Med Admin Flashcards
What organs are most directly involved with medication clearance/metabolism
Liver and kidneys
Guidelines for safe admin
Administer drug accurately
10 rights, 3 checks
Aseptic or sterile techniques
Talk to Pts
Continuing order
Carried over, Ongoing
Standing Order
There if you need it, written in advance, to be carried out in advance
What is enteral
The digestive system
Benefit of enteral route
Less invasive, safer
Convenient
Cheaper
Mistakes can be corrected easier
SR (Sustained release tablet)
Released over long period of time
Benefits of enteric coated and SR tabs and what are the precautions
You cannot crush EC drugs, bc it will be innefective or damage the stomach
SR tabs cannot be crushed because it is a large dose, meant to be slow release
Benefit of SL and buccal
If someone is experiencing N/V they can hold it in as opposed to swallowing
When shoud SL/bucca lbe given
AFTER PO meds
Don’t eat or drink until SL tab has been dissolved
Elixer
Water and alcohol mix
Suspension
A solute and solution that needs to be mixed prior to admin
NG tube
Inserted in the nasopharynx with tip lying in stomach
Gastronomy tube
Inserted into pts stomach
What steps do we take if the meds we are giving via G tube are incompatible?
Turn Tube feed off 30 minutes after medication and do a big flush before and after med
Points to remember when administering transdermal
Gloves
Date and time of administration
Switching the locations
Take the previous one off
Document it all
Rectal medications avoid the _____
First pass
What are some PR meds?
Tylenol
Risks of pareteral
Infection
Intradermal max dose
0.1-0.2mL
SQ dosage
1.5-2 mLs
IM dose
2-3mLs
Preferred site for IM
Ventrogluteal - no large BVs or nerves
General ethical principles of nursing
non-maleficence and beneficence
Medication incident
event that can impede pharmacotherapeutic outcomes, can cause more serious illness and death
Med error
An error in the administration of a drug
most common single preventable clause of client injury …
Med error
Investigations for med errors are conducted how?
Non-punitive manner
Most frequent categories of errors
Error in client assessment
Inaccurate prescribing (wrong drug, incorrect dose)
Errors in administration (wrong route or time, omissions)
Any time medication relevant to BP is given - what must be done
Check BP
Factors that can contribute to med incidents
Omitting one of the 10 rights of drug administration
Failing to perform an agency system check
Failure to account for client variables
Giving medications based on verbal/phone orders
Giving medications based on incomplete/illegible order
Practising under stressful work conditions
How do clients contribute to med incidents
Taking drugs prescribed by several healthcare practitioners without informing those providers
Getting prescriptions filled at different pharmacies
Not filling or refilling prescriptions
Taking medications incorrectly
Taking medications leftover from a previous illness
Taking medications prescribed for something else
`
Most common medication that is errored
Antibiotics
Failure to document med error could be interpreted as
negligence
Medication incidents should be reported to _____ through MedEffect and through Institute for Safe Medication Practices (ISMP
Health Canada
Strategies for Reducing Medication Incidents
Following Nursing Process
Assessment
Planning, Minimize factors that contribute to med errors
Med education talking points for pts
names, uses, doses, how and when to take
adverse reactions and which to report immediately
High Alert meds top 5
Inj K Chloride
Insulin
Heparin
NaCl solutions above 0.9%
Anticoagulants
