MAPE

List the Do Not Use List

IU, U, QD, QOD, MS, MSO4, MGSO4

1000 mcg = _______

1 mg

1,000,000 mcg = _______`

1 g

1000 mg = _______

1 g

1000 g = ________

1 kg

2.2 lbs = ______

1 kg

16 oz = _________

1 lb

1000 mL = ________

1 L

1 fl. Oz = ________

30 mL

1 tsp = ________

5 mL

15 mL = _______

1 tbsp

1 cup = ________

8 oz

240 mL = ________

1 cup

2 cups = ________

1 pint

4 cups = _______

1 quart

2.54 cm = ________

1 in

1 cm = ______

10 mm

100 cm = ________

1 m

List the first 6 rights of safe medication

Patient, dose, route, time, drug, documentation

List the added 4 rights of safe medication administration

Assessment, education, evaluation, refusal

What are the locations for intradermal (ID) injections?

Forearm and upper back

At what angle should intradermal (ID) injections be administered?

5-15 degrees

What gauge needle is typically used for intradermal (ID) injections?

25-29 gauge.

What is the maximum volume input for intradermal (ID) injections?

0.1 mL

What is the insertion length range for intradermal (ID) injections?

3/8 - 5/8 inches

What are the locations for intramuscular (IM) injections?

Deltoid (vaccines) & Vastus lateralis (infants)

At what angle should intramuscular (IM) injections be administered?

90 degrees

What gauge needle is typically used for intramuscular (IM) injections?

20-25 gauge.

What is the insertion length range for intramuscular (IM) injections in adults?

1-1.5 inches

What is the insertion length range for intramuscular (IM) injections in thin adults and children?

5/8 - 1 inch

What is the maximum volume input for intramuscular (IM) injections in adults?

3 mL

What is the maximum volume input for intramuscular (IM) injections in infants?

1 mL

What are the locations for subcutaneous (subcut) injections?

Abdomen, triceps, anterior thigh, posterior hip, shoulder blade.

At what angle should subcutaneous (subcut) injections be administered?

45-90 degrees.

What gauge needle is typically used for subcutaneous (subcut) injections?

23-27 gauge.

What is the maximum volume input for subcutaneous (subcut) injections?

1 mL.

What is the insertion length range for subcutaneous (subcut) injections?

3/8 - 5/8 inches.

How should you handle multi-dose bottle medication? (Oral)

Pour tablet into bottle lid and transfer to the medication cup; return extra tablets to the bottle without touching them.

What is the proper technique for crushing medication?

Crush each separately and until smooth. Mix in with a small amount of applesauce or pudding if client’s diet allows for it.

What are the contraindications for rectal medication administration?

Recent rectal surgery and active rectal bleeding

What is the recommended position for a patient receiving a rectal suppository?

Left side with the upper leg flexed (L lateral recumbent or Sims position).

How should a rectal suppository be inserted?

Instruct the client to exhale while inserting the suppository with a finger against the rectal wall, inserting approximately 4 inches in adults.

How long should a client remain in position after rectal suppository insertion?

At least 5 minutes

What must the patient do before receiving a vaginal suppository?

Empty their bladder

What is the recommended position for a client receiving a vaginal suppository?

Dorsal recumbent position

Before direct insertion of a vaginal suppository, what must the nurse do?

Spread the labia with non-dominant hand

How far should a vaginal suppository be inserted?

2-3 inches

How long should the client remain in position after vaginal suppository insertion?

Supine for 10 minutes

What should you do with the previous transdermal patch before applying a new one?

Remove the previous patch, fold adhesive sides together, and discard per facility policy.

After proper removal of the previous transdermal patch, what should the nurse do before applying a new one

Clear remaining adhesive from the skin.

What information should you write on a transdermal patch prior to application?

Date, time, and your initials prior to applying patch.

Where should a new transdermal patch be applied?

To a new site on clean, non-hairy skin.

What is the technique for using a metered-dose inhaler without a spacer (MDI)?

Shake gently, hold canister 1-2 inches from mouth (or close mouth around it), take deep breath and inhale, hold breath for 10 seconds, then exhale slowly through pursed lips.

What is the technique for using an MDI with a spacer?

Shake gently, take a deep breath, exhale, connect spacer to inhaler and into mouth, depress canister while inhaling slowly and deeply for 2-3 seconds, hold breath for 5-10 seconds

What is the waiting period between inhalations of the same medication using a dry-powder inhaler (DPI)?

30-60 seconds.

What is the technique for using a dry-powder inhaler (DPI)?

Do not shake, load capsule and puncture it, wrap lips around mouthpiece, inhale fast and deeply, hold breath for 5-10 seconds.

What should be done after using a dry-powder inhaler (DPI)?

Rinse mouth.

How long should a client wait before using a second inhaled medication?

5 minutes

When using an MDI with a spacer, how long should you wait in between puffs?

1 minute

What should be done before administering otic medication?

Remove drainage or debris from ear

How should the client's head be positioned during otic medication administration?

Turn client’s head to the opposite side of administration

How should the pinna be pulled for adult patients during otic medication administration?

Pull pinna up and back

What should be done after administering drops into the ear canal?

Gently massage the tragus

What is the protocol for using a moistened cotton ball in otic medication administration?

If ordered, place in the ear canal to prevent medication leakage and leave no longer than 15 minutes.