Pharm Final Exam Study Guide
Medication Administration, Prioritization (11 MC)
Eye Drops and Ointments: apply in the conjunctival sac
Ear Drops:
o Adult: pull the ear up and back
o Children under 3 years: pull the ear down and back
Rectal suppositories: place patient on the left side in the sims position, lift buttock,
lightly lubricate suppository with water-soluble lube, insert past anal sphincter and into
rectum approximately 3 in or 7-8 cm., have patient remain in sims position for 5-10
minutes
IM: 90 degree angle
o Gauge: 19, 20, 21, 22
o Length: 1, 1 ½, 2 in.
o Locations: deltoid, vastus lateralis, dorsogluteal, ventrogluteal
SQ: 45 degree angle
o Gauge: 23, 25, 26
o Length: 3/8, ½, 5/8 in.
o Locations: back of the arm, 1 inch away from umbilicus, love handles, outside of
thigh