An LPN/LVN is caring for a client with chronic pain who has a new prescription for a fentanyl transdermal patch. The client currently has an older patch in place on their right upper chest. Arrange the following actions in the correct chronological order to safely administer this medication.
- 1Don clean gloves and remove the existing patch from the client's skin.
- 2Fold the used patch with the adhesive sides together and dispose of it in a secure receptacle.
- 3Cleanse a newly selected, intact, and hairless application site with water and allow it to dry.
- 4Write the current date, time, and your initials on the outer label of the new patch.
- 5Remove the protective liner and press the new patch firmly onto the skin for 30 seconds.
Cevap
The correct sequence is to first remove the old patch, dispose of it safely, prepare the new site by cleansing it, label the new patch, and finally apply it with firm pressure.
Safe application of a transdermal patch requires a strict sequence to prevent overdose and ensure proper absorption. Removing the old patch first is the most critical safety step. Disposing of it immediately prevents accidental exposure. Cleansing a new site rotates the location to protect skin integrity. Labeling the patch before application prevents discomfort or tissue damage from writing on the patient, and firm application ensures the patch remains secure.
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Safe Administration of Transdermal Medications