Supporting Medication Administration via Buccal Route

Introduction

We have discussed various types of medication and their administration routes. Now, we will go through the process of supporting someone to take medication or have it administered via the buccal route.

Locating the Buccal Pocket

The buccal pocket is located inside the cheeks. It is an indentation you can feel with your fingers. Here is how to locate it:

1. Identify the person's mandible (jawline).
2. Move about an inch up from the mandible to the gum line.
3. Gently slide your index fingers towards the cheek and chin to find the buccal pockets.
4. Use your thumb on one side and your middle finger on the opposite side to secure both buccal pockets.

Administering the Medication

Administering medication during a seizure can be challenging as the person may be moving. Follow these steps:

1. Ensure the syringe is pre-filled and the medication is in date with no crystals in the liquid.
2. Place half of the medication in each buccal pocket. If the person is lying on one side, administer half the dose on the accessible side, then the other half on the opposite side.
3. Insert the syringe at a 45-degree angle, move your thumb out of the way, and inject half of the medication.
4. Rub the area gently to help the medication disseminate into the cheek.
5. Repeat the process on the opposite side using your middle finger as a guide.

Disposal of Used Items

After administering the medication, follow these steps for safe disposal:

1. Put on gloves to handle the remnants of the medication.
2. Place the used syringe in one glove, then remove the glove over the syringe.
3. Place this glove in the other hand, remove the second glove over it, effectively double-bagging the syringe.
4. Return the used items to the appropriate location, such as to the parents, home, or proper disposal facility.

Conclusion

Administering medication via the buccal route requires precision and care, especially during a seizure. Proper identification of the buccal pocket, careful administration, and safe disposal are essential steps in this process.