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
QOD
every other day
PRN
As needed (must have reason)
Q2H
every 2 hours (can repace with any number)
Q2HP
Every 2hours PRN
X1
once
STAT
now
AM
morning
HS
at bed time
AC
before meals
ACL
before lunch
ACB
before breakfast
ACS
before supper
PC
after meals
CC
with meals
MoWeFr
Monday Wednesday Friday
TueThSa
Tuesday Thursday Saturday
Recon
Reconstitute (mix for solution)
NS
Normal Saline
Medication Labels
Trade name Generic name Drug strength form (how drug is supplied ex: 500 tablets) route Amount Directions
Ampules
Use an ampule opener, a piece of gauze, or a alcohol pad wrapper to open (glass).
Always USE a filter needle
Remove filter needle and attach needle size you need after withdrawing medication from glass ampule
Vials
Remove cap, ALWAYS wipe top with alcohol, even if it is the first time after removing cap
Inject air into vial, the same amount that you plan to draw out
Turn bottle upside down and remove required amount of medication
Hold syringe eye level for accurate reading
Reconstitution
Read instructions for proper administration of medication
Use correct diluent (solution used to dilute medication)
Do not re-use needle, change tip if giving IM (dulls needle and will hurt more)
Never shake to mix, roll between palms after diluent has been added
5 milliliters = _ teaspoon(s)
1
15 milliliters = __ tablespoon(s)
1
30 milliliters = __ounce(s)
1
240 milliliters = __ cup
1
2.2 lbs = __ kilogram
1
2.5 centimeters = __ inch
1
1 ft = __ inches
12
1 centimeter = __ millimeter
10
Be for giving med’s always ask for ______ pt identifiers
2
Always choose injection sites wisley. No…
Moles, scars, or lesions
To dispose of patches always use
black containers
Nartics always need to be
double locked
Always ____ cart before walking away.
lock
Antidote for Tylenol
Acetylcysteine (Mucimyst)
Antidote for Anticholinergics
Physotigmine (Antilirium)
Antidote Benzodiazepines
Flumazenil
Calcium Channel Blockers
Calcium Chloride, calcium gluconate
Antidone for cyanide or nitrate
Methylene blue (Urolene blue)
Antidone for Heparin
Protamine Sulfate
Antidote for Iron
Deferoxamine (Digibind)
Antidone for Insulin
Glucagon
Antidone for Iead
Auccimer (Chemet)
Antidote for Magnesium Sulfate
Calcium gluconate
Antidote for opioids
Naloxone (narcan); nalfemene (Revex)
antidote Warfarin Sodium (coumadin)
Vitamin K (Aquamephyton)