Medication Administration Flashcards
Example of Routine or standing order
BID
The 8 Rights
Right patient
Right dose
Right route
Right medication
Right Time
Right documentation
Right reason
Right response to medication
Prepackaged dose of medication
Unit-dose system
Pharmacokinetics
Absorption
Distribution
Metabolism
Excretion
Pharmacodynamics
Therapeutic effects
Adverse effects
Interactions
Compatibility
Problems with metabolism
Liver problems cause meds to absorbed in higher doses
Lasix can cause
Electrolyte loss, especially potassium
Issues with medication tolerence
Patients tolerant to pain meds may need higher dosage of pain meds
Top 5 high alert meds
Insulin
Opiate/Narcotics
Injectable potassium chloride or phosphate
Injectable anticoagulants
Sodium Chloride solution over 0.9%
Oral medications are most commonly absorbed
through the GI tract
Transdermal patch is absorbed slower than
Sublingual
Subcutaneous meds
Insulin, Heparin, or Enoxaparin
Parenteral routes
Anything other than GI tract. Ex. IV, IM, ID
Intramuscular administration sites
Deltoid site, rectus femoris, and Vastus lateralis sites
Intradermal injections are given at ____ degrees
10-15
Subcutaneous injections are given at ____ degrees
45 or 90
Fluid bubble accumulating under skin during subcutaneous injection is called
A bleb
Intradermal needles are _____ in length
3/8 to 3/4
IM needles are _____ in length
1 1/2” long
SQ needles are _____ in length
1/2”-1”
IM needle gauges are _____
20-23g
ID needle gauges are _____
25-28g
IM or SQ syringe size
2-5ml
ID syringe size
.5-1ml
SQ injections:
Avoid____
2” around umbilicus
SQ site with quickest absorption
abdomen, followed by arms and legs
Most common IM site
Deltoid (2-3 fingers below acromium)
Analgesia given by catherter
Epidural
