Definition Show Sublingual and buccal medication administration are two different ways of giving medication by mouth. Sublingual administration involves placing a drug under your tongue to dissolve and absorb into your blood through the tissue there. Buccal administration involves placing a drug between your gums and cheek, where it also dissolves and is absorbed into your blood. Both sublingual and buccal drugs come in tablets, films, or sprays. Your doctor may prescribe sublingual or buccal drugs under any of the following circumstances:
The cheek and area under the tongue have many capillaries, or tiny blood vessels. There, drugs can be absorbed directly into the bloodstream without going through your digestive system. Sublingual or buccal forms of drugs have their advantages. Because the medication absorbs quickly, these types of administration can be important during emergencies when you need the drug to work right away, such as during a heart attack. Further, these drugs do not go through the digestive system, so they aren’t metabolized through your liver. This means you may be able to take a lower dose and still get the same results. Another advantage is that you don’t have to swallow the drug. Drugs that are absorbed under the tongue or between the cheek and gum can be easier to take for people who have problems swallowing pills. On the other hand, sublingual and buccal drugs also have some disadvantages. Eating, drinking, or smoking, can affect how the drug is absorbed and how well it works. Also, these forms don’t work for drugs that need to be processed slowly by your system, such as extended-release formulations. Any open sores in your mouth can also become irritated by the medication. Tell your doctor if you smoke or have open sores in your mouth if they prescribe sublingual or buccal medication for you. Also ask your doctor how long you need to wait before you can drink and eat after taking the medication. For some of these drugs, you can’t drink, swallow, eat, or smoke for some time. Sometimes these drug forms can irritate your mouth. Tell your doctor right away if this happens to you. FORMULA: D/HXQ = Amount to give D or desired dose: drug dose prescribed H or have dose: drug dose available Q or quantity: form and amount in which the drug comes Example 1: Prescribed: 500 mg of Drug A Dosage available: 250 mg of Drug A in 1 tablet Calculate the amount of Drug A to administer 500 mg x 1 tab = 2 tablets of Drug A 250 mg Example 2: Prescribed: 80 mg of Drug B Dosage available: 100 mg of Drug B in 2 ml Calculate the amount of Drug B to administer 80 mg x 2 ml = 1.6 ml 100 mg CONVERSION TABLE: 1 liter (L)=1000 milliliters (ml) 1 ounce (oz)=30 milliliters (ml) 1 teaspoon (tsp)=5 milliliters (ml) 1 tablespoon (tbs)=15 milliliters (ml) 1 gram (g)=1000 milligrams (mg) 1 milligram (mg)=1000 micrograms (mcg) 1 grain (gr)=60 milligrams (mg) 1 kilogram (kg)=2.2 pounds (lb) 1/150 grain (gr)=0.4 milligrams (mg) 1/200 grain (gr)=0.3 milligrams (mg) QUESTIONS: 1. The physician writes an order for secobarbital 0.2 g prn for sleep. Each secobarbital capsule is labeled 100 mg. The nurse should administer _______ capsule(s) per dose. 2. The physician prescribed phenytoin 100 mg po each day. On hand are phenytoin capsules labeled 0.1 gram. The nurse should administer _______ capsule(s) per dose. 3. The physician prescribed acyclovir 0.8 g po q4h. On hand are acyclovir tablets labeled 200 mg. The nurse should administer _______ tablet(s) for each dose. 4. The physician prescribed alprazolam 1 mg po tid. On hand are 0.5 mg alprazolam tablets. The nurse should administer _______ tablet(s) per dose. 5. The physician prescribed 600 mg of acyclovir po q4h. On hand are acyclovir tablets labeled 200 mg. The nurse should administer _______ tablet(s) per dose. 6. The physician orders 0.2 mg of misoprostol. On hand are 200 mg misoprostol tablets. The nurse should administer _______ tablet(s) per dose. 7. The physician orders pemoline 37.5 mg po qAM. The pharmacy sends 18.75 pemoline tablets. The nurse should administer _______ tablet(s) per dose. 8. The physician orders diltiazem hydrochloride SR gr 1 1/2 po bid. On hand are diltiazem SR labeled 90 mg per capsule. The nurse should administer _______ capsule(s) per dose. 9. The physician orders phenobarbital gr 1 2/3 po q12h. On hand are 100 mg phenobarbital tablets. The nurse should administer _______ tablet(s) per dose. 10. The physician orders calcitriol 0.5 micrograms po QD AM. The pharmacy sends 0.25 mcg calcitriol capsules. The nurse should administer _______ capsule(s) per dose. 11. The physician orders nitroglycerin 0.3 mg sublingual STAT for chest pain. The dose may be repeated every 5 minutes x 3. On hand are 1/200 gr nitroglycerin tablets. The nurse should administer ______ tablet(s) per dose. 12. The physician orders allopurinol 0.6 g po QD. On hand are 300 mg allopurinol tablets. The nurse should administer _______ tablet(s) per dose. 13. The physician orders amoxicillin 250 mg q8h. On hand are 125 mg chewable amoxicillin tablets. The nurse should administer _______ tablet(s) per dose. 14. The physician orders amoxicillin/potassium clavulanate 20 mg/kg/day po in 4 divided doses to a child weighing 66 lbs. The pharmacy sends 150 mg amoxicillin/potassium clavulanate tablets. The nurse should administer _______ tablet(s) per dose to the child. 15. The physician orders ampicillin sodium 0.5 g po 4x daily. On hand are 500 mg ampicillin capsules. The nurse should administer _______ capsule(s) per dose. 16. The physician orders 500 mg of amoxicillin by mouth to be administered every 6 hours. Available are 250 mg amoxicillin capsules. The nurse should administer _______ capsule(s) for each dose. The nurse will administer how many capsules per day? _______ 17. The physician orders oxycodone 5 mg/acetaminophen (APAP) 325 mg combined tablets, one every 4 hours as needed for pain. The pharmacy has on hand 5 mg/APAP 325 mg oxycodone tablets. The nurse can administer a maximum of _______ tablets in a 24 hour period. 18. The physician orders zidovudine 0.1 g every 4 hours. The pharmacy fills the prescription with 100 mg zidovudine capsules. The home health nurse should instruct the client to take _______ capsule(s) every 4 hours totaling _______ capsule(s) per day. 19. The physician orders vancomycin hydrochloride 2 g/day by mouth in 4 divided doses. The pharmacy fills the client's prescription with 500 mg vancomycin hydrochloride capsules. The nurse should instruct the client to take _______ capsule(s) per dose. 20. The physician orders ursodiol 1 g po in 2 divided doses per day. The client weighs 220 lbs and the safe dosage range is 8-10 mg/kg/day. The pharmacy fills the client's prescription with 500 mg ursodiol tablets. Is the ordered dose safe for this client? 21. The physician orders trimethoprim 160 mg/sulfamethoxazole 800 mg po q12h. The pharmacy sends 80 mg trimethoprim/400 mg sulfamethoxazole tablets. The nurse should administer _______ tablet(s) per dose. 22. The physician orders ursodiol 0.9 g po in 3 divided doses per day. The pharmacy fills the client's prescription with 300 mg ursodiol capsules. The nurse should instruct the client to take _______ capsule(s) per dose. 23. The physician orders pyridoxine 0.2 g po qd for a rifampin-induced B6 deficiency. The pharmacy supplies 50 mg pyridoxine tablets. The nurse should instruct the client to take _______ tablet(s) per dose. 24. The physician orders lithium carbonate 1.2 g po qd in 4 divided doses. The pharmacy supplies 300 mg lithium carbonate capsules. The nurse should instruct the client to take _______ tablet(s) per dose. 25. The physician orders propylthiouracil 300 mg po qd in 4 divided doses. The pharmacy supplies 50 mg prophylthouracil tablets. The nurse shoul instruct the client to take _______ tablet(s) per dose. Where will the nurse administer a medication that was ordered to be given sublingually group of answer choices?Sublingual medications are administered by placing the drug under the tongue, leaving it there until the drug's fully absorbed.
How do nurses administer sublingual medication?Place the sublingual pill under the client's tongue. 5. Instruct the client not to swallow the tablet. They are not to eat, drink, or smoke until the medication is dissolved.
How do you administer sublingual medication?Sublingual: To give a drug sublingually, put it under the patient's tongue (as shown below) and ask him to leave it there until it's dissolved. Practice pointers: Make sure the patient doesn't mistakenly swallow a tablet intended for delivery by the sublingual route.
Where are you going to place the drug in the sublingual route of drug administration?Sublingual administration involves placing a drug under your tongue to dissolve and absorb into your blood through the tissue there. Buccal administration involves placing a drug between your gums and cheek, where it also dissolves and is absorbed into your blood.
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Where will the nurse administer a medication that was ordered to be given sublingually Quizlet
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