
    • Urticaria (hives)
    • Bronchospasm
    • Wheezing
  38. How much normal saline should you use as a flush after administering a medication through a gastric tube?
    30 to 60 mL
  39. Whenever flow problems from IV administration occurs check the:
    • IV fluid
    • Administration set
    • Height of IV bag
    • Type of catheter used
    • Constricting band
  40. Lactated Ringer’s solution is an example of what type of solution?

    A) Isotonic
  41. Peripheral vein cannulation is performed in all of the following locations EXCEPT: 

    A) subclavian.
  42. Which of the following drop sets would be considered a microdrip set?

    C) 60 gtts
  43. How many drops does it take to equal a milliliter with a macrodrip set?
  44. When starting an external jugular line, you should always:
    • Position the patient supine and head down.  
    • Carefully feel for the carotid pulse.  
    • Occlude the jugular vein with your finger.
Card Set
Medication Administration
MEDIC 2013