Med administration Flashcards
(58 cards)
Effect of medication on body system
Symptoms the medication relieves
Medication’s desired effect
Classification
Official or nonproprietary name the United States Adopted Names Council gives med
Generic name
ex: acetometophin
Brand or proprietary name the company that manufactures the med gives it
brand name
ex. tylenol
Medication forms
solid liquid oral forms topical parenteral etc
Two oral routes
sublingual
Buccal
Four major parenteral (injection) routes
- Intradermal
- Subcutaneous
- Intramuscular
- Intravenous (more direct way to give med)
Other parenteral (injection routes)
Epidural intrathecal (brain) intraosseous (bone)
Topical administration
Skin
Mucous membranes
health care provider’s role in med admin
Prescriber can be physician, nurse practitioner, or physician’s assistant
- orders written hand or electronic, verbal
- abbreviations can cause error be careful
Administered until the dosage is changed or another medication is prescribed
Standing or routine order
Given one time only for a specific reason
single (one-time) order
Given when the patient requires it
PRN order
Given immediately in an emergency
STAT order
Medications to be taken outside of the hospital
Prescription orders
Distribution systems (how to get meds)
Unit dose systems
Automatic medication dispensing system (AMIDS)
The nurse is responsible for:
written occurrence or incident report: an accurate, factual description of what occurred and what was done
Nurses play an essential role in
medication reconciliation
Comparing meds to what they are on to what they should be on
Has to be done every time a pt is transferred to different care
All to decrease medication errors
Medication reconciliation
a patient has the right to
i. To be informed about a medication
ii. To refuse a medication
iii. To have a medication history
iv. To be properly advised about experimental nature of medication
v. To receive labeled medications safely
vi. To receive appropriate supportive therapy
vii. To not receive unnecessary medications
viii. To be informed if medications are part of a research study
Acute care for med administration
- Receiving, transcribing, communicating med orders
- Correct administration
- Recording med admin
Oral admin is
easiest & most desirable route
If medication is to be given on an empty stomach
allow at least 30 minutes before or after feeding
Enteral or small-bore feedings
Verify that the tube location is compatible with medication absorption
Use liquids when possible
Transdermal patches
- Remove old patch before applying new
- Document the location of the new patch
- Ask about patches during the medication history
- Apply a label to the patch if it is difficult to see
- Document removal of the patch as well
