Gen Med Administration Flashcards
What routes for oral meds? What forms?
By mouth, via enteral tubes: N/G, GT, PEG, NJ, JT
Tablets, capsules, liquid (meniscus)
Administered until the dosage is changed or another medication is prescribed.
Standing or routine order Carried out until the physician cancels it by another order or until a prescribed number of days has elapsed so a renewal order is needed to continue administration
Given only one time for a specific reason
Single (one-time) order
Common for preoperative drugs or before diagnostic tests
When a medication is needed right away but not stat
Now order
Given when the patient requires it
prn order
Usually a minimal interval for the time of administration is given
Given immediately in an emergency
STAT order
Single dose. Often written for when a client’s condition changes suddenly.
Medication to be taken outside of the hospital
Prescription order
Standing orders or protocols?
Clinical protocols give the nurse legal protection to intervene appropriately and administer medication without contacting the prescriber each time the patient’s condition changes
Insulin sliding scales, IV heparin protocol, etc
What is the pharmacist’s role in this?
Prepares and distributes medication as per distribution systems. Assess med plan and evaluates the patient’s medication related need. Accuracy and validity of prescription. Provides information, like side effects, toxicity, interactions, incompatibilities.
Systems for storing and dispensing oral medication. Differ from institution to institution.
Drug distribution systems.
Individual drawers with 24 hour supply of individually wrapped meds for each patient. Explain further?
Unit-dose system
Limited supply of prn meds. Pharmacy supplies according to client orders, restock at scheduled times.
The ordered dose of med the patient receives at a prescribed hour.
The unit dose
Insulin sliding scale?
Glucose less than 160: no coverage 160-220: 2 units 221-280: 4 units 281-340: 6 units 341-400: 8 units
Each nurse has a security code that allows access on the unit and bio-indentification fingerprints. Controls the dispensing of all meds including narcotics.
Automated medication dispensing system. AMDS
Nurse may select desired drug, dose, route. The system delivers the med to the nurse, records it, and charges it to the patient.
Meds are locked up with an inventory sheet or computerized inventory. Dispensed by the pharmacy. Nurse receiving supply counts supply and signs the sheet.
Narcotic control system.
Co-sign is required if drug is wasted. Check when last medicated before administration. Follow up with pain assessment. End of shift count of narcotics by two nurses, one from the shift going off and the other from the one coming on.
