SKILLS GOING FORWARD TO

1. Changing a central line dressing.

2. Administer metered-dose or dry powder inhaler.

3. Administer an inhaled medication using a spacer device.

4. Administer a topical medication.

5. Administer transdermal patch medication.

6. Administer a nasal instillation medication.

7. Administer ophthalmic medication.

8. Administer ear medication.

9. Administer vaginal medication.

10. Administer rectal medication & suppositories.

11. Administer medication using a pen device.

12. Administer medication using a carpujet.

13. Assist with percutaneous central venous catheter placement.

14. Administer lipids.

15. Administer parenteral nutrition.

16. Assisting a patient onto and off of a bedpan.

Sublingual/Buccal
The sublingual/buccal route of administration is closely related to the oral route; however, in the sublingual/buccal route the dosage form is not swallowed. The tablet is to be dissolved under the tongue (sublingual) or in the pouch of the cheek (buccal). The drugs administered in this manner are rapidly absorbed and have the advantage of bypassing the gastrointestinal tract. Nitroglycerin, for heart patients, in tablet form is more likely the most frequently administered sublingual drug.

Enternal Tube

Before and after administration the tube should be flushed with water to prevent the drug binding to the feed and dramatically reducing serum levels.

designed to bypass dysfunction and obstruction, reduce discomfort or remove the need for patients to actively eat. the medications may be given through enteral feeding tubes. oral liquid medications are preferred for enteral administration

In order for the drug to have bioavailability (be able to be absorbed and used), it must be delivered to the correct part of the gastrointestinal tract.