Chapter 28: Medication Administration Principles Flashcards
What are the 7 parts of a medication order?
Patient name, date/time order is written, medication name, dosage, route, frequency of administration, and signature of provider.
What are the different types of orders (think timing)
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.
What are the 10 rights of medication administration?
Right: patient, drug, dose, route, time, education, documentation, right to refuse, response/evaluation, right assessment.
What are ENTERAL routes of administration
PO, feeding tubes
What are PARENTERAL routes of administration?
IM, ID, SubQ, IV
When are the three checks of med. administration coimpleted?
- When nurse reaches for unit dose pkg. or container.
- After retrieval from the drawer and compared with the CMAR/MAR or compared with CMAR/MAR immed. before pouring from a multi-dose container.
- Before giving the unit dose med to pt. or when replacing the multi-dose container in the drawer or shelf.
What is CMAR?
Computerized Medication Administration Record
What is CPOE?
Computerized Prescriber Order Entry
what is BCMA?
Bar Code Enabled Medication Administration
What is ADC?
Automated Dispensing Cabinet
What size needle,gauge, and angle do you use for IM injections?
18-25 gauge (oil based, antipsychotics, vitamins) 20-25 for biologicals. , Needle length: 5/8”-1 1/2” 72-90 degree angles
What size needle for an IM injection in the Deltoid for both child and adult?
Child: 5/8”- 1 1/4” Adult: 5/8”-1 1/2”
What size needle for an IM injection in the Vastus lateralis site?
5/8”-1”
What size needle would you use for an IM injection in the Ventrogluteal site?
1 1/2”
When might you use an ID injection? What needle gauge and size would you use?
For tuberculin injections. 1/4”-1/2” needle size, 25-27 gauge needle.
What angle is an ID injection used
5-15 degree angles 1/8” depth
What is the max amount of liquid used in IM injections?
1-4mL. 1-2mL for children and older adults, adults 1-4mL.
What are the sites for IM injections?
Vastus lateralis, deltoid, and ventrogluteal
What are the sites for giving an ID injection?
Inner surface of the forearm, upper back, under the scapula,
What is max amount in ID injections?
0.5mL
What are the sites for SubQ injections?
Outer aspect of upper arm, abdomen, anterior aspect of thigh, upper back, upper ventral or dorsal gluteal area.
What size and gauge needle would you select for an insulin injection? what angle? What is max amount of liquid?
28-30 gauge, 5/16”-1/2” length. 45-90 degree. Max medication amount is 3/10mL-1mL
What size needle, gauge, angle for a heparin injection? What is max amount of medication to be used?
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.
How much sterile water do you use to mix with a med that is to be crushed and administered via a G-tube?
15-30mL
