Chapter8: safe medica�on administra�onOral Preferred route for childrenNever mix med with formula or pu�ng it in botled formula because infant may not take en�refeedingUse the smallest measuring device for doses of liquid medica�on.Avoid measuring liquid medica�on in tsp or tbspAdmin in the side of the mouth in small amounts; stroke under infants chin to promoteswallowingCan add flavoring if needed or use nipplesA nurse is preparing to administer medication to a toddler. Which of the following areappropriate actions for the nurse to take? (Select all that apply.)A. Iden�fy thetoddler by asking the parent.B.Tell the parent to administer the medica�on.C.Calculate the safe dosage.D.Ask the toddler what toy he wants to hold during administra�on.E.Offer juice a�er the medica�on.
A nurse is teaching a parent of an infant about administration of oral medications. Which of thefollowing should the nurse include in the teaching? (Select all that apply.)A. Use a universaldropper for medica�on administra�on.
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ear dropsA nurse is caring for an infant who needs oticmedication. Which of the following is anappropriate action for the nurse to take?A. Hold the infant in an upright posi�on.B.Pull the pinna downward and straight back.– less than 3 yearsC.Hyperextend the infant's neck.D.Ensure that the medica�on is cool.Child >3 years: pull pinna upward and backProvide atrauma�c careRefrigerate meds to come up to room temp before administra�onMassage outer area a�er administra�onIM and IV- Recommended- vastus lateralis, could do gluteus or deltoid but vastus lateralis ispreferred.Peripheral IV–intermitent med admin or short-term IV therapyMedport –if we know they will need long term IV access.eye ointment – OPTICPlace child supine or si�ngExtend child's head and ask child to look upPull lower eye lid downward and apply medica�on in the conjunc�va pocket–wear glovesIf eyes closed �ght place drops in the nasal cornerAdminister ointments from inner to outer canthus of eyeIf giving a gel or ointment – inner to outer canthusInhaler –Albuterol Administra�onRemove cap, shake 5-6 �mesHold breath for 5-10 seconds, wait 1 min between puffs rinsethe mouth a�er the use of a cor�costeroid inhalerFungal infec�ons of the oral cavity can occur with cor�costeroid use
Neurosensory DisordersSeizures/EpilepsyAbnormal, excessive electrical discharges of neurons within the brain caused by a diseaseprocess.Safety! Protect from injuryMaintain a patent airwaySide lying posi�onBe prepared to suc�on oral secre�onsLoosen restric�ve clothingRemove glassesAdminister O2Remain with childNote onset, �me and characteris�cs of the seizureWhat is a ketogenic diet? high fat, low carb and adequate protein which is some�mes ini�ated inseizure pa�entsStatus epilep�cus-Seizure ac�vity that lasts longer than 30 minsNursing considera�ons for Status epilep�cusMaintain a patent airway, administer O2, establish IV access, perform ECG, pulse oximetry and ABGresultsAdminister loading dose of diazepam or lorazepam
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