Drug Applications: Dosage and Skill Sets

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Questions and Answers

Which of the following describes what drugs are?

  • Chemical compounds that solely provide energy to the body's cells.
  • Substances that reverse the aging process within living organisms.
  • Nutrients that enhance physical performance and mental acuity.
  • Substances that change the functions of the body when taken by the living organism. (correct)

A drug is described as showing more efficacy when two or more drugs are used together; what interaction is at play in this scenario?

  • Synergism (correct)
  • Antagonism
  • Additive Effect
  • Potentialization

A core element of the drug administration process is rooted in which of the following?

  • Interpersonal skills and cultural sensitivity.
  • Technical skills and adequate knowledge (correct)
  • Creative skills and artistic expression.
  • Financial skills and economical prudence.

What is the FIRST action a health professional should take when there is any doubt or concern regarding a drug request?

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

The action of checking the medication label against the physician’s order should occur during which of the following activities?

<p>Before preparing the medication, when retrieving the medication and before administering the medication. (D)</p> Signup and view all the answers

A nurse is preparing medication. What action should NEVER occur?

<p>Administer a medication prepared by another person. (C)</p> Signup and view all the answers

To ensure delivery of the correct medication dosage, what is the FIRST action a medical professional should do?

<p>Check the label for medication concentration. (B)</p> Signup and view all the answers

When is it appropriate to administer medication?

<p>Within 30 minutes before or after the scheduled time. (D)</p> Signup and view all the answers

A medical professional is ready to complete documentation after care. What is an INCORRECT action?

<p>Documenting before the medication is administered. (A)</p> Signup and view all the answers

Before giving a medication, the patient should be informed of which of the following?

<p>The medication being administered, its desired effects, and potential side effects. (B)</p> Signup and view all the answers

In what instance can a physician’s medication order be administered without documented consent?

<p>During times of extreme medical emergencies. (A)</p> Signup and view all the answers

A verbal informed consent must be obtained from the patient. True or False?

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

Drugs should be placed in clear pill boxes without touching them. True or False?

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

When should a triple medication check be completed?

<p>When taking the bottle from its place, while pouring the medicine into the glass, and when replacing the medicine bottle. (D)</p> Signup and view all the answers

What is the times frame in which for oral medications should the patient swallow the medication?

<p>Wait until the patient swallows the medication (D)</p> Signup and view all the answers

Where should the medicine be applied when administering Sublingual drugs?

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

A rectal drug application requires which of the following?

<p>The patient is given Sim’s position. (C)</p> Signup and view all the answers

What type of medicine is adhered to the skin in the form of a patch, is used for hormone replacement therapy, and requires the date and time of application to be noted on the drug?

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

Select the TRUE statement regarding the use of more than one drug when using a nebulizer.

<p>Two different drugs should not be mixed together when using a nebulizer. (D)</p> Signup and view all the answers

Which of the following statements define Parenteral Treatment

<p>Therapeutic drugs through all routes other than digestive system (D)</p> Signup and view all the answers

Which of the following sites is the most commonly used for vaccines?

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

Identify the maximum ML allowed for Deltoid Muscle injections.

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

When administering injections, should the skin be cleaned with alcohol from the outside to the center?

<p>No, from the center to outside (C)</p> Signup and view all the answers

After aspiration, if blood is drawn into the syringe, what is the correct action?

<p>Withdraw the needle and begin again with a new needle, syringe with medication, and a new injection site. (B)</p> Signup and view all the answers

Technique that is used to prevent tracking(leakage) of medication

<p>Z-track injections-Intramuscular (D)</p> Signup and view all the answers

When is it preferred to deliver a drug intravenously?

<p>When a quick effect is desired. (B)</p> Signup and view all the answers

Choose the option most closely aligned with this statement: Parenteral drug administration is a/an _____ nursing practice.

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

In IV implementations, which of the following must occur?

<p>Surgical aseptic technique should be used. (A)</p> Signup and view all the answers

Why might a doctor order an IV fluid?

<p>All of the options are correct. (B)</p> Signup and view all the answers

What happens when the tourniquet is kept on the arm for a long time?

<p>May change the composition of the blood and therefore negatively affect the test result (C)</p> Signup and view all the answers

Which condition is indicated by the collection of air bubbles remaining in the liquid set?

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

Blood and blood products should not be mixed with what?

<p>0.9%NaCl and 5% Albumin (B)</p> Signup and view all the answers

The medicine is drawn from the ampule of vial using how many correct principles?

<p>10 Correct principles. (B)</p> Signup and view all the answers

What does the process of Parcalanma mean regarding drugs and medications?

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

What is the appropriate action when medicines with the change color, odor or appearance?

<p>Do not use (D)</p> Signup and view all the answers

What conditions are there where medication should be given via IV?

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

What should never be done with the skin, after an injection?

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

Syringes should be held like what tool?

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

What the most you should apply the tourniquet?

<p>2 minutes (A)</p> Signup and view all the answers

What are the three types of IV fluids?

<p>Hypotonic, hypertonic and isotonic. (C)</p> Signup and view all the answers

What are signs of hemolytic reactions?

<p>All of the above (D)</p> Signup and view all the answers

Which of the following correctly describes the primary sources from which drugs are derived?

<p>Animal, vegetable, mineral, and synthetic. (A)</p> Signup and view all the answers

Which aspect of drug administration necessitates both comprehensive medication knowledge and skillful administration techniques?

<p>Ensuring accurate medication delivery and patient safety. (A)</p> Signup and view all the answers

What is the primary purpose of classifying drugs into solid, liquid, semi-solid, and gaseous forms?

<p>To ensure proper storage and handling of medications. (C)</p> Signup and view all the answers

How do genetic and cultural factors MOST significantly influence drug activity in patients?

<p>By influencing the rate at which drugs are metabolized and processed. (A)</p> Signup and view all the answers

In a scenario where two drugs are combined, and the resulting effect amplifies the action of one drug beyond its individual capability, which type of drug interaction is MOST likely occurring?

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

What is the correct sequential order of the four basic stages that constitute drug metabolism in the human body?

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

To maintain the integrity and efficacy of drugs in a healthcare setting, which storage practice should be prioritized?

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

In emergency situations requiring immediate drug administration, what is the REQUIRED protocol regarding physician orders?

<p>Drug administration is permitted without a written order, but only in emergencies. (C)</p> Signup and view all the answers

Why is health care staff being directed to check doctor's orders every morning?

<p>To adjust the timing and transfer the orders to their own recording system. (D)</p> Signup and view all the answers

Which of the following actions is MOST critical in ensuring the 'Right Patient' aspect of medication administration safety?

<p>Verifying the patient's allergies using their chart and direct confirmation with the patient. (A)</p> Signup and view all the answers

During medication preparation, what is the primary reason that a nurse should never administer a medication prepared by another person?

<p>To prevent the risk of potential medication errors or mislabeling. (A)</p> Signup and view all the answers

Besides patient identification, what additional verification step is MOST important before administering medication?

<p>Checking expiration date and appearance of the medication. (B)</p> Signup and view all the answers

Why should the person administrating the drug review the dosage of the drug?

<p>To check with another nurse the drug calculations with another nurse. (C)</p> Signup and view all the answers

If a patient refuses to have a medicine administered to them what needs to occur?

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

What is the primary rationale for healthcare providers to obtain a detailed medical tests appropriately before administering medications?

<p>To avoid causing more sickness to those with a potential side effect. (C)</p> Signup and view all the answers

Which of the following considerations is MOST pertinent when ensuring patient safety during drug applications?

<p>Having a deep understanding of drug practices. (B)</p> Signup and view all the answers

What steps should be taken to ensure the patient is positioned in the best manner?

<p>According to the drug being given (C)</p> Signup and view all the answers

Which procedure demonstrates the correct application after medication materials are prepared?

<p>It should be kept in a safe place until the medication is given. (A)</p> Signup and view all the answers

What action is required for all narcotics?

<p>Must have all the above (D)</p> Signup and view all the answers

Among the options listed, which route of drug administration is recognized for generally having the FASTEST absorption rate?

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

A physician prescribes a liquid medication to be administered at 15 ml. What is the MOST appropriate household equivalent to ensure accurate dosing?

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

A patient receives a drug that induces a systemic effect. How does this drug exert its influence on the body?

<p>Through influencing the whole body. (A)</p> Signup and view all the answers

When administering medications to the skin, what forms are acceptable?

<p>Ointments, creams, and lotions (D)</p> Signup and view all the answers

When eye medicine is being applied to both eyes, which eye do you adminster the drugs first, and why?

<p>The non-infected eye to avoid cross contamination. (B)</p> Signup and view all the answers

Following the application of nose drops, what position should the patient maintain to enhance medication effectiveness?

<p>Supine position with head tilted back. (C)</p> Signup and view all the answers

To maintain the correct temperature and to protect patient modesty, it is recommended to do what to vaginal suppository?

<p>Prior to administration, heated in palm (A)</p> Signup and view all the answers

In administering ear drops to adults, what technical step is MOST appropriate to maximize medication delivery?

<p>Pull the ear up and back (B)</p> Signup and view all the answers

Why is drug delivery through the gastrointestinal tract so popular?

<p>It is the easiest application. (D)</p> Signup and view all the answers

What is a critical step after you have placed all drugs into a pill sorter for oral administration?

<p>It is checked again after putting the drug into the box (B)</p> Signup and view all the answers

What BEST characterizes the sublingual administration of a drug?

<p>Applying under the tongue for immediate and specific response. (B)</p> Signup and view all the answers

What BEST defines important aspects with rectal drug administration?

<p>Place the patient in a Sims position (B)</p> Signup and view all the answers

What step is NEEDED to be taken, when using transdermal patches?

<p>Application date and time. (A)</p> Signup and view all the answers

Following the administration of drugs via a nebulizer, what step is MOST important to ensure patient safety and maximize therapeutic benefit?

<p>Rinsing the mouth when taking corticosteriods. (C)</p> Signup and view all the answers

What defines parenteral treatment?

<p>Entering the body without passing through the digestive track. (C)</p> Signup and view all the answers

When you are administering subcutaneously, what angle is needed?

<p>45-90 degree angle (B)</p> Signup and view all the answers

Why should you NOT perform as aspiration blood control with insulin?

<p>As it will cause tissue damage (B)</p> Signup and view all the answers

In what manner should the skin be stretched to inject the medicine?

<p>Thumb and index finger of the passive hand (A)</p> Signup and view all the answers

What does it mean to use the Z track technique?

<p>Using one hand to pull downward on skin and fatty tissue (B)</p> Signup and view all the answers

What are some reasons for administering drugs intravenously?

<p>When drugs are desired to have a quick effect, fluids are are added, when they won't be able to consume (A)</p> Signup and view all the answers

During the IV Process what tool allows staff members to determine the sizes.

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

Why do you remove air bubbles from a bag after the set has been placed?

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

When there is a transfusion reaction, what should be done?

<p>Transfusion is stopped and follow other steps based on what kind of reaction it was. (C)</p> Signup and view all the answers

If a patient requires a drug that needs to bypass the liver's first-pass metabolism for quicker systemic availability, which administration route is MOST suitable?

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

Which of the following factors, if altered, would MOST significantly affect the distribution of a water-soluble drug within the body?

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

In drug storage protocols, which of the following strategies is MOST important for maintaining medication efficacy and preventing degradation?

<p>Keeping medications in a cool, dry, and closed environment (B)</p> Signup and view all the answers

When drug efficacy is being determined, how do synergism and antagonism differ in their mechanisms of action regarding combined drug effects?

<p>Synergism enhances the effect; antagonism reduces it. (B)</p> Signup and view all the answers

A patient is prescribed multiple medications, including one that is known to induce certain liver enzymes. How might this MOST significantly affect the metabolism of other drugs?

<p>Altered drug clearance (A)</p> Signup and view all the answers

In performing the ‘Right Route’ of medication administration, what consideration is MOST critical for ensuring patient safety?

<p>Confirming route on order (A)</p> Signup and view all the answers

When checking 'Right Documentation', what is the MOST important reason for documenting medication administration immediately after it is given?

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

A patient scheduled to receive eye drops expresses concern about potential vision blurring afterwards. What should the medical provider do?

<p>Administer &amp; offer (B)</p> Signup and view all the answers

To optimize the effectiveness of nasal drops for a patient with severe congestion, which action will the medical professional do?

<p>Tilt the head back (A)</p> Signup and view all the answers

What is the rationale for warming a suppository before administration?

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

Which action best supports the efficient administration of ear drops of an adult?

<p>Pull earlobe up (D)</p> Signup and view all the answers

When administering a sublingual medication, why is it important to ensure the patient does not swallow the tablet?

<p>To facilitate rapid (B)</p> Signup and view all the answers

What aspect related to an enema is essential to prevent potential complications or discomfort for the patient?

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

After applying a transdermal patch, which step is MOST critical to ensure patient safety and proper dosage?

<p>Document date &amp; time (A)</p> Signup and view all the answers

Before injecting a medication, the injection site is cleaned with alcohol. Why is this practice important?

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

Why is aspiration performed during Intramuscular injections?

<p>Check for blood &amp; ensure (D)</p> Signup and view all the answers

Compared to other methods of delivering medicine, Why is it important to administer drugs intravenously?

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

To prevent complications during IV therapy. What is the maximum recommended time to leave a tourniquet?

<p>Cannot exceed 2 (D)</p> Signup and view all the answers

When changing an IV site, a nurse notes redness, discomfort, warmth, and mild swelling. Which IV complication is MOST likely?

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

A patient receiving an IV reports sudden chills, back pain, and difficulty breathing. What is the priority?

<p>Stop infusion &amp; notify MD (B)</p> Signup and view all the answers

Flashcards

What is a drug?

Drugs are substances that change the body's functions.

Main drug sources

Animal, vegetable, mineral, and synthetic.

Dosage forms

Solid, liquid, semi-solid, and gaseous.

Factors affecting drug activity

Growth period, weight, gender, genetics, psychological factors, illnesses, environment.

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Drug interactions

Synergism increases efficacy, additional effects combine, potentialization amplifies, antagonism reduces the effect.

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Drug metabolism stages

Absorption, transport, change (disintegration), excretion.

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Drug storage

Tightly closed to prevent evaporation and kept locked.

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Medicine cabinet

Large enough for all patients' medications, with a double-locked cabinet for narcotics.

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Physician medication order

In writing or, in emergencies, verbally to be followed up.

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Parts of medication order

Patient name, date, drug name, dose, administration route, frequency, doctor's signature.

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Rights of drug administration

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

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Right route

Medication may be administered via routes specified in order.

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Why follow 'rights'?

To prevent medication errors and ensure patient safety.

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Drug applications

Administering bright in a tidy space with consideration.

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Triple check

Check bottle upon taking it, pouring, and replacing it.

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Narcotic drugs

Kept locked, counted each shift, and numbers recorded.

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Drug absorption rates

Intracardiac, intravenous, inhalation, endotracheal, sublingual, intramuscular, rectal, intradermal, oral, dermal.

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Drug effect

Local or systemic.

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Local administration sites

Epidermal, conjunctival sac, intranasal, intravaginal, external ear canal.

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Systemic application sites

Enteral, parenteral, inhalation, transdermal.

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Enteral

Applying drug to digestive tract for absorption.

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Buccal

Given to patients between the gums and the cheeks.

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Rectal - Sims position

Prior to administration, what position should been gave to patients while rectal administrations?

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Transdermal administration

Applying a pathc in the skin to absob.

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Inhalation

Medication delivered directly to target organ to treat a very specific condition.

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Intramuscular injection

Deltoid area, vastus lateralis or ventrogluteal

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Subcutanous Injections

New needle, 0.2 ml air, Z-track, and no massage.

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Syringe use

When do you use different size?

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Subcutaneous injection

Injecting into the fat tissue layer

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Z-track

Use to prevent tracking.

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IV use

Delivering of the liquid solution to blood set and fluid product.

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Study Notes

Drug Applications Overview

  • Drug applications are a core aspect of medical practice, aiming to provide necessary treatments to patients.
  • The goal is to be able to successfully carry out the practices for giving medicine.

Drugs & Their Sources

  • Drugs can change bodily functions and are obtained from animals, vegetables, minerals, and through synthetic means.
  • Medicines come in different forms, each designed with a specific content for targeted therapeutic effects.

Drug Administration Skill Set

  • Drug administration is a critical function involving technical skills and adequate medication knowledge.
  • The process requires administering medications with knowledge and skill.

Classification of Drugs By Dosage Form

  • Dosage forms can be solids, liquids, semi-solids and gases.
  • Solids can be broken down into unit dosages in tablets and capsules.
  • Bulks dosage can be in things like tooth powder and dusting powder.
  • Liquids come in two types, monophasic (syrups, lotions) and biphasic (suspensions, emulsions).
  • Semi-solids can be in creams, ointments, pastes, gels, suppositories, and pessaries.
  • Gases will primarily be aerosols and inhalations.

Factors Affecting Drug Activity

  • Drug activity in the body is influenced by growth period, weight, gender, genetics, cultural factors, psychological state, and illnesses.
  • Environmental conditions, treatment duration, adverse drug effects, and individual differences also influence drug reactions
  • Babies, the elderly and the terminally ill will not always have the same dosages as a standard adult.

Drug Interactions

  • Synergism occurs when multiple drugs are used together, enhancing their efficacy.
  • Additional effects involve an increased impact when drugs are combined.
  • Potentialization happens when two drugs used in tandem produce an effect greater than the sum of their individual effects.
  • Antagonism is when one drug reduces the effect of another, e.g., naloxone reducing the effects of narcotics.

Drug Metabolism

  • Drug metabolism occurs in four stages: absorption, transport (distribution), change (disintegration), and excretion (elimination).

Supply and Storage Guidelines

  • Medications must be stored in a locked room that's clean, dry, airy and cool.
  • Bottles should be tightly sealed to prevent evaporation and moisture absorption.
  • Oily or diluted medicines must be refrigerated, paying attention to expiration dates
  • Expired drugs or those with altered color, odor, or appearance should not be used.
  • Artificial lighting is needed in medicine cabinets.

Securing and Labeling

  • Emergency medications must be kept in a separate compartment.
  • Medications with similar effects should also be stored together.
  • Medicine cabinets need to be spacious enough for all patient medications
  • Narcotics must be kept in a double-locked cabinet and must be signed for
  • Poisonous drugs must be labeled with a red label for caution.

Physician Medication Order

  • Safe drug administration requires a written physician medication order.
  • Drug administration without a written order is prohibited unless there is an emergency.
  • There are regular requests, requests if necessary and urgent requests (single dose request).

Medication Order Components

  • A medication order should specify the patient’s name, date/time, the drug name, dosage, administration route, frequency, and the prescribing doctor’s signature.

Verifying and Implementing Orders

  • Doctor's orders should be counted on first write.
  • Health professionals must check doctor's orders every morning to adjust and transfer them to the recording system.
  • Nursing staff should record orders on observation sheets.
  • It's necessary to consult the ordering physician if there is doubt about request.

Process of Implementing Orders

  • The medical professional will check medications, sign and date the doctor's order.
  • Put the date, time and sign under the doctors order
  • A line should be drawn to avoid other medications being written.

Rights of Medical Administration

  • Performing medical administrations require a patient, medication, dose, route, and time.
  • It also requires a document, client education, the right to refuse, assessment, and evaluation, and must be conducted to a set of rules.

Right Patient

  • Confirm the patient's identity through an identification bracelet.
  • Always ask for stating their name and birth date.
  • Compare the medical administration order with patients stated date/birth.
  • Verify patient has allergy's.

Right Medication

  • Confirm that you are administering what is on the medications lable with a triple performing an action.
  • It must be done during retrieving, performing and administering.
  • All medications labels should be performed during the administrations before you administer.
  • You never administer a medications prepared by another medical staff and labeled.

Right Dose

  • Confirm that you have a valid dosage you should check the medications label on the bottle.
  • The dose that you are administer should be confirmed.
  • In medications administer make all calculations be checked two times or have medical personal confirmed.
  • You must confirmed that the patient doesn't have a under appropriate issues.

Right Time

  • Before administering medications you should confirm you have all the medications.
  • The date, time and administration's should be verified.

Right Route

  • In medical administrations you should confirm you have the best route and follow it.
  • Don't provide with another route that isn't in the order in the administrations documents.

Right Documentation

  • A right document has a never document before medications is administered, in it should have a name and date, etc.
  • All components will be listed in the administrations documents.

Right Client Education

  • Clients should have medical education on the topic before they follow any administrations.
  • Have knowledge of the medical administration and the desired effects.
  • It's good to tell the patients any knowledge about the medications you have.

Right To Refuse

  • If patients are rejecting the medications it's to verify that they care giver's doesn't have any issue's.
  • With their well being.
  • In doing this they should be asked to sign the paperwork.

Right Assessment

  • Right assessment is important you will follow.
  • With care the medications if they are safe for their status.
  • You need to confirm or you'll need notification.
  • Document, so it's should't be administered and the reasons why it should be skipped in the process.

Right Evaluation

  • All medical administrations needs patients evaluation that should be done if any side effects shows.
  • As side effects will show during the process of the medical applications.

General Principles of Drug Applications:

  • Ensure you know the 10 rights of drug admin and use proper hand hygeine and wear gloves
  • Introduce yourself, inform the patient about the procedure, obtain verbal consent, maintain confidentiality, and position the patient correctly.
  • Gather all materials on the tray, ensure the patient takes medications, healthcare workers will prepare the medicines themselves.
  • It needs to be corrected by a director because if any medication wasn't right the provider should have the best knowledge.
  • Patients with allergy's should be in order

Accuracy:

  • You should have a triple check with performing and medical adminisration.

Key application considerations

  • Verify patient identity.
  • Ensure the patient swallows oral medications, give missed mediations as possible.
  • To ensure that you should have the most knowlagable in the system as it performs to the specific things.
  • And to inform their status or knowledge about their status to help.

Double checking narcotic drugs

  • Medical staff should be prepared and counted per shift and documented through the times.

Key Absorption Rates To Understand (minutes):

  • Rates will change based on the medical delivery from rates from
  1. Intracardiac 15 seconds
  2. Intravenously 30 and 60
  3. Inhalation 3
  4. Dermal 15- 30 min

Measurements For Medical Administrations

  • Medical administrations come in great measurements.

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