Chapter 19: Med Admistration Flashcards
Nurse Practice Act entails…
1) Nurses are responsible for their own actions
2) If a healthcare providers order is ambiguous or inappropriate, the nurse must clarify the medication order with the healthcare provider
3) Do not give medication prepared by another nurse unless identification and are intact
4) it is within the nurse’s legal domain to administer medications in a safe and timely mannner
Defines nurses scope of practice
Nursing Practice Acts
Client has the right to expect safe and appropriate drug administration by the nurse
Patient Bill of Rights
medication order carried out for a specific number of days (e.g., antibiotic)
Standing or Routine order
medication administered as needed
PRN order
medications to be administered in certain situations with criteria for administration outlined clearly for patients on a specific unit or service. (e.g., patient with diabetes and insulin administration)
Standing Protocol
medication that will only be given once
One-Time Order
medication that must be given immediately
Stat Order
medications given by mouth
Oral
tablet is placed under the tongue and allowed to dissolve
Sublingual
places medication underneath the upper lip or in the side of the mouth
Buccal
medications designed to be absorbed through the skin for systemic effects
Transdermal
Used to treat eye irritation, infections or glaucoma
Ophthalmic medications
Solutions may be dropped into the ear
Otic medications
Solutions that are sprayed into the nose
Nasal Medications
may be placed in the rectum to treat systematic complaints or as a laxative to encourage bowel movements
Rectal Medications
Meds given vaginally that come in various forms such as foams, jellies, liquids, cremes, tablets, or suppositories
Vaginal Medications
May be used to induce anesthesia during surgery and treat respiratory disorders
Inhaled Medications
medications given through injection or infusion
Parenteral Medications
Given in the subcutaneous tissue and only small amounts of 0.5 to 1 mL may be injected
Subcutaneous injections
What size needle is used with subcutaneous injections?
1/2 to 5/8 inch
What are the injection sites for subcutaneous administration?
Upper Arm, Upper Back,Abdomen, Thigh and Upper Buttocks
At what degree are subcutaneous injections given?
45 degree to 90 degree angle
Injections given into the muscle layer beneath the dermis and subcutaneous tissue
Intramuscular injection
