Drug Administration: Classification and Application

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Questions and Answers

A patient with a known penicillin allergy is prescribed amoxicillin. Which action BEST demonstrates applying drug practices?

  • Administering a reduced dose of amoxicillin to test the patient's sensitivity.
  • Documenting the allergy in the patient's chart, contacting the provider to suggest an alternative antibiotic, and educating the patient about the risk. (correct)
  • Administering the amoxicillin with close observation for any adverse reactions.
  • Contacting the pharmacist to substitute amoxicillin with a different antibiotic without informing the provider.

A drug intended to prevent a disease would be administered in which of the following scenarios?

  • A child receiving a vaccine to prevent measles. (correct)
  • An individual diagnosed with a bacterial infection.
  • A patient experiencing acute pain following surgery.
  • A patient with hypertension who needs their blood pressure lowered.

Which characteristic is the MOST crucial when classifying medications?

  • The manufacturer of the medication.
  • The shape of the medication.
  • The color of the medication.
  • The form of the dosage. (correct)

Which dosage form is MOST likely to be affected by first-pass metabolism?

<p>Oral tablet. (B)</p> Signup and view all the answers

A geriatric patient may require a lower drug dosage compared to a younger adult because of changes in:

<p>Reduced kidney function. (A)</p> Signup and view all the answers

A patient is prescribed two drugs that have an additive effect. What outcome is MOST likely?

<p>An intensified effect equal to the sum of each drug's effect. (C)</p> Signup and view all the answers

What is the FIRST step in drug metabolism within the human body?

<p>Absorption. (B)</p> Signup and view all the answers

Medications that require refrigeration should be stored:

<p>In the refrigerator within their expiration date. (B)</p> Signup and view all the answers

A nurse finds a vial of medication with a label that is partially illegible. What action should the nurse take FIRST?

<p>Do not use the medication and follow facility protocol for proper disposal. (C)</p> Signup and view all the answers

To ensure patient safety, which type of drugs should be stored in a double-locked cabinet?

<p>Addictive drugs (narcotics). (C)</p> Signup and view all the answers

A physician provides a verbal order for a non-emergency medication. What is the MOST appropriate action?

<p>Politely ask the physician to provide the order in writing. (C)</p> Signup and view all the answers

Which element is NOT a typical component of a physician's medication order?

<p>Patient's insurance information. (D)</p> Signup and view all the answers

A nurse is uncertain about a dosage request on a medication order. What BEST describes the nurse's next action?

<p>Consult a physician to clarify the request. (B)</p> Signup and view all the answers

A nurse is preparing medication. Which "right" is being applied when the nurse checks the medication label against the physician's order?

<p>Right medication. (C)</p> Signup and view all the answers

Which action demonstrates the 'Right Assessment' of medication administration?

<p>Checking the patient's vital signs before administering medication. (D)</p> Signup and view all the answers

A patient refuses to take their prescribed medication. What is the nurse's MOST appropriate action?

<p>Document the refusal and the patient's understanding of the consequences. (A)</p> Signup and view all the answers

Which demonstrates the correct application of the "Right Evaluation" of drug administration?

<p>Comparing current patient status to pre-medication status. (D)</p> Signup and view all the answers

What is a core principle for administering a drug?

<p>Ensuring patient confidentiality. (D)</p> Signup and view all the answers

Which activity is MOST important when preparing a medicine tray?

<p>The patient takes theis or her medications. (B)</p> Signup and view all the answers

What parameter is MOST important when doing a triple medication check?

<p>Perform checks when pouring the medication. (C)</p> Signup and view all the answers

If a patient cannot take the medication at the specified time, one should:

<p>Administer it as soon as possible. (D)</p> Signup and view all the answers

Why is it important to record the number of narcotics at each shift change?

<p>It is important to prevent drug abuse. (E)</p> Signup and view all the answers

Which route of administration is known to have the FASTEST absorption rate?

<p>Intravenous route of administration. (A)</p> Signup and view all the answers

Which measurement is equivalent to 1 tablespoon?

<p>15 ml. (D)</p> Signup and view all the answers

A medication is to have a systemic effect. What can BEST describe this outcome?

<p>The medication administration is delivered straight into the bloodstream. (B)</p> Signup and view all the answers

Which statement accurately describes considerations for epidermal drug applications?

<p>Skin must be cleaned and dry. (B)</p> Signup and view all the answers

When applying ophthalmic drugs, what is one of the MOST important steps?

<p>The dropper should not come into contact with the eyeball. (B)</p> Signup and view all the answers

A patient is receiving nose drops. What is the MOST appropriate head position?

<p>Supine or semi-Fowler with hyperextension. (D)</p> Signup and view all the answers

What is one thing to ALWAYS keep in mind when delivering Intravaginal drugs?

<p>Patient privacy. (A)</p> Signup and view all the answers

When delivering drugs to children through the ear, one must:

<p>Pull the ear down and back open. (C)</p> Signup and view all the answers

An 'Enteral' drug applications means:

<p>Applying the drug to the digestive tract and allowing it to be absorbed there. (B)</p> Signup and view all the answers

If delivering a drug through the 'sublingual' method, you must:

<p>Deliver the drug and tell them to hold it under the tongue and let the drug go into effect. (A)</p> Signup and view all the answers

Prior to administering a rectal drug, which MUST occur?

<p>PATIENT PRIVACY MUST BE ENSURED - deliver medicine with SIM's position. (A)</p> Signup and view all the answers

When administering a transdermal patch, it's important that

<p>The date and time of application should be noted on the drug and it should be changed when the time comes. (C)</p> Signup and view all the answers

Which describes one of the main advantages of inhalation-administered drugs?

<p>Delivering the drug directly to the target organ. (A)</p> Signup and view all the answers

Regarding drug administration, what is the meaning of parenteral?

<p>Administration of therapeutic drugs through all routes other than the digestive system. (A)</p> Signup and view all the answers

What best describes subcutaneous (SC) injections?

<p>Is delivered in very little volume. (B)</p> Signup and view all the answers

Where is the BEST place to give a 1 ml shot?

<p>Abdomin. (B)</p> Signup and view all the answers

Blood must be drawn into a subcontaneous air bubble

<p>After the drug is withdrawn. (A)</p> Signup and view all the answers

Select any of the following descriptions on 'how' to apply an 'ID - intradermal' injection:

<p>Insert the needle into the skin with at a 10-15 degree angle. (A)</p> Signup and view all the answers

Where is the BEST and MOST ACCURATE place to give a vaccine through Intermuscular injection?

<p>Gluteus Deltoid. (A)</p> Signup and view all the answers

Blood may enter the vessel while delivering a shot, you must:

<p>Stop right away! Remove the syringe entirely immediately and restart the process. (C)</p> Signup and view all the answers

What is the MOST important goal when giving a Z-track Injections?

<p>The Z-track method is a type of IM injection technique used to prevent tracking (leakage) of the medication. (A)</p> Signup and view all the answers

Intravenous (IV) Injections main purpose is for:

<p>Deliver Drugs/medicine in a Very Very Quick and Rapid way. (C)</p> Signup and view all the answers

Which best describes the purpose of IV fluid?

<p>In the presence of absorption problems (C)</p> Signup and view all the answers

Air inside a syringe is:

<p>Dangerous and must be stopped. (A)</p> Signup and view all the answers

What is one step you MUST do every time to every patient?

<p>Tell your patient about the procedure. (B)</p> Signup and view all the answers

Which blood vessel type is blood usually delivered from during testing?

<p>Veins. (B)</p> Signup and view all the answers

What happens if air goes through a liquid set during IV drug administration?

<p>Air Embolism may occur. (D)</p> Signup and view all the answers

A patient is prescribed a medication to be administered via the buccal route. How should the patient be instructed to take the medication?

<p>Place the medication between the gums and the cheek. (A)</p> Signup and view all the answers

Which route of administration is typically used for delivering a drug to the digestive tract for absorption?

<p>Enteral (D)</p> Signup and view all the answers

A patient is prescribed a medication via the sublingual route. What instruction should the healthcare provider give the patient?

<p>Place the tablet under the tongue and let it dissolve completely. (D)</p> Signup and view all the answers

What is the PRIMARY consideration when administering a drug via the rectal route?

<p>Maintaining patient privacy and providing a position of comfort. (C)</p> Signup and view all the answers

A medication order specifies 'Apply one transdermal patch every 72 hours.' What is the MOST important aspect of this application process?

<p>Rotating application sites and documenting the date and time of application. (C)</p> Signup and view all the answers

What is a key advantage of delivering medication via inhalation?

<p>It allows direct delivery to the lungs, offering a large surface area for absorption. (C)</p> Signup and view all the answers

A patient requires bronchodilators and mucolytics via inhalation. What should a nurse consider when administering these medications through a nebulizer?

<p>Ensure the patient rinses their mouth, especially after using corticosteroids. (A)</p> Signup and view all the answers

What should a nurse confirm before giving a drug through parenteral administration?

<p>The medication is administered through injection bypassing the digestive system. (D)</p> Signup and view all the answers

What is the MOST appropriate angle for administering a subcutaneous injection?

<p>45-90 degrees (C)</p> Signup and view all the answers

Which action is important to prevent tissue damage when administering subcutaneous heparin?

<p>Avoid aspiration and make sure to inject the drug slowly. (E)</p> Signup and view all the answers

Which injection site is generally recommended for intramuscular injections in adults?

<p>Ventrogluteal (A)</p> Signup and view all the answers

A medication is prescribed to be administered via intradermal injection. Which of the following sites is MOST suitable for this route?

<p>Inner forearm (D)</p> Signup and view all the answers

What is the PRIMARY purpose of the Z-track method when administering intramuscular injections?

<p>To prevent medication from leaking into subcutaneous tissue (C)</p> Signup and view all the answers

The physician orders an intravenous bolus of medication. What BEST describes this method of drug delivery?

<p>A rapid, one-time injection of medication, single dose (D)</p> Signup and view all the answers

Which statement accurately describes the purpose of administering intravenous fluids to a patient?

<p>To correct fluid, electrolyte, and nutrient imbalances or absorption problems (D)</p> Signup and view all the answers

Why should you avoid occluding a patient's vein for too long while taking venous blood?

<p>Changing the blood's composition and test results. (C)</p> Signup and view all the answers

A patient receiving intravenous therapy exhibits signs of infiltration. What would be the MOST appropriate nursing intervention?

<p>Elevate and apply a warm compress to the site. (A)</p> Signup and view all the answers

A patient receiving IV fluids develops thrombophlebitis at the infusion site. What actions will be the MOST appropriate?

<p>Elevate the extremity and apply heat. (C)</p> Signup and view all the answers

Air bubbles appear inside intravenous tools, what is the next step a nurse MUST take?

<p>Remove and take out of the line. Then continue to deliver the set. (B)</p> Signup and view all the answers

If a patient shows sensitivity or allergic reaction symptoms to the current medicine you must:

<p>Withdraw the therapy and check ABC's (airway, breathing, circulation) and inform the relative physician. (D)</p> Signup and view all the answers

What best describes a 'Transfusion Reaction' during a blood transfusion?

<p>Rapid to slow, adverse event that can be life treating due to mistmach and sensitivity. (C)</p> Signup and view all the answers

What is the correct step to preapare for a successful blood tranfusion process?

<p>Blood group compatability with the receiver. (D)</p> Signup and view all the answers

What must be checked and evaluated at every patient.

<p>The patient name if there is no confusion, DOB, medicine history and drug alergy. (B)</p> Signup and view all the answers

Which statement accurately describes the difference between a 'local' and 'systemic' effect of drugs?

<p>Local effects target a specific area, while systemic effects circulate throughout the body. (C)</p> Signup and view all the answers

A patient is prescribed erythropoietin, a subcutaneous injectable medication, due to chronic kidney failure. The healthcare professional should include, in their instructions to the patient:

<p>Administer the medication and alternate sites with each other as specified. (C)</p> Signup and view all the answers

Which factor MOST significantly affects drug activity in geriatric patients?

<p>Reduced kidney function (A)</p> Signup and view all the answers

In which scenario would a physician's medication order MOST likely be accepted as a verbal order?

<p>In an emergency situation where a delay could harm the patient. (D)</p> Signup and view all the answers

A nurse notes that a medication order is missing the route of administration. What action should the nurse take FIRST?

<p>Consult with the attending physician to clarify the order (B)</p> Signup and view all the answers

While preparing medications, a nurse identifies the correct patient, reviews the medication order, and selects the appropriate medication. What 'right' of medication administration is being ensured?

<p>Right Medication (C)</p> Signup and view all the answers

What is the MOST important action when following 'Right Documentation' after administering a medication?

<p>Documenting the drug's lot number and expiration date (B)</p> Signup and view all the answers

When should you ask your patient if they know or may be alergic to a certain drug or medicine?

<p>ALL. Always, before, after and during delivery / preparation. (C)</p> Signup and view all the answers

What actions BEST exemplifies the 'Right Evaluation' of medication administration?

<p>Monitoring the patient for therapeutic and adverse effects. (B)</p> Signup and view all the answers

After preparing a medicine tray, what steps should be taken by a nurse?

<p>Checking the allergies and correct ID, before delivery. (B)</p> Signup and view all the answers

What steps describe 'doctor orders adjustment', what can BEST DESCRIBE IT?

<p>Checking health progress with adjustments, every morning. (A)</p> Signup and view all the answers

What would be the FIRST action a nurse should take if they have any doubts about the validity of the medication order?

<p>Consult a physician. (A)</p> Signup and view all the answers

How best should narcotics in a facility be stored at shift's end?

<p>Double looked, every time. (B)</p> Signup and view all the answers

To be sure the doctor's order is validated and done, what steps are required before delivering such drugs?

<p>The order's doctor name, should put his signature, then provide the correct date. (C)</p> Signup and view all the answers

What should be used for drawing medicine out from an AMPULE?

<p>If you have one, use it's filter-needle. (A)</p> Signup and view all the answers

What are the 4 main phases involved in drug metabolism?

<p>Absorption, transport, change, excretion. (C)</p> Signup and view all the answers

Which method is BEST, according to the document, in vaccine delivery?

<p>Inter muscular. (D)</p> Signup and view all the answers

When administering drugs, what action aligns with the 'Right Time' principle, enhancing therapeutic outcomes?

<p>Administering the medication within 30 minutes of the scheduled time (C)</p> Signup and view all the answers

Which factor poses the GREATEST risk when storing vaccines in a health facility?

<p>Refrigerating vaccines alongside unlabeled food items (D)</p> Signup and view all the answers

A patient is prescribed erythromycin eye ointment for conjunctivitis. What instruction should be given to the patient?

<p>Ensure not to use with another eye (A)</p> Signup and view all the answers

What IMMEDIATE action should a healthcare provider take upon noticing a severe allergic reaction during a blood transfusion?

<p>Stop the transfusion immediately and administer saline solution (B)</p> Signup and view all the answers

If a patient finds it difficult to swallow pills, what dosage form might be the MOST suitable alternative?

<p>Chewable tablets or liquids (D)</p> Signup and view all the answers

During an intramuscular injection, aspiration is performed, and blood is seen entering the syringe. What is the MOST appropriate IMMEDIATE action?

<p>Remove the needle, dispose of the syringe, and begin again with a new medication and syringe. (B)</p> Signup and view all the answers

A patient is prescribed a sublingual medication. Which counseling point is MOST important for the healthcare professional to emphasize?

<p>Placing the medication under the tongue and allowing it to dissolve completely (A)</p> Signup and view all the answers

What is the PRIMARY rationale for using the Z-track technique when administering an intramuscular injection?

<p>Preventing medication leakage into subcutaneous tissue and reducing irritation (B)</p> Signup and view all the answers

Which practice is MOST likely to cause medication errors during drug preparation and administration?

<p>Administering medications prepared by another nurse to save time (B)</p> Signup and view all the answers

Which IV fluid property determines the movement of water between body compartments?

<p>Tonicity (B)</p> Signup and view all the answers

Why is it important to ensure all air is removed from the syringe prior to administering an intramuscular injection?

<p>To ensure accurate medication dosage and prevent air embolism. (B)</p> Signup and view all the answers

A health care professional is about to administer ear drops to an adult. What is an important step for accurate drug practices?

<p>Warm the ear drops to room temperature to minimize discomfort. (A)</p> Signup and view all the answers

When evaluating a patient's response to a newly administered antihypertensive medication, which assessment BEST reflects the 'Right Evaluation'?

<p>Monitoring and documenting the patient's blood pressure before and after administration. (D)</p> Signup and view all the answers

Which action ensures that the right to refuse medication is protected while also ensuring patient safety?

<p>Documenting the refusal, informing the ordering physician, and discussing consequences. (C)</p> Signup and view all the answers

A drug order states, 'Administer 500 mg of amoxicillin PO q8h.' What aspect of the physician's order refers to the 'frequency' of drug administration?

<p>q8h (B)</p> Signup and view all the answers

In IV drug administration, what is the primary reason for avoiding prolonged tourniquet use?

<p>To prevent changes to the constitution of the blood (B)</p> Signup and view all the answers

How does the body typically change or prepare for 'administration' of erythropoietin?

<p>Make site-change notations (B)</p> Signup and view all the answers

Which consideration is MOST crucial before administering medications via a nasogastric (NG) tube?

<p>Verifying the placement of the NG tube in the stomach. (C)</p> Signup and view all the answers

Select the true statement on delivering an Intradermal injection:

<p>Use 15° angle, insert drug, create 'wheel' on skin surface, do not draw blood (A)</p> Signup and view all the answers

Following the administration of an intramuscular drug, a nurse discovers blood where the shot was given. select the next thing to do:

<p>Apply pressure, bandage, provide aid (C)</p> Signup and view all the answers

Flashcards

What are drugs?

Drugs are substances that change the functions of the body when taken by a living organism.

Drug Administration

Drug administration involves core technical skills and requires adequate knowledge of medications.

Drug dosage forms

Drugs can be classified into solid, liquid, semi-solid and gaseous forms.

Factors affecting drug activity

Growth period, weight, gender, genetics, psychology, illnesses, environment, treatment time, adverse reactions, and individual differences.

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Drug Synergism

It shows more efficacy when two or more drugs are used together

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Drug addition

It is the increase in the effect of drugs on the body by taking the same effective drug together

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Drug potentiation

The effect of two drugs given together is more than the sum of the effects of these drugs alone.

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Drug antagonism

The effect of one drug is reduced by another drug

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Basic stages of drug metabolism

Absorption. Transport (distribution). Change (disintegration). Excretion (elimination).

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Drug Supply and Storage

Drugs should be kept locked, stored in a clean, closed, dry, and cool place and bottles should be tightly closed. Oily and diluted medicines should be kept refrigerated.

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Drug storage considerations

Vaccines and serums should be refrigerated, expired medicines should not be used, medications with the same effect should be kept together and artificial lighting installation must be available where the medicine cabinet is located.

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Storing Medications (cabinet)

Large enough to hold all patients' medications, addictive drugs (narcotic) should be kept in a double-locked cabinet, and a red label must be placed on poisonous drugs.

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Physician Medication Order

For safe drug administration, a physician's medication order must be in writing, unless in emergencies, drug administration is prohibited legally.

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Types of physician request

Regular request, request if necessary, and urgent request (single dose request).

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Parts of medication order

Name of patient, date and time, name of drug, dose, administration route, frequency, and signature of the doctor.

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Doctor's Order

Health care professionals check it every morning, transfer it to recording system, and clarify doubts.

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Rights of medication administration

Right patient, medication, dose, route, time, documentation, education, refusal, assessment, and evaluation.

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Right Patient

Check bracelet, ask name/birthdate, compare order to bracelet, verify allergies(chart and patient

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Right Medication

Perform triple check of label: retrieving, preparing, administering. Check label against order and never administer unlabeled or prepared by another

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Right Time

Verify schedule with the order, date and time should all comply

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Recording Doctor's order

Make sure to put the date and time, then sign under the doctor's order.

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Basic principles of drug applications

Materials should be in the tray, be sure the patient takes their medications, patient should be observed before and after administration, drug allergy should be questioned

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Things to Consider in Drug Applications

The drug preparation environment should be bright, medicine tray tidy, to ensure accuracy a triple medication check is needed

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Things to consider in Drug applications

Patient ID should be checked, wait for patient swallowing, and the patient and their family should be informed about the medication.

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Handling of Narcotics

They should be counted at each shift change, when use is required, two nurses must sign that it is used.If some of the ampoul is not used after opening, it should either be destroyed or stored in a syringe

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Drug absorption rates

It can change based on the route. Intracardiac is the fastest and Dermal is the slowest

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Drug effects

Drugs have local or systemic effects after being taken into the body

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Local Administration Site

Local application site and shape. Includes Epidermal, Conjunctival sac, Intranasal, Intravaginal and External ear canal

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Systemic Administration point

Pharmaceutical shape Enteral Parenteral Inhalation and Transdermal

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Epidermal administration

Absorption varies depending on the application site. Systemic effects may also occur with topical application

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Ophthalmic Administration

Eye care before application is importantThe dropper should never come into contact with the eyeball suspension drops should be shakenBefore application the eye needs to be cleaned

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Intranasal administration

The patient must be in the semi fowler position and the drug must not contact the nose or mucus membrane.

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Intravaginal administration

the Patient privacy is important and the patient has to be given the apropriate position

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Ear administration

ear has to pulled up and back in aldults an ear has to be pulled down and back for children. Heating is crucial.

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Enteral Applications

Applying the drug to the digestive tract and absorbing from there.

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Situation where oraly medication is not given

Medication should not be given to patients who are:Unconscious, difficulty swallowing, nausea, vomiting, severe diarrhea and convulsions

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Buccal Route

Applied between the gums and the cheek. Can go bloodstream and have systemic effect.

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Rectal administration

Prior to administration with privacy. the patient given sim's position

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Transdermal Application

It is adhered to the skin in the form of a patch. Drugs used for hormone replacement therapy and special analgesics are applied this way.

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Inhalation Advantage

alveoli have a very large surface area and extremely Permeable

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Parenteral Route

It means applying therapeutic drugs through all routes other than the digestive system

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ID Administration

Sites, needle length and gauge will depend on site. Given just below the surface at 10-15 degree angle

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IM Adminstration

Sites, needle length and gauge will depend on site. Aspirate after inserting the needle to be sure in the muscles.

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Syringe selection criteria

Criteria for deciding syringe and needle size *Application route *Density of the solution * Amount of medicine to be administered *Body size *Type of drug

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Parenteral administration

Subcutaneous injection, injection into the dermis, intramuscular injection, Intravenous injection

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Subcutaneus way administration of injection

Wash your hands first, then gather supplies and get prepared to apply at the point.

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Subcutaneus degree

Under the skin at 45- 90 degrees depending on body type and size

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Air in the Syringe

A small air bubble of 0.2-0.3 ml it's necessary to make complete, make sure all removed but, then inject

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Reaction Devolopment

Always observe And folllow, stop transfusion, Keep Iv,Inform Physician

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Befory application of blood transfusion

Follow all steps,make sure of the date compatibility, make sure there is the presence of a physician

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Study Notes

  • Ability to fulfill necessary practices for drug administration
  • Understand the definition of drugs, classify, know their effects on the body
  • Explain request, supply, and storage, know ways of administering and applying drug practices

Contents

  • Description of drugs, classification, action modes, and factors affecting the patient
  • Supply and storage of medicine and physician medication order
  • Ways of administration, drug applications including enteral and parenteral applications

Drugs

  • Obtained from animal, vegetable, mineral, and synthetic sources
  • Chemical changes used to diagnose, cure, or prevent disease
  • Substances that change body functions when taken
  • Medicines have different forms with special contents

Drug Administration

  • A core function that requires technical skills
  • Requires adequate knowledge and skills to administer medications

Classification of Drugs

  • Dosage forms are solids, liquids, semi-solids, and gases
  • Solids include unit dosages like tablets and capsules, and bulk dosages like tooth powder
  • Liquids include monophasic liquids like syrups and lotions, and biphasic liquids like emulsions and suspensions
  • Semi-solids include creams, ointments, pastes, and gels, and suppositories and pessaries
  • Gaseous forms include aerosols and inhalations

Factors Affecting Drug Activity

  • Growth period (newborn, elderly) and weight
  • Gender and genetic and cultural factors
  • Psychological factors and Illnesses
  • Environment, treatment time, and individual differences
  • Adverse effects of the drug

Drug Interactions

  • Synergism shows more efficacy when two or more drugs are combined
  • Additional effect is an increase in the effect of drugs on the body by taking effective drugs together
  • Potentialization means the effect of two drugs that enhance the effects of these drugs alone
  • Antagonism means the effect of a drug that is reduced by another drug
  • Naloxone administration is an example of antagonism to reduce narcotic effects

Drug metabolism

  • Occurs in 4 stages
  • Absorption
  • Transport (distribution)
  • Change (disintegration)
  • Excretion (elimination)

Supply and Storage of Drugs

  • Keep drugs in a locked room and store them in a clean, closed, dry, and cool place
  • Tightly close bottles to prevent evaporation, and medicines should be kept in the refrigerator
  • Vaccines and serums need refrigeration and replace if the label is dirty
  • Discard expired medicines, and ensure artificial lighting for the medicine cabinet
  • Keep emergency medications in a separate compartment, keep drugs with the same effect together
  • The cabinet should be large enough for all patient medications, and narcotics in a double-locked cabinet
  • Addictive drugs need recording/signature and place RED label on poisonous drugs

Physician Medication Order

  • For safe administration it must be in writing, except in emergencies where a written order is not legally required
  • Request can be regular, necessary, or urgent (single dose)

Parts of Physician Medication Order

  • Patient name, date and time, drug name to be administered
  • Dose, route, frequency, and the doctor signature

Doctor's Orders

  • Checked by health care professionals every morning and input into their system
  • Observation sheets should be used for recording, and consult a doctor in case of doubt

Post Checking Doctor's Orders

  • Write down date and time and sign
  • Draw a line to avoid written medication error

10 Rights of Medication Administration

  • Right Patient (Separate named patients)
  • Right Medication
  • Right Dosage
  • Right Route
  • Right Time
  • Right Documentation
  • Right Client Education
  • Right to Refuse
  • Right Assessment
  • Right Evaluation

Details of 10 Rights

  • Always check the patient identification bracelet and ask their name/birth date
  • Compare the order to the bracelet and confirm allergies with the chart
  • Check medication labels three times, including when retrieving and preparing the medication
  • Always check the medication with the physician’s orders
  • Never administer medications prepared by another person or unlabeled
  • Check the label for correct concentrations, compare dose to the order, and check calculations with another nurse
  • Verify that the dosage is appropriate, verify the schedule of medication with order
  • Check last dose given and give medication within 30 minutes of its schedule
  • Verify appropriate route, which may only be administered via the ordered route
  • Never document before drug is administered, use signature and credentials from nurse, must document in med chart
  • Record what drug was given, what dosage, what route, date and time, name of nurse
  • Inform patient of the medicine and it's desired effects
  • Always remember that they can refuse but inform the patient of the risks
  • Ask if they have any known allergies and provide appropriate med education
  • Notify the doctor if they refuse

Basic Principles of Drug Applications

  • 10 rights of drug administration should be known and hands should be washed
  • We should introduce ourselves to the patient, inform the patient of the procedure, and obtain their verbal consent
  • Patient confidentiality should be taken into consideration, and the patient should be positioned appropriately
  • Keep materials in the tray, ensure the patient takes their medications, observe the patient before and after
  • Health care workers should prepare medicines themselves, and correct any incorrect illegible medicine order

To Ensure Accuracy

  • Prepare for drug administration which should be tidy
  • Be in a bright surrounding

Safe Handling

  • Be certain the patient is recorded in a logbook

Additional Considerations

  • Patient ID should be checked
  • For oral medications, wait until the patient swallows it
  • The medication should be administered in time, and have enough knowledge on every drug
  • The family must be informed, and medicals given must be in the tray

Recording Narcotic Drugs

  • Green and Re prescription drugs must be double locked and counted

Types of Drug Administration

  • All drug administrations, you perform what is "Necessary For all Medications

Drug Absorption Rates

  • Fasting Intracardiac (15 seconds), Intravenous (30-60 seconds), Inhalation (3 minutes), and Endotracheal (3 minutes)
  • Medium time Sublingual (3-5 minutes), Intramuscular( 10-20 minutes) Subcutan minutes (15-30 minutes)
  • Slow Rates Rectal ( 5-30 minutes) Oral min(30-90 minutes) , Intradermal minutes (15-30 minutes) and Dermal It can change

Calculations

  • Teaglass is equal to 100 mililiters, glass of water is 250, table spoon is 15 ml and a Dessert spoon = 4 to 5

Considerations for any Drug

  • Local or systemic effects after being taken into the body (Local Administration Sites/Systemic Administration, and metabolism effect
  • Ways of drugs relating to how they work, depending on patient depending the drug, the dose, of the way is administered, with medicals

Local Administration Sites

  • Drug should be applied for Epidermal, Conjunctival sac, Intranasal, Intravaginal, and External ear-canal

Systemic Administration Site

  • Drug should be applied for Enteral drug, Parenteral, Inhalation, and Transdermal

Administration

  • If first time eye drop should be eye and cold temperature
  • Use clean eye by canus, and patient can't touch eye wall
  • One medication to other will cause other health eye patient will need at least 5 minutes of injection
  • Intravaginal administration, is to ensure Patient privacy and provide correct position
  • Must drug must suppository and heated in hand and medication

Systemic Application

Oral is where most people get tablets

  • Tablet Capsule tablet, Sublingual and Buccal Application is needed
  • Rectal application is to also get a Suppository,

What is Enternal?

  • Enternal is most common type of application method
  • Its when you are use Digestive gastrointestinal, for medicine is observed their at or through must common medicine for

Preparation Of Oral Drugs

  • Must is the 1. Right, must is that expires then patient
  • Make room for where must be clean and checked, must to also

Important To Note for Oral?

  • Not Unconscious patients or difficulty swallowing, not or do not have to swallow, not the time for nausea, no to be convuls

What SUBlingual ?

  • Needs need to be staves and swallow, a lot in there so easy goes in
  • Because Its important and big, and its is

What is The Buccal?

  • Where drug can be applied to get medicine through blood or cheek or mucosa
  • Drug is not to chewed it is there in for to keep that method going

Prior With Rectal Application

  • To Administration, patient privacy is important and must sims positions
  • Have Systemice effect

The way to administer it

  • Insert tip in with with lubrictaion and then make it a soft tissue
  • Press hard when insert is gentle

Transdermal

  • Is when in or adhered Skin , hormone is or Special Analytics can be

• Remind them and date that it is time change new

  • Time to Change it .

Enternal Drug administration

  • Alvelio of the high and blood flow, and to know that it has a surface It high it and absorption rate should.
  • A lung that know it have membrane

What Are Intranasal Drug

  • Where is should be in the a given Supination and semmi Fowler

Injections

Can be Subcatness under skin That is the limit to one milli liter

  • Can also given some to the most medicine the injectio

SC injection sites

Lateral area of upper arm

  • Front leg in the latrofermal
  • belly button site
  • Middle section of upper torso, is what under

Im Injection

  • Injections Into muscle and

Injections should go through the arm or thigh

  • The The Im inject are that one has to give at one position Can't move it or put it to nerve to cause para

• Im also be what can occur if goes though

  • Should look and use a syringe or

SC injection consideration

  • Be in those sides should change

Intramuscular Injection Site

Dorsagluteal, ventrogluteal and vastus lateralís is there in injection point

  • Use thumb finger to do

Steps in Giving medication for administration

  • Must check identity wash hands
  • Verify all
  • To and can all
  • It is Important that You make certain points and Remembered and it what makes its a very key factor to it is

• When at site of Injections must all remember and should Change

  • Never do if its a kid , and must never to as well

Always remember site And have to go a angle it And also know that not can Cause a bleed

Giving Im injection

  • To given site to be a right one but clean
  • Never do it before wash always before to prevent any

And so it can get effect that's why all steps should be a follow • Injection for is where can

  • It's in is for all to do not give when its all

Safe I'm point

To do all and can never put syringe to one

For Im must go 8

Must go all site

IV and Administration

It a proccess that will Direct In and what fluids product can you it to It must be with

Which means going to to do Surgical must be

With In The Intravenous Vein

It be what goes through it

  • Always, know the where should To take the The vein must

In fluid to a 30 angle

And it time take the action and where it should occur

IV and Other Injections

Is more common for 2

IV Fluids?

  • It must be that from different for sizes and volumes, and a big bottle. should be

Precautions

  • Never mix what with is another and make certain to fallow all
  • Check and don't reuse any
  • With Always be on to it
  • Follow procedure where can all

Be when going to what it is

  • Always and there

In case in when or can. Can always to contact as it there always there for all your questions to

  • Always get or have to help from you

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