Dosage Calc/med administration Flashcards
10 rights of medication administration
right drug right dose right patient right route right time right documentation right to refuse right to patient education right evaluation right assessment
Meds that can’t be crushed
Extended release (EX/ER) Controlled Release (CR) Enteric Coated Tablets
Sublingual meds
under the tongue
pt cannot swallow, eat, drink, or smoke until medication is absorbed
is placed under tongue for RAPID absorbtion
Bucaal meds
Inside the cheek
Ophthalmic
Explain what you are doing and that it might sting/soothe
Expose lower conjunctival sac, drip required amounts of drops into eye without letting the bottle tip touch the skin or eye
Have client close eye to let medicine soak in
Always use a different tissue for each eye if instilling medication for infection
Otic Medication
Adult: pull pinna upward and backwards for clients over the age of 3
Instill required amounts of drops
Press gently very firmly a few times on the tragus
Remain on their side for a few minutes
Otic Medication for a child under 3
3 and under: Pull earlobe down and back
Instill required amounts of drops
Press gently very firmly a few times on the tragus
Remain on their side for a few minutes
Nasal Meds
Tilt clients head back, block one nostril
Have client breathe in through nose when squirting/spraying medication into nostril
Transdermal
Alternate areas patch is placed
NEVER cut a patch
REMOVE previous patch before putting a new on one!!
Apply to clean, dry, hairless, intact skin
Sign and date patch before applying
Sharps or black container for used patches
Rectal
Lay client of left side for suppository or stand over toilet
Lube
Ask client to take a couple of breaths to try and get them to relax
Insert suppository beyond the anal ridge to make sure it stays in
Squeeze whole bottle and do not let go of bottle until ready to throw in garbage (keep it squeezed so you do not get backward suction)
Tell client to hold it in as long as possible
Rectal
Lay client of left side for suppository or stand over toilet
Lube
Ask client to take a couple of breaths to try and get them to relax
Insert suppository beyond the anal ridge to make sure it stays in
Squeeze whole bottle and do not let go of bottle until ready to throw in garbage (keep it squeezed so you do not get backward suction)
Tell client to hold it in as long as possible
PO
By mouth
SL
sublingual
OD
right eye
OS
Left Eye
OU
both eyes
AD
right ear
AS
Left Ear
AU
Both Ears
ID
Intradermal
IM
intramuscular
SubQ, Subcue, Subcut
Subcutaneous
PT
Per Tube
INH
inalation
NEB
Nebulizer
PR
rectally
QD
once daily
BID
Twice daily
TID
Three times dailey
QID
Four times daily