Drug Administration Practices

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Questions and Answers

Which of the following is correct regarding the sources from which drugs are obtained?

  • Drugs are primarily obtained from mineral and vegetable sources.
  • Drugs are solely derived from vegetable sources.
  • Drugs are exclusively derived from synthetic sources.
  • Drugs can be obtained from animal, vegetable, mineral, and synthetic sources. (correct)

A patient is prescribed a medication to alleviate a specific symptom. This aligns with which purpose of administering drugs?

  • To diagnose a condition.
  • To cure or prevent the disease, and diagnose a condition. (correct)
  • To prevent a disease.
  • To cure a disease.

Which of the following statements accurately describes the role of technical skills in drug administration?

  • Technical skills are needed to know the chemical name of drugs.
  • Technical skills are a core function in drug administration. (correct)
  • Technical skills are the main consideration in drug administration, overshadowing knowledge of medications.
  • Drug administration requires minimal technical skills.

What is the most important requirement for administering drugs safely?

<p>Having adequate knowledge of medications. (B)</p> Signup and view all the answers

A patient is prescribed both a tablet and a cream. How will these medications be classified?

<p>The tablet is a solid, and the cream is a semi-solid. (C)</p> Signup and view all the answers

A patient requires medication in the form of an emulsion. Which route of administration is most appropriate for this dosage form?

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

An elderly patient may require a different drug dosage than a young adult due to which factor?

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

A patient taking medication for tuberculosis begins taking another drug, which enhances the effectiveness of the tuberculosis medication. This interaction is:

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

Naloxone is administered to counteract the effects of narcotics. What type of drug interaction does this represent?

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

Which of the following is the initial step in drug metabolism after absorption?

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

Which factor is most important to consider when storing vials to avoid spoilage of the drug?

<p>Ensuring the bottles are tightly closed. (D)</p> Signup and view all the answers

Diluted medications that are oily should be stored in a refrigerator. What requirement must be fulfilled?

<p>They should be kept cold, within their expiration date. (D)</p> Signup and view all the answers

What strategy should be implemented to minimize errors when storing multiple patients' medications in a medicine cabinet?

<p>The medicine cabinet should be large enough to hold all patients' medications. (A)</p> Signup and view all the answers

Which procedure takes place when administering an addictive drug to a patient?

<p>The drug is stored in a double-locked cabinet and is taken and given with a signature. (A)</p> Signup and view all the answers

Under which circumstance is a physician's medication order not required to be in writing?

<p>In emergency situations. (A)</p> Signup and view all the answers

Which type of medication request allows for a nurse to accept a verbal order?

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

Which of the following elements must be included on a physician's medication order for it to be valid?

<p>Name of the patient. (D)</p> Signup and view all the answers

After receiving a medication order, a nurse adjusts the timing of the medication based on the patient's needs. Which responsibility does this demonstrate?

<p>Checking doctor's orders (A)</p> Signup and view all the answers

After administering a medication, a nurse draws a line on the patient's chart below the order and signs their name. What is the purpose of this action?

<p>To prevent another medication from being written. (D)</p> Signup and view all the answers

Ensuring the correct medication is administered to the right patient aligns with which right of medication administration?

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

What action ensures 'Right Medication' is followed?

<p>Checking the medication label three times. (A)</p> Signup and view all the answers

A nurse double-checks medication calculations with another nurse before administering it. Which right of medication administration does this uphold?

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

A nurse reviews the prescribed medication schedule to ensure that a patient receives their medication at the correct intervals. Which right of medication administration does this highlight?

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

A nurse is preparing to administer medication via a specific route, such as intravenously or orally. Which right of medication administration is the nurse demonstrating?

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

A nurse documents the time and date a medication was administered, as well as the patient's response to it. The nurse is upholding what right of medication administration?

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

A nurse informs a patient about the potential side effects of a drug. Which 'right' of medication administration is being observed?

<p>Right Client Education (B)</p> Signup and view all the answers

A patient declines to take a prescribed medication. What is the nurse's initial responsibility in this situation?

<p>Inform responsible party of consequences of refusing medication. (A)</p> Signup and view all the answers

Which action exemplifies the 'Right Assessment' in medication administration?

<p>Assessing patient for known allergies and potential side effects (A)</p> Signup and view all the answers

A nurse monitors a patient for adverse side effects after administering a new medication. Which right does this represent?

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

Prior to administration, what action is essential to ensure patient safety?

<p>10 rights of drug administration should be known (C)</p> Signup and view all the answers

Which practice is part of the ten rights of medication but compromises medicine efficacy?

<p>The healthcare worker preparing medicine themselves. (D)</p> Signup and view all the answers

A nurse discovers that a medicine tray is not tidy. How can this be corrected?

<p>Clean and organize the tray. (C)</p> Signup and view all the answers

A nurse is preparing medication. Once prepared, where should she store the medication?

<p>A safe place until time to administer (A)</p> Signup and view all the answers

A nurse fails to confirm a patient's identity before administering medication. What is the most significant risk associated with this omission?

<p>Administering the medication to the wrong patient. (B)</p> Signup and view all the answers

What should be done with ampoules that are unused after opening?

<p>Destroyed or stored in a syringe to be used within 24 horus. (D)</p> Signup and view all the answers

Medications given via the intracardiac route have a certain rate of absorption. Which route has a similar rate of drug absorption in the human body?

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

If $1 \text{cc}$ is equivalent to $1 \text{ml}$, and $1 \text{ml}$ is equivalent to $20 \text{drops}$, how many drops are in $3 \text{cc}$?

<p>60 (D)</p> Signup and view all the answers

A drug produces a systemic effect. How are the effects brought on?

<p>Through metabolism in the body. (B)</p> Signup and view all the answers

A prescription indicates the otic route. Which term describes the anatomical location for this route?

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

A syrup medication is described as a ‘liquid form’. Which application route is most likely?

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

Why is sublingual drug administration particularly effective in emergency situations?

<p>It is rapidly absorbed into the bloodstream, bypassing the liver. (B)</p> Signup and view all the answers

What is the most important to consider prior to administering a suppository?

<p>Patient PRIVACY is very IMPORTANT!!! (D)</p> Signup and view all the answers

Two nurses are prepping different drugs that are combined in a nebulizer. What step must be taken to avoid adverse events?

<p>Two different drugs SHOULDN'T be used together or need approval from physician. (B)</p> Signup and view all the answers

What strategy might provide the MOST comfort for a patient undergoing inhalation administration?

<p>Rinse mouth after application. (B)</p> Signup and view all the answers

Which statement best explains why the parenteral route is selected in certain situations?

<p>It is preferred when drug is destroyed by fluids. (C)</p> Signup and view all the answers

Which injection site is LEAST appropriate for subcutaneous injection?

<p>Lower back (C)</p> Signup and view all the answers

While using the vastus lateralis, how may fingers about the femoral point and knee pad should the user insert?

<p>Ten cm below, ten cm above (C)</p> Signup and view all the answers

Which consideration is MOST important for ensuring drug stability during storage?

<p>Storing drugs in a clean, closed, dry, and cool environment. (B)</p> Signup and view all the answers

What is the primary reason for keeping emergency medications in a separate compartment in a healthcare setting?

<p>To ensure they are not mistaken for other medications. (D)</p> Signup and view all the answers

What is the PRIMARY rationale for checking physician orders against a healthcare provider's own recording system?

<p>To adjust medication times and transfer orders for seamless administration. (B)</p> Signup and view all the answers

In which scenario is verbal consent considered appropriate before administering a medication?

<p>Administering a single dose to a patient during an emergency. (A)</p> Signup and view all the answers

Which aspect should a healthcare provider be MOST aware of when taking a medication order?

<p>If the request seems unusual or unclear, it must be clarified with the prescribing physician. (A)</p> Signup and view all the answers

Why is it crucial to check a patient's identification bracelet and ask for their name and birth date before medication administration?

<p>To ensure the medication is being administered to the right individual. (D)</p> Signup and view all the answers

A nurse is preparing a medication. What three critical checks must be performed to ensure the 'Right Medication'?

<p>When retrieving the medication, when preparing the medication and before administering medication to patient. (B)</p> Signup and view all the answers

A nurse is preparing to administer medication to a patient with impaired kidney function. Which of the following points is important?

<p>Verify that dosage is within appropriate dose range for patient and medication. (B)</p> Signup and view all the answers

When should documentation of medication administration occur, according to the rights of medication administration?

<p>Never document before medication is administered. (B)</p> Signup and view all the answers

What immediate action should a nurse take if a patient refuses to take their prescribed medication?

<p>Notify physician that ordered medication and document notification. (D)</p> Signup and view all the answers

Which action aligns with assessing a patient's condition to determine the appropriateness and safety of administering a medication?

<p>Reviewing the medication history and any potential allergic tendencies. (C)</p> Signup and view all the answers

Why is it necessary for the healthcare worker administering medication to ensure the patient takes their medications from a tray?

<p>To ensure proper administration and prevent errors. (C)</p> Signup and view all the answers

Which safety measure is MOST crucial when one encounters an illegible handwritten medication order from a physician?

<p>Contact the physician to clarify the order before administering. (B)</p> Signup and view all the answers

How should the medication environment be kept, in order to perform the correct drug application?

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

What should a healthcare provider administering a medication do immediately after preparing it to maintain safety and efficacy?

<p>Place it in a safe place until it's given. (B)</p> Signup and view all the answers

Which practice should be followed to ensure that a patient receives the right treatment?

<p>Check patient ID prior to administration. (A)</p> Signup and view all the answers

What is the PRIMARY reason healthcare providers must have sufficient knowledge of the medicines they are administering?

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

Unused portions of ampules should be treated in which of the following ways?

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

A drug has a systemic effect. Which mechanism allows the drug to arrive at its targeted site?

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

A medication is prescribed to be administered via the conjunctival sac. Where should this medication be applied?

<p>Into the eye. (D)</p> Signup and view all the answers

In emergency situations, why are drugs administered sublingually?

<p>Bypasses the digestive system. (B)</p> Signup and view all the answers

When applying a drug via the buccal route, what key instruction should be given to the patient?

<p>Let the medication dissolve. (D)</p> Signup and view all the answers

A prescription indicates that a certain suppository is needed. That medicine should be administered via which route?

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

Why is patient privacy a paramount concern when administering a vaginal suppository?

<p>The procedure involves a sensitive and personal area. (A)</p> Signup and view all the answers

For administering ear drops to a child, which action is MOST appropriate?

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

Following inhalation administration, why should the patient rinse mouth?

<p>To reduce the risk fungal infection and side effects. (B)</p> Signup and view all the answers

What advantage does delivering a medication directly to the lungs via inhalation provide?

<p>It delivers the drug directly to the target. (D)</p> Signup and view all the answers

An intradermal injection involves injecting medication:

<p>Into the first layer of skin. (A)</p> Signup and view all the answers

What range of angles is recommended for intradermal injections?

<p>10-15 degrees. (C)</p> Signup and view all the answers

A healthcare provider is administering a subcutaneous injecting, what quantity can be injected?

<p>1ml. (B)</p> Signup and view all the answers

Which action should be AVOIDED when giving a subcutaneous injection that involves insulin?

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

After injecting subcutaneous medication, what aftercare is advised?

<p>No massage or compress. (A)</p> Signup and view all the answers

Which area is MOST suited to locate the Deltoid in an injection technique?

<p>2 fingers below where the bone is. (C)</p> Signup and view all the answers

Why must Z track muscle be applied?

<p>For heavy drugs. (A)</p> Signup and view all the answers

What critical action must be taken immediately after starting an intravenous infusion?

<p>Ensure there is adequate follow up and sterile technique. (B)</p> Signup and view all the answers

If a patient experiences a thrombophlebitis during IV infusion, what should be done?

<p>Stop and remove with arm compress. (A)</p> Signup and view all the answers

What type of solution of IV should be administered?

<p>Isotonic in sterile water. (D)</p> Signup and view all the answers

Before administering blood, especially if the patient has a heart condition, what are indications?

<p>Newborn elderly. (D)</p> Signup and view all the answers

While collecting blood to take to lab, the area where blood will be collected should be rubbed with what agent?

<p>Alcohol and cotton. (C)</p> Signup and view all the answers

What is the MOST accurate definition of a drug, based on the provided information?

<p>A substance that induces chemical changes to diagnose, cure, or prevent disease. (B)</p> Signup and view all the answers

A drug demonstrates 'synergism' when:

<p>Two or more drugs used together show increased efficacy compared to when used alone. (B)</p> Signup and view all the answers

A patient is administered two drugs. One drug enhances the effect of the other. What type of drug interaction is this?

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

After absorption, into what order do drug metabolism occur?

<p>Absorption, Transport, Change, Excretion (B)</p> Signup and view all the answers

To maintain the integrity of drugs during the storage process, which storage condidtion should be fulfilled?

<p>Should be stored in a clean, closed, dry, and cool environment. (B)</p> Signup and view all the answers

What special precaution is recommended for storing oily, diluted medications to prevent spoilage?

<p>Ensure they are tightly sealed and kept in the refrigerator before the expiration date. (A)</p> Signup and view all the answers

Why is it vital to store emergency medications in a separate and clearly marked compartment?

<p>To ensure they are readily accessible and can be quickly located during an emergency. (D)</p> Signup and view all the answers

What is the nurse's PRIORITY as it relates to a physician's medication order?

<p>To ensure all drugs are prescribed by the provider, in writing, and administered as such. (C)</p> Signup and view all the answers

When can a medication order be permissibly issued verbally instead of as a written directive?

<p>Only during a documented emergency situation where immediate action is crucial (A)</p> Signup and view all the answers

Which element MUST be included on a valid physician's medication order?

<p>Dose of the drug (B)</p> Signup and view all the answers

What is the PRIMARY action a healthcare professional should take when there is doubt about the medication request?

<p>Consult the physician who prescribed the medication. (D)</p> Signup and view all the answers

What is the significance of drawing a line on a patient's chart below the medication order detail immediately after administering a drug.

<p>Be used to show, and be avoid of administering, another dose of the medication. (D)</p> Signup and view all the answers

What considerations must be made so that healthcare staff do not administer a dangerous medicine by accident?

<p>The medicine should have the appropriate identification label. (B)</p> Signup and view all the answers

Prior to administering medication, what step helps ensure the 'Right Patient'?

<p>Verifying the patient's allergies with their chart and directly with the patient. (D)</p> Signup and view all the answers

When retrieving the medication, preparing the medication and prior to administration, what step ensures the 'Right Medication'?

<p>Performing a triple check of the medication label. (B)</p> Signup and view all the answers

When is the right time to Verify schedule of medication with order?

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

A healthcare professional administers a medication via the appropriate route as outline in the medication order. What 'right' is being observed?

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

Which of the following aligns with the 'Right Evaluation' of the medication administration?

<p>Documenting the patient's response to the administered medication. (A)</p> Signup and view all the answers

In accordance with the Basic Principles of Drug Application, what consideration accounts towards safety when administering medication?

<p>We should introduce ourselves to the patient. (B)</p> Signup and view all the answers

Why should the patient, during the administration of medication, take their medication from a trey.

<p>To ensure make sure the patient takes the medicine. (D)</p> Signup and view all the answers

Flashcards

What are drugs?

Substances that cause chemical changes when given to diagnose, cure, or prevent disease.

Dosage forms of drugs?

Solid, liquid, semi-solid, and gaseous.

Factors affecting drug activity?

Growth period, weight, gender, genetics, cultural factors, psychological factors, illnesses, environment, treatment time, adverse drug effects and individual differences.

What is drug synergism?

The effect of two or more drugs used together is greater than if used alone.

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Drug addition?

One drug increases the effect of another drug.

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Drug potentiation?

The effect of two drugs used together yields a greater response than expected.

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Drug antagonism?

One drug reduces the effect of another drug.

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Basic stages of drug metabolism?

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

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How should drugs be stored?

Should be stored in a clean, closed, dry, and cool place.

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Which medicines should be refrigerated?

Vaccines and serums, oily and diluted medicines should be kept in the refrigerator

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What is included in a medication order?

Drug name, dose, application frequency, administration routes and the doctor's signature.

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What are 10 Rights of Medication?

Right patient, medication, dosage, route, time, documentation, client education, to refuse, assessment and evaluation.

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When to check the medication label?

Triple check the label when retrieving, preparing, and before giving the medication.

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How do you know the right route?

Verify this with the medication order before administering.

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Principles of Drug Applications?

10 rights of drug administration should be known. Hands should be washed. Take patient history

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What effects do drugs have?

Local or systemic effects.

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What does Enteral mean?

Applying a drug to the digestive tract.

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When should you not administer medication orally?

Do not use if patient is unconscious, having difficulty swallowing, nausea, or convulsions.

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Administration of specific drugs?

Needs to stay under the tongue. Sublingual and Buccal

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What is Parenteral administration?

Administered by injection

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What is intramuscular injection?

Injection given into the muscle

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What is transdermal administration?

Medication directly to the skin using something like a patch. Adhered to the skin in the form of a patch.

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What is inhalation?

Medication inhaled, which goes directly into the lungs.

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Define Intradermal injection?

Injection into the dermis of the skin.

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Which are the Parenteral administrations?

Subcutaneous (SC) injection (<1ml), Intradermal injection: ID, Intramuscular injection: IM and Intravenous injection: IV

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Syringe and needle size are according to?

Application route, density of the solution, amount of medicine to be administered, body size, and type of drug

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the best technique to remove liquid in ampule?

By using a clean piece of gauze, grasp the neck of the ampule and quickly snap the top off directing away to you to remove liquid

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A small air bubble of 0.2-0.3 ml is drawn into the syringe

Air lock Injection

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Injection

The patient’s approach with the medication, wash your hands and appropriate area for the procedure should be selected and the patient is positioned appropriately.

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Hemolytic Reactions

Failure to follow the correct rules.

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Study Notes

  • Assist. Prof. Dr. Funda KARAMAN is the lecturer.
  • The aim is to be able to fulfill the necessary practices for drug administration.

Objectives

  • Understand the definition of drugs
  • Classify drugs
  • Know the effects of the drugs on the body
  • Explain how to request, supply and store drugs
  • Know the ways of administering drugs
  • Know and apply drug practices

Contents

  • Description of drugs
  • Classification of drugs
  • Modes of action of drugs
  • Factors that play a role in drugs affecting a patient
  • Supply and storage of medicine
  • Physician medication order
  • Ways of drug administration
  • Drug applications: enteral and parenteral

Drugs

  • Drugs originate from animal, vegetable, mineral, and synthetic sources.
  • Drugs induce chemical changes to diagnose, cure, or prevent diseases.
  • Drugs are substances altering bodily functions when taken by a living organism.
  • Medicines come in various forms, each with special contents.

Drug Administration

  • Drug administration is a core function requiring technical skills.
  • This function requires adequate knowledge of medications along with the knowledge and skills to administer said medication.

Factors Affecting Drug Activity

  • Growth period (newborn, elderly)
  • Weight
  • Gender
  • Genetic and cultural factors
  • Psychological factors
  • Illnesses
  • Environment
  • Treatment time
  • Adverse effect of the drug
  • Individual differences

Interaction of Drugs

Synergism

  • Shows more efficacy when two or more drugs are used together.
  • An example is tuberculosis treatment.

Additional

  • Involves an increase in the effect of drugs on the body when taking the same effective drug together.

Potentialization

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

Antagonism

  • The effect of a drug is reduced by another drug.
  • An example is the administration of naloxone to reduce the effect of narcotics.

Drug metabolism

  • Consists of absorption, transport/distribution, change/disintegration, and excretion/elimination.

Supply and Storage

  • Keep drugs locked in the same room.
  • Store the drugs in a clean, closed, dry, and cool place.
  • Tightly close the bottles to prevent the drugs from evaporating and becoming moist.
  • Keep oily, diluted medicines in the refrigerator or cold, within their expiration date.
  • Keep vaccines and serums in the refrigerator.
  • Replace the medicine if the label is dirty.
  • Medicines that are expired or have changed color, odor or appearances should not be used.
  • There should be artificial lighting installation where the medicine cabinet is located.
  • Keep emergency medications in a separate compartment.
  • Keep medicines that have the same effect together.
  • The medicine cabinet should be large enough to hold all patient medications.
  • Keep addictive (narcotic) drugs in a double-locked cabinet with a signature system.
  • Use a red label should be placed on poisonous drugs.

Physician Medication Order

  • For safe drug administration, a physician medication order must be in writing.
  • Drug administration is legally prohibited except in emergencies, and without a written order.
  • Regular request
  • Request if necessary
  • Urgent request (single dose request)
  • Can be requested verbally in an emergency

Parts of Physician Medication Order

  • Name of the patient
  • Date and time
  • Name of the drug to be administered
  • The dose of the drug
  • Drug administration routes
  • Application frequency
  • Signature of the doctor who wrote the order
  • Doctor orders are checked by healthcare professionals every morning.
  • The hours are adjusted and transferred to their own recording system.
  • Observation sheets are used for recording.
  • Consult a physician if there is any doubt about the request.
  • After checking, the date, time and sign must be placed under the doctor's order.

Rights of Medication Administration

  • Separate the patients and use the same name.
  • Right patient
  • Right medication
  • Right dosage
  • Right route
  • Right time
  • Right documentation
  • Right client education
  • Right to refuse
  • Right assessment
  • Right evaluation

Right Patient

  • Always check a patient's identification bracelet.
  • Ask the patient to state their name and birth date.
  • Compare the medication order to the identification bracelet.
  • Verify patient's allergies with the chart and with the patient.

Right Medication

  • Triple-check the medication label upon retrieval, preparation, and before administering.
  • Always check the medication label with the physician’s orders.
  • Never administer medication prepared by another person.
  • Never administer medication that is not labeled.

Right Dosage

  • Check the label for medication concentration.
  • Compare the prepared dose with the medication order.
  • Triple-check all medication calculations.
  • Check all medication calculations with another nurse.
  • Verify that the dosage is within an appropriate dose range for the patient and the medication.

Right Time

  • Verify the schedule of medication with order.
  • The schedule includes the date, time and specified period of time that it has been administered to the patient.
  • Check the last dose of medication given to the patient.
  • Administer medication within 30 minutes of schedule.

Right Route

  • Verify medication route with medication order before administering.
  • Medication may only be administered via the route specified in order.

Right Documentation

  • Never document before medication is administered.
  • The documented items should be the medication, dosage, route, date, time, signature and credentials, and the signature of the other nurse checking the.

Right Client Education

  • Inform the patient of the medication being administered, desired effects, and side effects.
  • Ask the patient if they have any known allergies to the medication.

Right to Refuse

  • The legally responsible party has the right to refuse medication, and you must inform them of the consequences, get it in writing, and notfiy the physician with it documented.

Right Assesment

  • Check the patent and any tests to determine medication safety, and if deemed unsafe, notify physician.

Right Evaluation

  • Check side effects and if medication did what its supposed to do.

Basic Principles

  • Known, hands must be washed, verbal consent, confidentiality, positioned properly.

In the medicine tray

  • Ensure patient takes medicine and observe, healthcare works should prepare, correct if illegible, and drug allergy questioned.

Dosing

  • When taking medicine
  • Check three times and keep in safe place.

Consierations

  • Pt id checked and pt swallow.
  • If not taken at time, ensure pt id checked, we have knoweledge and family should know.

Narcotic Drugs

  • Must be kept locked and counted per shift change.
  • Use recorded per shift and must be destroyed in 24 hours.

Drug Route

  • Intracardiac (15 sec)
  • Intravenous (30-60 sec)
  • Inhalation (3 min)
  • Sublingual (3-5 min)
  • Intramuscular (10-20 min)
  • Subcutan (15-30 min)
  • Oral (30-90 min)

Conversions

  • 1cc = 1ml = 10 dizy = 100 unit = 20 drops
  • 4-5 ml = 1 dessert spoon
  • 15 ml = 1 tablespoon
  • 250 ml = 1 glass of water
  • 100ml = 1 tea glass

After Taking Routes

  • Can have local our systemic side effects.
  • The route it take is how it works and what effects the pt.
  • Effects depends ot patient, does and metabolism.

Local Routes

  • Skin
  • Eye
  • Nose
  • vAginal
  • Ear

Systemic Administation

  • Enteral
  • Parenteral
  • Inhalation
  • Transdermal

Epidermal

  • Always cleaned applied warm lotuions

Eye

Eye car importtant

  • Never touch eye and must weight 5 mins.

Nasal

  • Give pt supire. Then lift the head and give drug

VI

pt privacy and tablet cream before.

Ear

  • in childer down and baack, up and back in adults

Oral Prep

  • Take to pt but not if they cant allow etc

Sublinqual and Buccal

  • do it well and pt sould not chew med.

Rectal

  • Pt privacy prior and keep in fridge first

Transdermal

apppy patch

Injection IM

Can go IM: Gluteus Ventrogluteal Vastus Iateralis Rectus femoris Deltoid.

Always aspirate.

Injection IV

  • Use vein and alsways follow right steps.
  • Alwats give bolus first and no med in infusion.
  • When done, dont let pt bend and wash hands after.

Problems and IV

  • Infilartion, change it and raise
  • Venouu issues, warm compress.
  • Anaphylaxis, stop and get help.
  • Circu overload, give med, and have pt breath good.

Blood

  • Get type matches and all rules must follow or death can occur.

Calculations

  • cc = ml
  • 1ml equals 10 dixy units and can do conversions to figure out dosage for pt.

Remember 500 mg to get tablets. And volume conversions where x equals amount needed.

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