Download Non-Parenteral Medications

Non-Parenteral Medications
Presented by:
Sharon Dill Kerr MSN, RN
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Pills
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Scored
Extended release
Enteric coated
Capsules
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Liquids and Chewables
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LIQUIDS: Measure in cup, spoon,
syringe. Discard excess if pour too
much.
How many ml per teaspoon?
CHEWABLES: Follow with water so
med reaches stomach.
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Preparation and
Administration of Eye Drops
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Wash hands and put on gloves
Remove any discharge by wiping from
inner to outer canthus.
Pull lower lid down to see conjuntival
sac
Careful not to contaminate dropper or
lid
Have patient look up at ceiling while
administering drops
Have patient close eye and move it
around
Gently press on the lacrimal duct for 1
minute if needed
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Preparation and
Administration
of Eye Ointment
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Wash hands and put on gloves
Remove any discharge by wiping
from inner to outer canthus
Lower lid: expose conjuntival sac.
Patient looks up
Upper lid: draw upper lid up and
away. Patient looks down
Apply thin line of ointment on inside
edge, from inner to outer canthus
Have patient close eye and move it
around
If giving both drops and ointment,
drops first, then ointment
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Administration of Eardrops
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Wash hands and put on gloves
Drops should be at room temperature
Patient should sit up with head tilted
toward the unaffected side
To straighten the external ear canal
 Child to age 3 pull down and back
 Adult pull up and back
Instill the prescribed number of drops
Gently massage the tragus of the ear to
move the medication inward
Take care not to contaminate the dropper
After administration to the left, the patient
should be positioned on the right lateral for
2-3 minutes and vise versa. Cotton ball.
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Preparation and
Administration of Nose Drops
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Wash hands and put on gloves
Have the patient blow nose
Have the patient lying down with head
back and turned toward the side to be
treated allowing the med to drain into
the affected maxillary sinus
Administer prescribed number of
drops or sprays. Occlude opposite
nostril with spray.
Have patient keep head tilted
backward for 5 minutes after
instillation of drops
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Preparation and Administration of
Transdermal Patches
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Wash hands and put on
gloves
Label patch with
date/time/initials
Do not cut patches
Remove old patch
Place new patch on
clean skin
Rotate sites
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The Buccal is the space between the
oral mucous membrane
and the check.
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Preparation & Administration of
Sublingual and Buccal Medicines
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Wash hands and put on
gloves
Fast acting- within 1-5min.
Instruct patient not eat,
drink, swallow, chew or
smoke until medication has
dissolved
Alternate cheeks for buccal
Hold medicine & call MD if
soreness, redness, swelling,
bleeding, or sores in the
mouth
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Preparation and Administration of
Vaginal Suppositories
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Wash hands and put on gloves
Offer opportunity to void
Client should be in the supine position
Lubricate suppository with water
soluble gel
Administer using applicator or gloved
finger
Have patient remain supine 5-10
minutes.
Provide a perineal pad and tissues.
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Preparation and Administration
of Rectal Suppositories
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Wash hands and put on gloves
Suppositories tend to soften at room
temperature, so should be refrigerated
prior to use
Empty bladder/bowels.
Client should be in a Sim’s position
Place waterproof pad under hip.
Bedpan nearby.
Apply small amount of water
soluble lubricant to the tip of
the suppository and gently insert 3 ot 4
inches beyond the external and
internal sphincter.
Have the client lie down for 5-10
minutes to prevent it from being
expelled.
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Preparation and Administration
of Metered Dose Inhaler
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Meditech abbreviations:
MDI = metered dose inhalers.
HHN = hand held nebulizer
Shake the inhaler well before use
Have the patient breathe out
through the mouth
Have the patient open wide and
holding the mouthpiece 1 to 2
inches away from the mouth
Have the patient inhale deeply while
pushing down on the medication
canister..
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Metered Dose Inhalers
(continued) If using a spacer, place the
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mouthpiece in the mouth.
Have patient hold breath
for 10 seconds after
inhalation to allow the
medication to reach the
deep branches of the
airway.
Rinse the mouth after
inhaled medicine
administration.
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Questions?
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