Other Parenteral Routes of Drug Administration

The primary care provider may administer a drug by the intracardial, intralesional, intra-arterial, or intra-articular routes. The nurse may be responsible for preparing the drug for administration. The nurse should ask the primary care provider what special materials will be required for administration.

Venous access ports are totally implanted ports with a self-sealing septum that is attached to a catheter leading to a large vessel, usually the vena cava. These devices are most commonly used for chemotherapy or other long-term therapy and require surgical insertion and removal. Drugs are administered through injections made into the portal through the skin. These drugs are administered by the primary care provider or a registered nurse.

DISPLAY 2-2 • Topical Applications and Locations of Use

• Creams, lotions, or ointments applied to the skin with a tongue blade, gloved fingers, or gauze

• Sprays applied to the skin or into the nose or oral cavity

• Liquids inserted into body cavities, such as fistulas

• Liquids inserted into the bladder or urethra

• Solids (eg, suppositories) or jellies inserted into the urethra

• Liquids dropped into the eyes, ears, or nose

• Ophthalmic ointments applied to the eyelids or dropped into the lower conjunctival sac

• Solids (eg, suppositories, tablets), foams, liquids, and creams inserted into the vagina

• Continuous or intermittent wet dressings applied to skin surfaces

• Solids (eg, tablets, lozenges) dissolved in the mouth

• Sprays or mists inhaled into the lungs

• Liquids, creams, or ointments applied to the scalp

• Solids (eg, suppositories), liquids, or foams inserted into the rectum clean, hairless area or to let the drug dissolve slowly in the mouth. All of these instructions are important because drug action may depend on correct administration of the drug.

Was this article helpful?

0 0

Post a comment