Escolar Documentos
Profissional Documentos
Cultura Documentos
A female staff member must be present in the room when a male nurse administers a
vaginal medication. The patient should be positioned on her back, with knees bent. Her
legs should be drawn up toward the hips, and the heels should be flat on the bed. A sheet
across the abdomen and upper legs, falling just over the knees, will decrease the patient's
feeling of exposure. Directions for filling the applicator should followed. At this point,
the patient should be advised to drop her knees apart. The nurse should wash his or her
hands and put on disposable gloves. Using one hand, the nurse should spread the labia
and expose the vaginal opening. If there is drainage or exudate, the nurse should cleanse
the area with warm, soapy water, using cotton balls or a clean washcloth. The vaginal
opening should be rinsed and allowed to air dry. A small amount of water-soluble
lubricant should then be placed on the tip of the applicator or suppository, the labia
spread, and the suppository or applicator tipped into the vaginal opening. The suppository
or applicator should be moved gently down, toward the posterior (i.e., back) wall of the
vagina, toward the spine 2–4 inches (5-10 cm), or until resistance is felt. The suppository
or applicator should then be angled upward. When using an applicator to deliver cream or
gel, the plunger should be gently pushed to deliver the medicine. The nurse should then
remove his or her finger and/or the applicator from the vagina. The disposable latex
gloves should be disposed of properly
To apply topical medicine, the health care provider places a small amount on gloved
finger tips or a sterile gauze pad and spreads a thin layer of lotion, cream, or ointment
across the affected area. Cover the affected area and overlap slightly onto the unaffected
skin. A thin layer is usually sufficient. A thick coating may prevent air that is necessary
for healing from reaching the wound.
To administer sublingual tablets, the clinician should have the patient open his or her
mouth and raise the tongue. The tablet should then be placed under the tongue.
Administration of buccal tablets is similar to that of sublingual tablets. First, the patient
should open his or her mouth. The tablet should be placed between the gum and the wall
of the cheek. With the mouth closed, the tablet should be held in this position for five to
10 minutes, or until it has dissolved. Lozenges are also placed in the mouth and held until
they dissolve. Administration of sublingual or buccal sprays also requires having the
patient open the mouth. The patient should be reminded not to breathe while the nurse is
spraying the medicine. If the spray is ordered sublingual, the spray should be held about
one inch (2.5 cm) away from the site, and directed toward the tongue. If the patient
cannot hold up his or her tongue voluntarily, the nurse tongue should be held by the nurse
with his or her non-dominant hand, using a 2x2 gauze pad to provide grip. If the spray is
ordered buccal, the tongue should be held out of the way, the cheek held outward, and the
spray directed into the gum area between the cheek and the teeth. Liquid suspensions
may be given in a medicine cup or squirted into the patient's mouth using a medicine
syringe with no needle. The patient should be directed to hold and swish the liquid in the
mouth for the amount of time designated by the physician's order. Some liquid
suspensions are then swallowed and some expectorated into a sink or basin. In all cases,
the physician's orders should be followed
Always check placement of tube before administering anything in it. After placement is
verified, flush tubing with 30ml water and administer medication with syringe allowing
gravity to pull the medication down the tubing into the stomach. After medication is
given follow the medication with another flush of 30ml of water to clear the tubing and
ensure all medication is given. Clamp tubing, make sure pt is comfortable and recheck pt
10-20 after medication has been administered to check for any adverse effects.
To instill eardrops, have the patient lie on his or her side with the affected ear up.
Gently pull the lobe of the ear up and back to open the ear canal (down and back for
children under the age of three). Hold the medicine dropper just above the entrance to the
ear canal and squeeze out the correct number of drops. Release the ear and have the
patient remain still for five minutes to allow absorption of the eardrops. Repeat the
procedure on the other ear if ordered.