Medication Administration Flashcards
Physician’s orders must include..
date and time name of drug route dosage time frequency duration, if limited if prn, must have reason signature
6 Rights of Medication Administration
Right dose Right patient Right Time Right route Right Medication Right documentation
2 additional: right knowledge, right to refuse
What are the 3 checks for medication administration?
1: Check MAR against dr orders
2: Check medications agains MAR (drug, dose, route, time, expiration, allergies)
3: Check meds against MAR again in client room; ID pt, allergies, verify med with pt and MAR
Documenting Medications
Cross out time on MAR with single line
initial
ID initials at bottom of page
include assessment info: VS, BG, LOC, Pain level
Documenting held medications
circle time
and document why med was held
Methods for inhalers
- Use spacer (optimal; best for steroids)
- take a drink
shake inhaler, exhale
tilt back head slightly
hold inhaler 2 fingerbreaths from mouth
activate, breathe in slowly and deep for 3-5 seconds
hold breath 10 seconds
exhale slowly - NOT PREFERRED; not for steroids!!
shake, exhale, tilt head back
place inhaler in mouth, activate
breathe in slowly, hold 10 seconds
absorption
when the med molecules pass into the blood from site of administration
factors affecting absorption
route ability to dissolve blood flow to site body surface area lipid solubility
distribution
after absorption medication is moved to body tissues and organs
factors affecting distribution
physical and chemical properties of meds physiology of person taking it circulation membrane permeability protein binding age/liver disease
metabolism
after med reaches site it’s broken down into less active or inactive forms for easier excretion
factors affecting metabolism
age
liver disease
excretion
med exits body through kidneys, liver, bowel, lungs, exocrine glands
factors affecting excretion
renal impairment
liver disease
peristalsis
adverse effects
undesired, unintended, unpredictable response to medication
mild to severe
immediate or over time
Who are at most risk for adverse effects?
very young or old women renal/liver disease patients with multiple meds extremely underweight or overweight
side effects
predictable and often unavoidable effect produced at usual therapeutic dose
most common side effects
N/V diarrhea constipation anorexia drowsiness
anaphylactic reaction
sudden constriction of bronchiolar muscles, edema of pharynx and larynx, severe wheezing, SOB