Medication Administration Flashcards
right patient, right med, right route, right dose, right time
5 traditional rights of medication administration
right documentation, right assessment, right to refusal, right education, right evaluation
5 additional rights of medication administration
pt name / rm # , date/time, drug, dose, route, parameters/reason, frequency, signature
parts of a HCP’s “prescription” or “order”
T.O. - Dr. Medicine
Nancy Nurse
VBRB (verified by readback)
how to document a telephone order
assess the pt, report the error, fill out incident report,
what to do if med error occurs
comparing medications taken in the previous setting (unit/floor) to the one’s that the pt is taking in current setting(unit/floor)
medication reconciliation
crushing medications can increase risk of _______ effects and _______
adverse ; toxicity
long acting drugs, buccal drugs, sublingual drugs
drugs that should not be crushed
LA
long acting
SR
slow or sustained release
TD
time delay
time delay
TD
slow or sustained release
SR
long acting
LA
controlled release
CR
controlled release tablet
CRT
CRT
controlled release tablet
CR
controlled release
sustained actione
SA
SA
sustained action
extended release
ER
ER
extended release
time release
TR
TR
time release
extended length
XL
XL
extended length
contin
continuous acting
continuous acting
contin
24
24 hours
24 hours
24
generally cannot be crushed, but some can be opens and contents can be mixed with food or liquid
capsules
do not open capsules that are ______ _________
long acting
some can be mixed with liquids or sprinkled on food
powder filled capsule
some can be given by making a hole in one end with 18 g needle and squeezing liquid out or drawing contents into syringe
liquid filled capsule
generally are long acting ; do not crush or chew ; sprinkle on food and instruct pt not to chew the beads
bead or pellet filled capsules
oral, buccal, sublinqual, topical, transdermal, ophthalmic, otic, nasal, rectal, vaginal, inhalants, parenteral
types of drug routes
by mucas membrane on the cheek
buccal
under tongue
sublingual
just under skin ; avoid areas of break down
transdermal
opthalmic
in the eyes
in the ears
otic
in the nose
nasal
use sims position ; into the rectum
rectal
into vaginal canal
vaginal
inhaled through mouth or nose
inhalant
injecting medication into body tissue ; always use sterile technique
parenteral route
hub, tip of the inside of the barrel, shaft of the plunger, needle
sterile part of a syringe
standard, insulin, tuberculin, prefilled-single dose
kinds of syringes
color coded according to size, may need to be changed based on route of admin and size of pt, large sizes used for IV meds, to add meds to IV fluids,and irritations
standard syringe
volume of fluid remaining on syringe and needle when plunger is depressed
dead space
measurement according to milliliters and minims
calibration
consists of plunger , barrel, hub, needle and dead space
standard syringe
attached needle and no dead space, should only be used for insulin, measurement in units instead of milliliters, available in 0.3mL to 1mL syringes
insulin syringes
most commonly used for intradermal injections ; used to administer small volume of medication, holds up to 1mL, also used for subQ injections and to prepare small doses for young children/infants
tuberculin syringes
prefilled amount of med, emergency meds come this way,
prefilled single dose syringes
never ______ used syringes
recap
inside diameter of needle
gauge
the smaller the _____ the larger the ______
gauge ; diameter
slanted part at the tip of the shaft that creates a narrow shaft in the tissue
bevel
distance from the tip to the hub of the needle
length
intradermal, subcutaneous, intramuscular, intravenous, filer
types of needles
hub, cannula/shaft, bevel
parts of a needle
1/4, 3/8, 1/2, 5/8 inches
25, 26, 27 gauge
uses: TB, allergy tests, peds pts
intradermal needle
3/8, 1/2, 5/8, 5/16 inches
23, 25, 26, 30 gauge
uses: insulin, heparin, vaccines
subcutaneous needle
1, 1 1/2, 2 inches
18, 20,21,22, 23, 25 gauge
uses: large volume that cannot be given subQ or intradermally ; thick, irritating meds
intramuscular needle
1 to 3 inches long
23 to 14 gauge
intravenous needle
screening device used within hub to remove minute particles of foreign material from liquid solution
should not be used for injections
1 1/2 inches long
20 gauge
filter needles / “straws”
