Pharmacology Routes of Admin #1

Question

Which route of medication administration is preferred during an emergency of a hospitalized client?

Answers

  1. Enteral
    • Rationale:

      This is not the correct answer because enteral is the oral or PO route, which is slow and requires the client to be awake and cooperative. Although easy, convenient, least costly, and potentially reversible, it is not appropriate for emergencies. The intravenous route is fast and the most effective route during emergencies.

  2. Intramuscular
    • Rationale:

      This is not the correct answer because intramuscular (IM) administered medications absorb slower than is needed during most emergencies. If a client does not have IV access, this route can be used. An example of effective use of the IM route (i.e., use of the epipen) is during an anaphylactic reaction outside the hospital setting or before IV access can be obtained.

  3. Intravenous
    • Rationale:

      This is the correct answer because the preferred route of medication administration during an emergency in a hospitalized client is the intravenous (IV) route. The IV route has instantaneous absorption, with rapid onset of the IV therapy, hence the preferred route for emergencies. Patent IV access is required for use of this route but is generally available in the hospital setting.

  4. Subcutaneous
    • Rationale:

      This is not the correct answer because subcutaneous medication administration is designed for slower absorption but is faster and more precise than the PO route. The subcutaneous route is most often used for non-emergent insulin or heparin administration.

Overview

Intravenous therapy has many advantages. One of the most important advantage is it’s rapid onset, making it the preferred route of administration during an emergency.

Explanation

Learning Outcomes

The preferred route of medication administration during an emergency in a hospitalized client is the intravenous (IV) route. The IV route has instantaneous absorption, with rapid onset of the IV therapy, hence the preferred route for emergencies. The person administering the medication can administer medication doses with precision. This route also allows for large volume infusion and has the ability to allow medications which generally cause irritation. Patent IV access is required for use of this route but is generally available in the hospital setting.

Test Taking Tip

Focus studies in nursing on the most important, namely, what you need to know about how to maintain and support the airway, breathing, and circulation.

Video Rationale