Drug Administration And Calculation Flashcards
Additional “rights” to drug administration
1) right assessment
2) right of pt to know why drug is being administered
3) right evaluation
Right patient
1) check id bracelet
2) ask patient their name
3) check name on patients medication label matches
Right drug
1) check that drug order is complete and legible
2) check drug label 3 times
3) check expiration date
4) know drug actions
Right dose
1) calculate drug dose
2) know recommended dose range for drug
3) recalculate with another nurse when in doubt
Right time
1) administer drug at specified time
2) document any delay or omitted drug dose
3) administer drugs that irritate gastric mucosa with food
4) administer drugs that cannot be taken with food 1 hr before or 2 hrs pc
5) administer antibiotics at even intervals
Right route
1) Know the route for administration of the drug
2) use aseptic techniques
3) document injection site on mar/emar
Right documentation
1) place nurses initials on mar sheet
2) document any reason for pt not taking drug
3) indicate on Mar sheet whether administration was delayed and what time given
Right to refuse
1) document time and date pt refused med and refusal reason
2) notify charge nurse and hcp that rx drug
3) explain purpose and therapeutic effect of drug to pt
4) record refusal could be due to pt mental status
Alternative methods for drug administration
1) transdermal patch
2) inhalation
3) nasal spray and drops
4) eye drops and ointment
5) ear drops
6) pharyngeal spray, mouthwash and lozenge
7) topical preparations: ointment, cream and lotion
8) rectal suppository
9) vaginal suppository, cream and ointment
Purpose of transdermal patch
Applied to skin for slow, systemic absorption
Avoids GI problems
Consistent drug level in pt blood
Inhalation purpose
Delivers drug to be absorbed by mucosal lining of respiratory tract
Drug categories for inhalation
1) bronchodilator
2) glucocorticoid
3) mucolytics - liquefy bronchial secretions
Types of inhalers
1) metered-dose inhalers
2) MDI with spacers
3) dry powder inhalers
4) nebulizer
Nasal spray and drops purpose
Relieve nasal congestion by uri and polyps by reducing swollen nasal membranes
Types of drugs given in nasal spray and drops
1) vasoconstrictors
2) glucocorticoids
