Medication Administration Flashcards
Refers to dispensing of medicine or drug to a patient for remedial and diagnostic purposes.
“Medication Administration”
Notes:
- Dispensing of medicine refers to the process of preparing, packaging, and giving the correct medication to a patient as prescribed by a healthcare provider.
- Remedial purposes refer to actions taken to correct, treat, or manage a health condition.
- Diagnostic purposes refer to actions taken to identify or confirm a disease or medical condition.
What are the Purposes of Medication Administration?
Give 5.
- To promote health
- To prevent illness
- To help in diagnosis
- To alleviate illness
- Therapeutic purpose
What are the 10 Rights for Safe Medication Administration?
- Right Client
- Right Medication
- Right Dosage
- Right Route
- Right Time and Frequency
- Right Documentation
- Right Client Education
- Right to Refuse
- Right Assessment
- Right Evaluation
What is the Hallmark of Nursing Practice?
Right Documentation
Note:
- It ensures accuracy, continuity, and legal protection in patient care.
COMPLETE:
- Not written, _________.
Not done
COMPLETE:
- If it’s not documented, then ________.
it didn’t happen
What is the acronym that is a helpful checklist for safe medication administration in nursing?
It ensures accuracy, reduces errors, and promotes patient safety.
TRAMP
What does “TRAMP” acronym stands for?
- Time
- Route
- Amount (Dose)
- Medication
- Patient
UNDER TRAMP, What is this?
- Check the order for when it would be given and when was the last time it was given.
Time
UNDER TRAMP, What is this?
- Check the order if it’s through oral, IV, SQ, IM, or etc.
Route
UNDER TRAMP, What is this?
- Check the medication sheet and the doctor’s order before medicating. Be aware of the difference of an adult and a pediatric dose.
Amount (Dose)
UNDER TRAMP, What is this?
- Check and verify if it’s the right name and form. Beware of look-alike and sound-alike medication names.
Medication
UNDER TRAMP, What is this?
- Ask the name of the client and check his ID band before administering. Even if you know that patient’s name, you still need to ask just to verify.
Patient
WHAT IS THIS?
- Study of action or effect of chemical substances on living systems.
Pharmacology
WHAT IS THIS?
- Study of origin, chemical structure, preparation, administration, action, metabolism, and excretion of drugs.
Pharmacology
WHAT IS THIS?
- Relative effects of drugs in human systems for various disorders.
Pharmacotherapeutics
WHAT IS THIS?
- Deals with theories of drug action.
Pharcodynamics
WHAT IS THIS?
- Study of how drugs have effects on the body.
Pharmacodynamics
WHAT IS THIS?
- Study how drug enters the body, reach their site of action, and metabolized and eliminated from the body.
Pharmacokinetics
WHAT IS THIS?
- Passage of drug molecules into the blood.
Absorption
WHAT IS THIS?
- Dispensing of the drug to the specific site of action.
Distribution
WHAT IS THIS?
- Exit route of a drug after metabolism.
Excretion
WHAT IS THIS?
- After reaching the intended site, drug is metabolized into inactive form detoxified and broken down by the liver, kidney, lungs, blood, and intestine.
Metabolism
WHAT IS THIS?
- Substance used in the diagnosis, treatment, cure, relief or prevention of disease.
Drug
WHAT IS THIS?
- Given by the manufacturer who first develops the drug.
Generic Name
WHAT IS THIS?
- Name given by the drug manufacturer.
Brand Name
What are the 12 Medication Routes?
- Oral
- Sublingual
- Buccal
- Topical
- Rectal
- Vaginal
- Inhalation
- Transdermal
- Intradermal
- Subcutaneous
- Intramuscular
- Intravenous
The ff corresponds to what?
Advantages:
- Most convenient
- Usually least expensive
- Does not break skin barrier
- Does not cause stress
Disadvantages:
- Unpleasant taste or odor
- Tooth discoloration
- GI irritation
- Can be aspirated by seriously ill patients
- Cannot be used before diagnostic or surgical procedures
Oral
The ff corresponds to what?
Advantages:
- With local effect
- Rapidly absorbed in the bloodstream
- Greater potency
Disadvantages:
- If swallowed, drug may be inactivated by gastric juices
- Must remain under the tongue until dissolved and absorbed
Sublingual and Buccal
What is the site for the Topical Administration (Dermatologic Preparations)?
Skin
Medications can be administered through instillations (dropping a liquid into a body cavity) or irrigations (flushing out an area with a solution).
What are the site for Instillations or Irrigations?
- Eyes
- Ears
- Nose
- Rectum
- Vagina
FAMILIARIZE ONLY!
“How to Use Ear Drops Correctly?”
- (1) Lay a folded towel on a kitchen or bathroom counter.
- (2) Lay your head on the towel with the affected ear up.
- (3) Gently pull your earlobe out and up to straighten your auditory tube.
- (4) Administer the recommended number of drops into your ear canal.
- (5) Gently push on your ear flap to encourage liquid into your ear.
- (6) Stay here for at least 2 minutes.
FAMILIARIZE ONLY!
“How to Use Eye Drops Correctly?”
- (1) Tilt the head back.
- (2) Create a pocket in front of the eye.
- (3) Let the drop fall into the pocket without touching your eye or eyelid.
- (4) Close your eye immediately without squeezing & blinking.
What is the technique for administering ear drops in adults versus children?
- adUlts (>3 years old): Pull the ear UP and back to straighten the ear canal.
- chilD (<3 years old): Pull the ear DOWN and back to straighten the ear canal.
IN SIMPLE TERMS
- Adult: UP
- Child: DOWN
The ff corresponds to what?
Advantages:
- Provides local effect
- Fewer side effects
Disadvantages:
- Maybe messy and may soil clothes
- Can rapidly enter the body through abrasions and cause systemic effects
Topical (Skin)
The ff corresponds to what?
Advantages:
- Can be used when drug has objectionable taste or odor
- Released at slow, steady rate
Disadvantages:
- Unpredictable dose absorbed
Rectal
The ff corresponds to what?
Advantages:
- Provides local therapeutic effect
Disadvantages:
- Limited Use
Vaginal
The ff corresponds to what?
Advantages:
- Prolonged systemic effect
- Few side effect
- Avoids GI absorption problems
Disadvantages:
- Leaves residue on the skin that may soil clothes
Transdermal
The ff corresponds to what?
Advantages:
- Introduces drug through the respiratory tract
- Rapid localized relief
- Can be administered to unconscious client
Disadvantages:
- Drug intended for localized effect can have systemic effect
- Limited Use - only for respiratory system
Inhalation
WHAT IS THIS?
- It refers to injecting medications directly into the body through different routes, bypassing the digestive system. It ensures rapid absorption and is used for patients who cannot take oral medications.
Parenteral administration
What are the (4) Most Common Routes for Parenteral administration?
- Intradermal
- Subcutaneous
- Intramuscular
- Intravenous
What are the (4) Less Common Routes for Parenteral administration?
- Intraarterial
- Intracardiac
- Intraosseous
- Intrathecal / Intraspinal
What are the 5 Parts of Ampoule?
- Head
- Neck
- Body
- Point Mark
- Notch
(Make sure to know also their places)
FAMILIARIZE ONLY!
“Opening of Ampoule”
- Tapping moves fluid down neck
- Gauze pad placed around neck of ampule
- Neck snapped away from hands