Medication Administration 2 Flashcards
What does the Health Products and Food Branch of the federal government do?
Regulates the manufacture and sale of all health products and drugs within Canada and assess the safety, efficiency and quality
What does the Food and Drug Act regulate?**
- Prescribing standards of composition
- Strength
- Potency
- Purity
- Quality or other property of any article of food, drug, cosmetic or device
What does the College of Registered Nurses of Manitoba do for medication?
Establishes regulations that guide nursing practice related to safe medication administration
At the actual site (hospital), what are they responsible for pertaining to drugs?
Establish policies for drug control, distribution and administration that conform to provincial/federal regulation
What do hospitals need to have available at every site?
Policy and procedure manual
Legally, what two things do nurses need to know before safely being about to give medication?
- Site policy and procedures
- Their own limits of knowledge and skill
Are nurses allowed to delegate medication administration?
NO
Why do home care facilities allow delegation of medication?
Because they’re in blister packs so dosage does not need to be figured out
What 5 things are nurses responsible for when practicing med admin?
- Interpreting order
- Transcription/ Reconciliation
- Administration
- Monitoring
- Reporting (including errors)
What is a medication error?
Any preventable event that could cause/lead to a patient either receiving inappropriate med therapy or failing to receive inappropriate med therapy
What are the 5 most common med errors made by nursing students?
- Omission
- Improper dose
- Wrong time
- Extra dose
- Wrong patient
What are the steps to give PRN medication
- Assess patient to determine right dose and route
- Check when last dose was given
- Document on MAR and progress notes
- Follow up documentation on effectiveness of drug
What is different about waste disposal for narcotics?
Needs to be witnessed
What are the 7 topical medication types?
- Transdermal
- Opthalmic
- Otic
- Nasal
- Vaginal
- Inhaled
- Rectal
What would be some reasons for dermatologic medication?
- Decrease pruritus
- Lubricate/soften skin
- Local vasoconstriction/dilation
What should we do before applying dermatologic medication?
Clean area with soap and water, pat dry
What are transdermal medications?
Medications that administer sustained action meds via multilayer films containing drug
What can a fever do to affect transdermal medication
Fever may cause faster absorption/metabolism
What areas should we not apply transdermal patches
distal extremities, breast tissue, skin issues, scar tissue, wrinkling or friction
What needs to be done once patch is applied to a patient?
Signed: date, time and initial
Do we always have to wear gloves when administering ophthalmic medication?
Yes
How do we prepare eye for medication?
Wash first with a cloth, wiping inside to outside
How do we administer ophthalmic medication?
- Discard first bead on sterile gauze
- Hold tube above lower conjunctival sac and squeeze from inner to outer canthus
What is a morgan lens?
A device similar to a contact lens, that is hooked to an IV bag, to irrigate eye
What are the steps to administering otic medications?
- Clean pinna and meatus
- Straighten ear canal
- Press tragus a few times
- Remain on side for 5 minutes after admin
- Insert cotton loosely for 15-20 minutes
How do we straighten ear canal in adult? Child under 3?
Adult: up and back
Child: down and back
What can chronic use of nasal decongestants lead to?
Rebound effect: more nasal congestion
What should we get patients to do, prior to nasal medication?
Blow their nose
If a patient has a deviated septum, how do we administer nasal medication?
Both sprays into one nair
What are 4 factors that can influence drug action in pediatrics?
- Immature liver/kidneys
- Immature blood brain barrier
- Larger % body surface area fro their weight, thinner epidermal layer
- Drug ordering different
What are 4 factors influencing drug absorption in older adults?
- Absorption
- Protein binding sites
- Metabolism
- Nephrons, glomerular filtration rate
Before administering the medication, what 4 things do we have to check?
- Reason for medication
- Patient status prior to medication
- Patient perspective on medication
- Potential change that the medication may have on patients health status
Does the medication dose change depending on route?
Yes
What does medication history include?
- Prescription drugs
- Over the counter drugs
- non- sanctioned drugs (weed)
What are some cultural considerations when giving medication?
- Dietary habits
- Need for privacy when administering
- Integrating medication into lifestyle
- Spiritual beliefs and fasting rituals
What does ID stand for?
Intradermal
What does NG stand for?
Nasogastric tube
What does NJ stand for?
Nasojejunal tube
What does ac stand for?
before meals
What does pc stand for?
after meals
