Medications Flashcards
Before giving any medication, the nurse must:
• Know the drugs prescribed dose, methods of administration, actions, expected therapeutic effect, possible interactions with other drugs and adverse effects.
• Know and use the institution’s administration procedures for the client’s welfare and nurse’s legs, protection.
• Review the physician’s order for completeness: the client’s name, date of the order, name of the drug, dose,
route, time of administration, and the physician’s signature.
• Discuss the medication and its actions with the client; re-check the medication order if the client disagrees with
the dose.
• Check the physician’s order against the client’s medication administration record (MAR) for accuracy.
What are the 10 rights of medication administration?
- Right drug
- Right dose
- Right client
- Right route
- Right time
- Right documentation
- Right approach
- Right to know about the drug
- Right to refuse
- Right drug history
What are the commonly used administration routes?
- oral (usually absorbed in the GIT)
- topical (applied to the skin or
mucous membranes) - parenteral (administered by injection with a needle).
What are the Essential parts of Drug Order?
- Full name of the client
- Date and time the order is written
- Name of the drug to be administered
- Dosage of the drug
- Frequency of administration
- Route of administration
- Signature of the person writing the order
What are the Types of Medication Action?
Therapeutic Effect - Primary effect
Side Effect - Secondary effect > Adverse effect > Toxic effect > Idiosyncratic effect > Allergic reaction
What are the types of medication orders?
Stat
Single Dose
Standing Order
PRN
may or may not have termination date may be carried out indefinitely until an order is written to cancel it or may be carried out for a specified number of days
Standing Order
medication to be given once at a specified time
Single dose
An order for a single dose of medication to be given immediately
STAT
permits the nurse to give a medication. When, in the nurse’s judgment, the client requires it
PRN
What are the routes of drug administration?
Oral Sublingual Buccal Topical Parenteral
Considered to be the most convenient, usually less expensive, and safe because skin is not broken
Oral drug administration
Drug that is placed under the tongue where it is dissolved. Drug is rapidly absorbed.
Sublingual
Medication is held in the mouth against re mucus membrane of the cheek until the drug is dissolved
Buccal
Application of the medication to a circumscribed area of the body
Topical
