Chapter 28: Medication Administration Principles

Question 1

What are the 7 parts of a medication order?

Answer 1

Patient name, date/time order is written, medication name, dosage, route, frequency of administration, and signature of provider.

Question 2

What are the different types of orders (think timing)

Answer 2

PRN: as needed, standing: Order that has been written by physician preemptively that allows nurse to administer med if needed. One-time: one time administration, Stat: within 30min., Now: within 60min.

Question 3

What are the 10 rights of medication administration?

Answer 3

Right: patient, drug, dose, route, time, education, documentation, right to refuse, response/evaluation, right assessment.

Question 4

What are ENTERAL routes of administration

Answer 4

PO, feeding tubes

Question 5

What are PARENTERAL routes of administration?

Answer 5

IM, ID, SubQ, IV

Question 6

When are the three checks of med. administration coimpleted?

Answer 6

1. When nurse reaches for unit dose pkg. or container.
2. After retrieval from the drawer and compared with the CMAR/MAR or compared with CMAR/MAR immed. before pouring from a multi-dose container.
3. Before giving the unit dose med to pt. or when replacing the multi-dose container in the drawer or shelf.

Question 7

What is CMAR?

Answer 7

Computerized Medication Administration Record

Question 8

What is CPOE?

Answer 8

Computerized Prescriber Order Entry

Question 9

what is BCMA?

Answer 9

Bar Code Enabled Medication Administration

Question 10

What is ADC?

Answer 10

Automated Dispensing Cabinet

Question 11

What size needle,gauge, and angle do you use for IM injections?

Answer 11

18-25 gauge (oil based, antipsychotics, vitamins) 20-25 for biologicals. , Needle length: 5/8”-1 1/2” 72-90 degree angles

Question 12

What size needle for an IM injection in the Deltoid for both child and adult?

Answer 12

Child: 5/8”- 1 1/4” Adult: 5/8”-1 1/2”

Question 13

What size needle for an IM injection in the Vastus lateralis site?

Answer 13

5/8”-1”

Question 14

What size needle would you use for an IM injection in the Ventrogluteal site?

Answer 14

1 1/2”

Question 15

When might you use an ID injection? What needle gauge and size would you use?

Answer 15

For tuberculin injections. 1/4”-1/2” needle size, 25-27 gauge needle.

Question 16

What angle is an ID injection used

Answer 16

5-15 degree angles 1/8” depth

Question 17

What is the max amount of liquid used in IM injections?

Answer 17

1-4mL. 1-2mL for children and older adults, adults 1-4mL.

Question 18

What are the sites for IM injections?

Answer 18

Vastus lateralis, deltoid, and ventrogluteal

Question 19

What are the sites for giving an ID injection?

Answer 19

Inner surface of the forearm, upper back, under the scapula,

Question 20

What is max amount in ID injections?

Answer 20

0.5mL

Question 21

What are the sites for SubQ injections?

Answer 21

Outer aspect of upper arm, abdomen, anterior aspect of thigh, upper back, upper ventral or dorsal gluteal area.

Question 22

What size and gauge needle would you select for an insulin injection? what angle? What is max amount of liquid?

Answer 22

28-30 gauge, 5/16”-1/2” length. 45-90 degree. Max medication amount is 3/10mL-1mL

Question 23

What size needle, gauge, angle for a heparin injection? What is max amount of medication to be used?

Answer 23

25-30 gauge, 3/8”-1” (most common 3/8” and 5/8”) Angle is 90 degree. However, IF you use a longer needle, a 45 degree angle is preferred. 1mL is max amount of medication.

Question 24

How much sterile water do you use to mix with a med that is to be crushed and administered via a G-tube?

Answer 24

15-30mL