Question

Mrs. Smith, 75, has difficulty swallowing a her daughter tells you that she has been crushing this tablet and mixing it with her food. The daughter is concerned that her mother may not be receiving all the medicine, as the food now tastes bitter (from the medication) and she may not be eating all of it. What is your response to Mrs. Smith's daughter? Is it safe to crush an enteric coated tablet? Explain your answer an enteric-coated tablet .While you are taking Mrs. Smith history, 68.Sally is 6 months old and needs several immunizations to be given IM as recommended by the CDC.In what position should Sally be placed ?What muscle group should the allied health care professional choose for giving medication? Should medication be mixed if the health care provider does not order mixing? Since these medications are to be given IM, what angle should be used for needle insertion?

Answer 1

67.tell her to inform the doctor if her feels difficulty to take the enteric coated tablet.doctor will change the medication.because,entwric coated tables should not be crushed or chewed while taking.it has designed to carry the tablet together in gastro intestinal tract and protect stomach from irritation .Moreover,medicine get protected from hydrochloric acid present in stomach if it is coated.if it is given by crush ,it will not give the actual effect and cause G.I irritations.

68.baby should be kept on supine position to give injection comfortably.it should be given in anteriolateral thigh where vastus latralis muscle present.nurse should find the bulky part of vastus latralis muscle and give injection in 90 degree angle in this muscles.nurse do not have the authority to mix the medicine if doctor not prescribed.you can confirm with doctor how it is given otherwise you can give according to doctors order.