medication administration (johnson Flashcards
what are side effects?
mild, predictable, and unintended effect of a drug. benefit of drug outweighs side effects
what are adverse effects
severe and may require discontinuation of drug
what are allergic effects
body form antibodies of drug
can range from mild to life threatening
can range from rash, urticaria, fever, diarrhea, nausea, or vomiting
anaphylactic is a type of SEVERE allergic reaction that is life threatening and can cause respiratory distress, bronchospasm or cardiac collapse
name the parts of a medication order
medication name
dose of the drug
route of the drug
frequency of the drug
if i am checking an order that is written out, computerized, or a prescription, I should also check for the:
patients full name and secondary identifier
date and time of order
signature of prescriber
when a nurse arrives at bedside with medications, the final check should be completed. similarly, the nurse should be sure to check for “right patient” with what identifiers?
Name, DOB
describe oral medications
most common route for med administration
easy to take
least expensive
safest
little/no stress to administer
commonly referred to as P.O. or by mouth
what are some examples of clients that cannot take oral medications?
those who has swallowing difficulties, are unconscious, are NPO, or are vomiting
what types of tablets or capsules should not be chewed or crushed?
Sustained Release (SR)
Extended Released (ER)
Controlled Release (CR or CRT)
Sustained Action (SA)
Long Acting (LA)
Enteric Coated (EC)
what does sublingual mean?
under the tongue
what does buccal mean?
between the gums and cheek
what are parenteral medications?
parenteral=poke
any medication that requires an injection
(subcutaneous injections, intramuscular injections, intradermal injections, and intravenous injections)
describe subcutaneous injections and the sites you administer them
administered into adipose tissue
typically, a very small needle is used
should be given at a 90 degree
Sites: anterior-lateral aspect of lower part of upper arm, abdomen in the umbilical region, thighs: posterior- posterior aspect of the upper arms, back, lower loins
describe intramuscular injections and the landmarks for them
deliver medicine directly to muscle
landmarks: deltoid, vastus lateralis and rectus femoris, dorsogluteal (not recommended), ventrogluteal
describe topical medication
meds delivered to skin or mucous membranes, as well as eyes, ears, nose, rectum, vagina and lungs
-must wear gloves when applying
-maintain asepsis
