Medication Administration and Glucose Testing Flashcards
What are the six rights of medication administration?
Right patient,
right medication,
right dose,
right time,
right route,
right documentation.
What are the three checks during medication administration?
- Check meds with EMAR when retrieving them.
- Check meds against EMAR before entering the patient’s room.
- Final check at bedside before administration.
How should high-risk medications be verified?
Use two licensed nurses to verify the dose according to facility protocol.
When should gloves be worn during medication administration?
When handling medications directly or if contact with bodily fluids is possible.
What should you do if a patient questions an unfamiliar pill?
Verify the medication with the pharmacy or drug guide before administering it.
What is the correct position for administering rectal suppositories?
Sims’ position (left side with right knee drawn up).
What should be done if a medication drops on the floor?
Discard the medication following OSHA and HIPAA guidelines.
How are eye drops correctly administered?
Place drops in the conjunctival sac, avoid touching the eye, and press the lacrimal duct for 30 seconds.
What is the proper method for administering sublingual medications?
Place the medication under the tongue to allow rapid absorption and avoid liver metabolism.
Ex nitroglycerin → angina
How should transdermal patches be handled?
wear gloves. Remove the old patch, cleanse the skin, and apply a new patch in a different location. (check for skin irritation) dispose of old patch in med waste
What is the process for nasal spray administration?
Clear the nose, occlude one nostril, and spray the medication into the other nostril.
What should be done if the patient vomits after taking a medication?
Notify the physician and follow instructions regarding re-administration.
How should medications be documented after administration?
Document in the EMAR immediately after confirming the patient has taken the medication.
How are ear drops administered in adults?
Pull the ear up and back, apply drops along the canal wall, gently massage tragus to move drops into ear and have the patient remain on their side for 10 minutes. cotton ball
What should you do if the patient refuses a medication?
Document the refusal according to facility policy and notify the physician promptly.
What are examples of medication groups?
Scheduled (routine)
PRN (as needed)
unscheduled (on hold)-post op
Continuous infusions (IV)
Discontinued medications
what are two reason rectal suppositories are given?
NPO or constipation
do we document pre or post med. administration assessments?
both
what is involved with med research?
-diagnosis/history
-why receiving?
-pre assessment
-calculations
can we give controlled substances?
yes, with instructor present
how do we cut up a patients meds?
with their own disposable pill cutter