Pharmacology Drugs Medication Administration & Safety PDF

PHARMACOLOGY DRUGS IDIANALE BATCH 2024 ST. LUKE’S COLLEGE OF NURSING TOPIC 2: MEDICATION ADMINISTRATION AND SAFETY ○ Ex: Cefazolin (Stancef) 1G TIV to be...

PHARMACOLOGY DRUGS IDIANALE BATCH 2024 ST. LUKE’S COLLEGE OF NURSING TOPIC 2: MEDICATION ADMINISTRATION AND SAFETY ○ Ex: Cefazolin (Stancef) 1G TIV to be given 1hr prior to surgery. PRN order ordered medication is only given when a specified condition, like pain or nausea, is MEDICATION ORDER present. ○ Ex. Paracetamol (Tylenom) Medication Order 650mg/tab PO for pain. written directions provided by a prescribing practitioner for a specific Remember! medication to be administered to a Check the physician’s orders for the name, specific individual. dose, and frequency of administration; and determine the time of the most recently Elements of a Prescription/Medication Order administered. Higher incidence in medication error Name of the client happens when doctors use an Date prescribed abbreviation. In order to minimize these Generic or trade name of the drug errors, complete writing of the order Dose, route, and frequency of should be followed. administration Signature of the prescriber Nomenclature Remember! The chemical name is a scientific name Physicians and licensed practitioners are LEGALLY that precisely describes its atomic and RESPONSIBLE for the prescription. molecular structure. ○ N-acetyl-para-aminophenol Types Of Medication Orders The generic, or nonproprietary, name is an abbreviation of the chemical name. Standing order ○ Paracetamol or acetaminophen order for a medication that will be given at The trade name (also known as the brand specific times until it is discontinued by a name or proprietary name) is selected by doctor's order. the drug company selling the product. ○ Ex: Give Coumadin 5mg OD ○ Biogesic, Panadol, Calpol STAT orders administered immediately and only once. Remember! ○ Ex: Heparin 2,000 units TIV STAT. Trade names are protected by copyright. The Single orders symbol ® after the trade name indicates that the given only once but not necessarily name is registered by and restricted to the drug Immediately. manufacturer PROPERTY OF ODLID 11 PHARMACOLOGY DRUGS IDIANALE BATCH 2024 ST. LUKE’S COLLEGE OF NURSING thousandths position (e.g., “2.5” mL, not Generic and branded drugs “2.50” mL) ○ Ex: Enoxaparin 40.0mg SC q12 1st Both have exactly the same dosage, dose at 1pm should be written as intended use, effects, side-effects, route of Enoxaparin 40 mg subcutaneous administration, risks, safety, and strength every 12 hrs, 1st dose at 1pm. as the original drug. Beware with SALAD (Sound Alike Look The only difference they have is patency Alike Drugs)/(Look Alike Sound Alike) LASA wherein brand-name products are medications because this may contribute clinically proven and are frequently tested to medication error. than generic drugs which may differ but is acceptable by the FDA. Tall Man Letterings bolded TALL man (uppercase) letters help draw attention to the dissimilarities in look-alike drug names. Questionable Order Incomplete and ineligible medication orders are the number one factor for medication error. Contact the doctor and verify the order. If the doctor can’t be reached, document all attempts and the reason for withholding the medication. Generics Act of 1988 When in doubt, VERIFY doctor’s order An act to promote, require and ensure the Remember! production of an adequate supply, Always consider whether the order makes distribution, use and acceptance of drugs sense for the patient. and medicines identified by their generic Clarify any order that seems inappropriate names. or that duplicates another medication order. Leading Zeroes Verbal/Telephone orders ALWAYS use leading zeros before a decimal point for amounts less than one Only licensed nurse may accept telephone (