Medication administration Flashcards
chemical name
Chemical name -identifies drug’s atomic and molecular structure
Generic name
Generic name -identifies the drug’s active ingredient and is assigned by the manufacturer that first develops the drug
official name
Official name -name by which the drug is identified in official publications USP and NF
trade name
brand name copyrighted by the company that sells the drug
oral drug preparations
Capsule, pill, tablet, extended release, elixir, suspension, syrup
Topical drug preparations
Liniment, lotion, ointment, suppository, transdermal patch
Standing order
carried out until cancelled by another order
PRN
As needed
Stat order
carried out immediately
Parts of the med order
Patient’s name Date and time order is written Name of drug to be administered Dosage of drug Route by which drug is to be administered Frequency of administration of the drug Signature of person writing the order
Drugs are classified by
Body system
Chemical Composition
Clinical indication or therapeutic action
Pharmacokinetics
the effect of the body on the drug , or the movement of the drug molecules in the body
Factors Affecting Drug Absorption
Route of administration Lipid solubility pH Local conditions at site of administration Drug dosage Serum drug levels
Adverse effect of medications
Iatrogenic disease
Allergic effects
Toxic effects
Idiosyncratic effects
Drug interactions
Signs and symptoms of drug allergies
Rash Uticaria Fever Diarrhea Nausea Vomiting Anaphylactic reaction
Variables influencing effect of meds
Developmental considerations Weight Sex Genetic and cultural factors Psychological factors Pathology Environment, timing of administration
Systems of measurement
Metric
Apothecary
Household
Metric
basic units are the meter (linear), liter (volume), gram (weight), and is a decimal system.
Apothecary
less convenient and concise; basic unit or weight is grain- infrequently used.
Household
least accurate system; teaspoons, tablespoons, teacup, and glass used
Medication supply systems
Stock supply
Individual supply
Medication cart
Computerized medication system
Bar coded medication cart
Three checks of medication administration
When the nurse reaches for the container or unit dose package
After retrieval from the drawer and compared to the to the MAR before pouring or opening medication
When replacing the container to the drawer or shelf
9 rights of med admin
right Patient Medication Dose Time Route Action Response Form Documentation
Maintaining a safe environment
Make sure to have adequate lighting during medication administration
Medications should be prepared in a quiet location- free of distractions.
Never leave drugs unattended- all medications that have been prepared must be kept in a locked area.
