Oral Administration: EC, ER, SR, and CR formulations require important nursing considerations, Coughing may be a red flag and requires further assessment, Buccal administration, Food can affect absorption, Vomiting may be a contraindication to administration, Dose of medication is often higher than equivalent dose given IV, IM Injections: 18G to 25G needle is commonly used, 1 to 1 ½ inch needle is appropriate for average habitus, 90 degree angle is exclusively used, It is important to aspirate prior to administration, Z-track method is an important technique when administering caustic medications, Acromion process, greater trochanter, and iliac crest are important landmarking structures, Age influences anatomical location of medication administration, Sub-Q Injections: 25G to 27G needle is commonly used, 5/8 inch needle is appropriate for average habitus, 45 to 90 degree angle can be used based on needle length, Grasp/pinch skin prior to administration., Arms are location for second quickest absorption., No more than 1.5 mL of solution should be administered, Insulin: Sliding scale guides dosage, Time of onset varies from rapid-acting to long-acting, Timing of food is critical, Grasp/pinch skin prior to administration, Arms are location for second quickest absorption, Requires syringe with unit measurement, Glargine and demetir should never be mixed, Topical Administration: Can have local and/or systemic effects, Pull ______ up and back for adults, Instilling cold can cause significant discomfort and adverse effects, Remain lying for several minutes, Gently massage to facilitate medication delivery, Breathe in slowly through the nose, Inhalation Administration: Wait one minute between doses of same medication, Coordination is essential for effective medication delivery, Risk for thrush, Using pursed lips is a part of the med administration technique, Patient strength is an important consideration, Spacers are effective for improving medication administration, Shake vigorously several times before administration,

SP 23 Medication Management Group Grid Matrix

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