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Transcript
RAMOMC17_0130990884.qxd
04/25/2005
07:57 AM
Page 391
EQA
Chapter 17 Medication Administration
391
TABLE 17-5
Routes of Administration
DISADVANTAGES
Oral
Most convenient
Usually least expensive
Safe, does not break skin barrier
Administration usually does not cause stress
Inappropriate for clients with nausea or vomiting
Drug may have unpleasant taste or odor
Inappropriate when gastrointestinal tract has reduced motility
Inappropriate if client cannot swallow or is unconscious
Cannot be used before certain diagnostic tests or surgical
procedures
Drug may discolor teeth, harm tooth enamel
Drug may irritate gastric mucosa
Drug can be aspirated by seriously ill clients
Sublingual
Same as for oral, plus
Drug can be administered for local effect
Drug is rapidly absorbed into the bloodstream
More potent than oral route because drug
directly enters the blood and bypasses the liver
If swallowed, drug may be inactivated by gastric juice
Drug must remain under tongue until dissolved and absorbed
Buccal
Same as for sublingual
Same as for sublingual
Rectal
Can be used when drug has objectionable
taste or odor to prevent nausea and vomiting
Drug released at slow, steady rate
Dose absorbed is unpredictable
Vaginal
Provides local therapeutic effect
Limited use
Topical
Provides a local effect
Few side effects
May be messy and may soil clothes
Drug can enter body through abrasions and cause systemic
effects
Transdermal
Prolonged systemic effect
Few side effects
Avoids gastrointestinal absorption problems
Leaves residue on the skin that may soil clothes
Subcutaneous
Onset of drug action faster than oral
Must involve sterile technique because breaks skin barrier
More expensive than oral
Can administer only small volume
Slower than intramuscular administration
Some drugs can irritate tissues and cause pain
Can be anxiety producing
Intramuscular
Pain from irritating drugs is minimized
Can administer larger volume than subcutaneous
Drug is rapidly absorbed
Breaks skin barrier
Can be anxiety producing
Intradermal
Absorption is slow (this is an advantage in
testing for allergies)
Amount of drug administered must be small
Breaks skin barrier
Intravenous
Rapid effect
Limited to highly soluble drugs
Drug distribution inhibited by poor circulation
Inhalation
Introduces drug throughout respiratory tract
Rapid localized relief
Drug can be administered to unconscious client
Drug intended for localized effect can have systemic effect
Of use only for the respiratory system
Diuretics
ADVANTAGES
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ROUTE