Basics of Drug Administration (Part 2) Flashcards
Routes of Parenteral administration:
- Intracutaneous
- Hypodermic/Subcutaneous
- Intramuscular
- Intravenous
- Intrathecal/Intraspinal
- Intraperitoneal
- Intracardiac
- Intra-articular
Corium or dermis.
Intracutaneous
Subcutaneous tissue
Hypodermic/Subcutaneous
Muscle tissue
Intramuscular
Muscles in intramuscular administration:
- Ventrogluteal
- Vastus lateralis
- Dorsogluteal
- Deltoid
- Rectus Femoris
Vein
Intravenous
Subarachnoid space of spinal.
Intrathecal/Intraspinal
Peritoneal cavity
Intraperitoneal
Heart
Intracardiac
Cavity of a joint.
Intra-articular
Oral administration
White ticket
Parenteral medication or nursing procedures.
Blue ticket
STAT order
Red ticket
An important step in administering medication safely is being sure the medication is given to the correct client.
Right Client
To receive labeled medications safely without discomfort in accordance with the rights of drug or medication administration.
Right Drug
Check the label three times:
- Before removing from the shelf.
- Amount of medication ordered is removed from the container.
- Before returning to the storage.
When performing medication calculation or conversions, the nurse should have another qualified nurse to check the calculated dose.
Right Dose
The nurse must know why a medication is ordered for certain times of the day and whether the time schedule can be altered.
Right Time
Its administration should be at precise interval before meals.
Insulin
OD (Once Daily)
6 AM
bid (Twice daily)
10-6/6-6
tid (Thrice daily)
6-12-6
qid (Four times daily)
6-10-2-6
q4 (Every four hours)
6-10-2-6-10-2
pc (After meals)
7-1-7
ac (Before meals)
5-11-5
prn
As necessary
STAT
Immediately
h.s.
hour of sleep
q6 (Every six hours)
6-12-6-12
q12 (Every 12 hours)
6-6
The means by which a drug or agent is administered or enters
the body.
Right route
ID
intradermal
IM
Intramuscular
SC
Subcutaneous
IV
Intravenous
SL
Sublingual
od
Right eye
os
Left eye
ou
Both eyes
To have qualified nurses or physicians assess medication history, including allergies.
Right Assessment
Important part of safe medication administration; reflects the client’s name, name of the ordered medication, the time, dose, route, and frequency.
Right Documentation
Sign the medication sheet ________ after administration of the drug.
immediately
To be informed of the medication’s name, purpose, action, and undesired effects; to be properly advised of the experimental nature of medication therapy and to give written consent for its use.
Client’s Right to Education
Evaluating the client’s status in relation to stated goals and expressed outcomes; evaluate client’s response to the drug.
Right Evaluation
To refuse a medication regardless of the consequences; to not receive
unnecessary medications.
Client’s Right to Refuse
Fundamental rule of safe drug administration:
“Never administer an unfamiliar medication.”