Medication Administration Flashcards
Types of orders
Routine order - continues until someone stops it
As needed order - PRN
One time orders (STAT & NOW)
-Stat - asap
- NOW ( within 90 mins)
Parts of a medication order
client identifiers
date and time of order
name of med
dosage
route
frequency
signature of provider
Medication Supply Systems Advantages
computerized automated dispensing cabinets
accessed by individual username & passwords
client specific medication displayed
Medication Supply System Disadvantages
med restock error
removal of medication error
work arounds and overrides
Barcode Medication Administration advantages
reduce medication errors
easier documentation
Barcode Medication Administration Disadvantages
manually input administration
requires nurse compliance
Rights of Medication Administration
right medication
right client
right dose
right route
right time
right assessment data
right documentation
right response
right to refuse
right reason
right education
Routes of administration
oral
parenteral
topical
inhalant
instillation
Oral route advantages
most convenient
most comfortable
easy to administer
Oral route disadvantages
nausea/vomiting
unconscious clients
swallowing difficulty
slower onset
Oral Medications
wheres the absorption
what kinds of routes
absorption is in stomach and small intestines
routes;
solid
liquids
enteral
sublingual/buccal
solid oral medications
tablets
capsules
liquid oral medications
elixirs
spirits
suspensions
syrups
enteral medications
how to crush
used with GI tubes
preferred route; liquid and crushable meds
crush completely, mix in 15-30 mL, flush before and after each med with 30 mLs
Sublingual and Buccal meds slower or faster than oral
faster