Dosage Calc/med administration Flashcards by Krissa Thrift

10 rights of medication administration

right drug
right dose
right patient
right route 
right time
right documentation
right to refuse
right to patient education
right evaluation
right assessment

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Meds that can’t be crushed

Extended release (EX/ER)
Controlled Release (CR)
Enteric Coated Tablets

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Sublingual meds

under the tongue
pt cannot swallow, eat, drink, or smoke until medication is absorbed
is placed under tongue for RAPID absorbtion

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Bucaal meds

Inside the cheek

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Ophthalmic

Explain what you are doing and that it might sting/soothe
Expose lower conjunctival sac, drip required amounts of drops into eye without letting the bottle tip touch the skin or eye
Have client close eye to let medicine soak in
Always use a different tissue for each eye if instilling medication for infection

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Otic Medication

Adult: pull pinna upward and backwards for clients over the age of 3
Instill required amounts of drops
Press gently very firmly a few times on the tragus
Remain on their side for a few minutes

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Otic Medication for a child under 3

3 and under: Pull earlobe down and back
Instill required amounts of drops
Press gently very firmly a few times on the tragus
Remain on their side for a few minutes

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Nasal Meds

Tilt clients head back, block one nostril

Have client breathe in through nose when squirting/spraying medication into nostril

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Transdermal

Alternate areas patch is placed
NEVER cut a patch
REMOVE previous patch before putting a new on one!!
Apply to clean, dry, hairless, intact skin
Sign and date patch before applying
Sharps or black container for used patches

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Rectal

Lay client of left side for suppository or stand over toilet
Lube
Ask client to take a couple of breaths to try and get them to relax
Insert suppository beyond the anal ridge to make sure it stays in
Squeeze whole bottle and do not let go of bottle until ready to throw in garbage (keep it squeezed so you do not get backward suction)
Tell client to hold it in as long as possible

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Rectal

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By mouth

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sublingual

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right eye

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Left Eye

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both eyes

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right ear

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Left Ear

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Both Ears

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Intradermal

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intramuscular

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SubQ, Subcue, Subcut

Subcutaneous

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Per Tube

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INH

inalation

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NEB

Nebulizer

rectally

once daily

BID

Twice daily

TID

Three times dailey

QID

Four times daily

QOD

every other day

PRN

As needed (must have reason)

Q2H

every 2 hours (can repace with any number)

Q2HP

Every 2hours PRN

once

STAT

now

morning

at bed time

before meals

ACL

before lunch

ACB

before breakfast

ACS

before supper

after meals

with meals

MoWeFr

Monday Wednesday Friday

TueThSa

Tuesday Thursday Saturday

Recon

Reconstitute (mix for solution)

Normal Saline

Medication Labels

``` Trade name Generic name Drug strength form (how drug is supplied ex: 500 tablets) route Amount Directions ```

Ampules

Use an ampule opener, a piece of gauze, or a alcohol pad wrapper to open (glass). Always USE a filter needle Remove filter needle and attach needle size you need after withdrawing medication from glass ampule

Vials

Remove cap, ALWAYS wipe top with alcohol, even if it is the first time after removing cap Inject air into vial, the same amount that you plan to draw out Turn bottle upside down and remove required amount of medication Hold syringe eye level for accurate reading

Reconstitution

Read instructions for proper administration of medication Use correct diluent (solution used to dilute medication) Do not re-use needle, change tip if giving IM (dulls needle and will hurt more) Never shake to mix, roll between palms after diluent has been added

5 milliliters = _ teaspoon(s)

15 milliliters = __ tablespoon(s)

30 milliliters = __ounce(s)

240 milliliters = __ cup

2.2 lbs = __ kilogram

2.5 centimeters = __ inch

1 ft = __ inches

1 centimeter = __ millimeter

Be for giving med's always ask for ______ pt identifiers

Always choose injection sites wisley. No...

Moles, scars, or lesions

To dispose of patches always use

black containers

Nartics always need to be

double locked

Always ____ cart before walking away.

lock

Antidote for Tylenol

Acetylcysteine (Mucimyst)

Antidote for Anticholinergics

Physotigmine (Antilirium)

Antidote Benzodiazepines

Flumazenil

Calcium Channel Blockers

Calcium Chloride, calcium gluconate

Antidone for cyanide or nitrate

Methylene blue (Urolene blue)

Antidone for Heparin

Protamine Sulfate

Antidote for Iron

Deferoxamine (Digibind)

Antidone for Insulin

Glucagon

Antidone for Iead

Auccimer (Chemet)

Antidote for Magnesium Sulfate

Calcium gluconate

Antidote for opioids

Naloxone (narcan); nalfemene (Revex)

antidote Warfarin Sodium (coumadin)

Vitamin K (Aquamephyton)