Medication Administration and Calculation: Self-Study Review Flashcards
Admin of drugs
Nurses must follow all safety procedures when administering drugs
Check orders carefully; question any if needed
Educate patients carefully about timing of taking medications
Document accurately
Document accurately (Admin of drugs)
Details of medications administered—after they have been given
Refusal or omission of medication must be documented with reason
PRNs document assessment prior to administration and evaluation of client response afterward.
Common protocol for admin
Verify medication order: Check order and EMAR
Assess client, ask client about known allergies (may not be in record)
Wash hands and apply gloves, if indicated
Identify client (two forms of ID)
Educate client about drug and position client for safe administration
Remove prepackaged drug at bedside
Watch client take med.; Do not leave drugs at bedside/food tray, etc.
DO NOT give a medication prepared by another nurse
Document administration and pertinent patient responses
Follow-up evaluation/documentation of response to medication
Wash hands and apply gloves, if indicated (Common protocol for admin)
Use aseptic technique when preparing and administering parenteral medications
Drug orders and common acronyms
Types of orders
Drug-administration acronyms
Types of orders (Drug orders and common acronyms)
Single orders
Routine orders
Standing orders
Nurse must review all orders before initiating
Single orders (Types of orders (Drug orders and common acronyms)
Once at a specific time
Routine orders (Types of orders (Drug orders and common acronyms)
To be completed within 2 hours of receipt
Standing orders (Types of orders (Drug orders and common acronyms)
Written in advance of a situation to be carried out under specific circumstances
Written in advance of a situation to be carried out under specific circumstances (Standing orders (Types of orders (Drug orders and common acronyms)
Example: treatment for low blood glucose
Drug-administration acronyms (Drug orders and common acronyms)
STAT (statim =immediate)
ASAP— (as soon as possible)
PRN (pro re nata=as required)
STAT (statim =immediate) (Drug-administration acronyms (Drug orders and common acronyms)
drug ordered to be given once & immediately
ASAP— (as soon as possible) (Drug-administration acronyms (Drug orders and common acronyms)
drug ordered to be administered within 30 minutes
PRN (pro re nata=as required) (Drug-administration acronyms (Drug orders and common acronyms)
drug ordered to be administered as required by the patient’s condition
Time schedules
Before meals
After meals
In morning
Twice a day
Three times day
Four times a day
Every _ hours
Orders should be typed or written out – no abbreviations
Some drugs should be given with food and some should not
Rule of thumb for drugs on empty stomach:
Nurses often give drugs scheduled an hour apart together to save time
BE SURE TO CHECK RESOURCES
Rule of thumb for drugs on empty stomach: (Time schedules)
1 hour prior or 2 hours after a meal
Rights of med admin
Right Client Right Drug Right Route Right Dose Right Time Right Documentation
Additional rights of med admin
Right Preparation:
Right Storage:
Right Education:
Right Information:
Right Preparation: (Additional rights of med admin)
Using the correct syringe and needle, proper dilution, etc.
Right Storage: (Additional rights of med admin)
Examples: Room temperature, refrigerator, protect from light
Right Education: (Additional rights of med admin)
Patient needs to know information about a medication to take it properly!
Right Information: (Additional rights of med admin)
The nurse needs to be informed about a medication to properly administer a medication and monitor the patient!
3 checks of drug admin
1.Check drug with EMAR when removing drug from storage
2.Check drug when preparing it, pouring it, taking it out of the unit-dose container, or prior to connecting IV tubing to bag
3.Checking drug before administering it to the patient
Nurses are held accountable for correct administration of drugs!
Routes of admin
Route affects absorption
