Medication Administration Flashcards
What are the nine rights of medication administration?
Documentation
Dose
Medication
Patient
Route
Reason
Response
Right to refuse
Time
D-D-M-P-R-R-R-R-T
What are the 4 parenteral routes of medication administration?
IV (intravenous)
IM (intramuscular)
SC (subcutaneous)
TD (Transdermal)
(Parenteral just means it works faster than non parenteral)
What are 7 types of non-parenteral routes of medication administration?
PO (by mouth)
TD (transdermal)
SL (sublingual)
Instillation (like eyedrops)
Inhalation (breathing in)
Buccal (in the cheek)
Topical (on top of the skin)
Does a routine medication order mean?
on a regular schedule (daily, at bedtime, BID, etc.)
What does a PRN order mean?
as needed based on symptoms and prescriber directions
What does a now or once order mean?
One time only dose
The stat order mean?
Immediately
The standing order mean?
routine set of orders for a specific setting (OR, PACU, etc.)
(Essentially, they are premade templates of orders ready to go for an admission or discharge)
What different ways can an order be given to you?
Electronic, which is most common
Written, which is more common in nonhospital settings
Verbal, which is during emergencies or over the phone
What is important about verbal orders?
That you read it back to the doctor or provider for accuracy and clarification
Find the first things you do when preparing medication’s
Wash your hands
Where should you prepare medication’s?
In a quiet well-lit area where you will not be disturbed
One medication’s are not in use they should be
Secured, and either a locked cart, or locked medroom, or Pyxis
Three checks you should take for accurate medication and dosing while preparing?
Check when removing from storage, when removing from package or bottle, and when returning to bottle or disposing a wrapper
When preparing a medication do not
Turn your back
When measuring liquid medication’s in a cup, you should
Set it on a level surface and bring your eyes down to cup level
I’m preparing medication’s should you touch the pills?
No
When administering medication’s such as eyedrops or an inhaler, you need to consider
That you have all your supplies present, such as tissues for the eyedrops and spacer for the inhaler
If a medication has the letters “ER, CR, XR, XL) do not
Crush or split the pills or tablets before clarifying.
These mean extended release, I need to be clarified with pharmacy before crushing them, because it does affect their efficiency and time they’re released in the body.
When preparing parenteral medications you must follow
Aseptic technique
Before giving medication’s, what are things that you need to consider?
Why are you giving this medication?
What is it supposed to do for the patient?
How do you know Orr work?
You need to complete your assessment, such as vital signs in pain
A medication order must contain this information prior to giving it to a patient
Medication name, dose, units, route, frequency.
(don’t forget your nine rights of medication administration)
What do you need to assess for when you believe that there’s a reason you would not give medication to a patient?
Assess for allergies, side effects, or contraindications
(I don’t know if this is the correct answer, but it was blank and I just guessed)
Check patient identity with
Two identifiers
If a patient questions a medication you should
Stop and double check, what concerns might they have?
When giving an oral medication what do you need to check?
That it was actually swallowed
Which medication’s are generally kept under a double lock?
Controlled substances. Example would be narcotics such as Percocet.
What do you need to check after giving him medication?
The effectiveness of the medication, and if there are any adverse or side effects
When do you document a medication after it was given?
Immediately. not before not after
If a patient’s blood pressure is below the parameters and you are to give a blood pressure medication, what should you do?
Hold the medication, tell the prescriber, and question the order, also, make sure you document it
What should you do if you dropped a medication onto the floor or a patient spit it out?
It should be disposed of securely in a new dose obtained
What happens if a patient brings her home medication’s?
They will generally be sent home with a patient or put in the safe storage. It can only be given with the approval of the prescriber.
