Medication Administration Overview

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Questions and Answers

What is the primary reason for utilizing a medication administration reference before administering medication?

  • To verify the proper route and rate of administration. (correct)
  • To determine the patient's preferred method of administration.
  • To check for potential allergic reactions based on the patient's history.
  • To calculate the exact dosage required based on the patient's weight.

Which of the following statements is true regarding accuracy during medication administration?

  • Accuracy during all steps of medication administration is extremely important. (correct)
  • Accuracy is crucial only when administering high-risk medications.
  • Accuracy is primarily the responsibility of the prescribing physician, not the administering nurse.
  • Accuracy is important but secondary to the speed of administration in emergency situations.

Which route of medication administration is typically preferred for children or patients experiencing vomiting?

  • Inhaled
  • Oral
  • Rectal (correct)
  • Topical

If a medication error occurs during administration, what is the most appropriate immediate action?

<p>Report the error promptly and take action to promote patient safety and well-being. (D)</p> Signup and view all the answers

How are medications administered via a secondary IV bag (piggyback)?

<p>The secondary line is connected to the existing tubing of the primary IV, with the primary bag positioned lower than the secondary bag. (C)</p> Signup and view all the answers

Why is the existing IV line occluded above the injection port when administering medication via IV push?

<p>To prevent the medication from flowing back into the IV bag, ensuring it is administered directly to the patient. (D)</p> Signup and view all the answers

What are common medications administered via secondary IV (piggyback)?

<p>Antibiotics and antineoplastic drugs. (C)</p> Signup and view all the answers

Besides glass ampules, what are various forms that medications for injection are dispensed in?

<p>Single-dose vials, mix-o-vials, multiple-dose vials and unit-dose cartridges. (C)</p> Signup and view all the answers

For IV administration, what is the 'primary' method characterized by?

<p>Injected directly into the existing bag of solution that is administered concurrently. (C)</p> Signup and view all the answers

How does the administration of medication via IV push differ from other IV administration methods?

<p>It's utilized when immediate drug effects are needed, administering the medication over seconds or minutes. (A)</p> Signup and view all the answers

What is the typical volume range for diluting drugs in secondary IV bags (piggyback)?

<p>50 to 150 ml. (C)</p> Signup and view all the answers

If a patient has a condition that affects the rate at which a drug is absorbed, how would this MOST directly influence the choice of administration route?

<p>It would influence the choice to ensure the route allows for optimal absorption and efficacy of the drug. (B)</p> Signup and view all the answers

A patient requires medication that needs to be administered over a few seconds for maximum effect. Which method is MOST suitable?

<p>IV/IO push. (A)</p> Signup and view all the answers

A patient is prescribed medication to be administered intravenously through an existing IV line. The medication should be administered into the IV port closest to the patient. Why?

<p>To ensure the medication reaches the patient's bloodstream quickly. (B)</p> Signup and view all the answers

What would be the BEST approach for administering medication to a patient who has a history of difficulty swallowing pills?

<p>Consult with the prescribing healthcare provider or pharmacist to explore alternative formulations or routes of administration. (D)</p> Signup and view all the answers

Flashcards

Oral medication administration

The process of giving a patient a medication by mouth.

Topical medication administration

Application of medications to the skin or mucous membranes.

Rectal medication administration

Inserting medication into the rectum.

Inhaled medication administration

Administering medication via inhalation, often using a nebulizer or inhaler.

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Injections

Administering medication via a needle into the body.

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Medication Administration

Accuracy is key in every step to avoid errors.

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Primary Intravenous Set

Medication added to the Primary IV Bag. Connected with a needleless connector and IV stand. Can also have a filter added.

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Secondary IV bag (piggyback)

Medications administered through a secondary bag of solution.

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IV/IO Push

Medication is injected directly into an IV port closest to the patient.

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Glass ampules

Glass containers holding a single dose of medication.

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IV/IO Push

A method of intravenous medication administration where the medication is injected directly into a vein or intraosseous site for rapid effect.

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Secondary Bag

Medications are diluted in smaller bags (50-150ml) and uses a hook. The secondary line is connected to the existing tubing. The primary bag is higher than the secondary bag.

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Study Notes

  • Unit 1 focuses on medication administration.
  • Objectives include drawing conclusions about medication administration.
  • Objectives involve determining the appropriate administration of IV medication.
  • An overview covers general medication administration.
  • An overview includes adding medication to IV solutions.
  • The overview also discusses using a secondary IV bag (piggyback).
  • The overview includes IV/IO push methods for medication delivery.
  • Accuracy during all steps of medication administration is extremely important.
  • All procedures related to medication administration should be followed to promote safety and avoid medication errors.
  • If a medication error occurs, it should be promptly reported, and actions should be taken to promote patient safety and well-being.

Routes of Administration

  • The specific route is determined by the patient's condition, the nature of the drug, and the rate of absorption.
  • Oral medications, referred to as PO or per os, are administered by mouth.
  • Topical medications include ointments, pastes, and drops.
  • Rectal administration is often used for children or those who are vomiting.
  • Inhaled medications are another route of administration.
  • Injections can be administered intravenously (IV), subcutaneously, intramuscularly, percutaneously, or intradermally.
  • A medication administration reference should be used to verify the proper route and rate of administration (e.g., push vs. slow push).

Medications for Injection

  • Medications for injection are available in various forms.
  • Glass ampules contain a single dose of medication.
  • Single-dose vials are another form.
  • Mix-o-vials are also used.
  • Multiple-dose vials are available.
  • Unit-dose cartridges are another option.

Intravenous administration

  • Certain conditions or medications require intravenous administration.
  • Various methods can be used for intravenous administration.
  • Primary IV administration is one method.
  • Secondary or piggyback IV administration is another method.
  • IV/IO push is also a method of intravenous administration.

Primary Intravenous Sets

  • Primary intravenous sets consist of a bag of solution.
  • Primary intravenous sets include a regular tubing set.
  • Primary intravenous sets contain a needleless connector and IV stand.
  • A filter may be added to the primary intravenous set.
  • Medications are injected directly into the existing bag of solution and administered concurrently.
  • An example medication is Pitocin.

Secondary IV Bag (Piggyback)

  • Medications can be administered via a secondary IV bag.
  • Drugs are diluted in amounts of 50 to 150 ml of solution.
  • The secondary line is connected to the existing tubing.
  • A hook that comes with the secondary bag is utilized.
  • The primary bag is positioned at a height lower than the secondary bag.
  • This allows the solutions in the secondary bag to be administered first.
  • When the solution in the piggyback has been infused, the primary IV begins to flow again without adjustment.
  • Types of medication requiring this form of administration include antibiotics and antineoplastic drugs.

IV/IO Push

  • Some medications may need to be administered via IV/IO push for maximum benefit.
  • These medications may need to be administered over seconds or minutes.
  • The medication is injected into the IV port closest to the patient.
  • The existing line is occluded above the port.
  • This is done to ensure the medication is administered immediately to the patient.

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