Medicines Administration Flashcards
For example, it is important to keep _in a locked fridge.
insulin
Once delivered to a patient care area, controlled medicines must be _ by an authorised practitioner and kept in a special locked cabinet within a locked drug cupboard.
counted
Controlled medicines must be counted _and on each occasion that any medicine is either _ or _.
daily supplied by the pharmacy taken from the cupboard to be used
If any medication is to be wasted, then _
the amount discarded must also be recorded
A large part of your role will involve educating the patient about using the prescriptions they have been given properly, and making sure they are not_
stockpiling medicines.
In community setting - 4 checks for medicine administration
what medicines the patient was taking? how the patient took their medication? whether the patient understood what their medicines were for? whether the patient had any medicines which they were not using?
8 rules of administering medications:
The right medication The right patient The right time The right data The right dose The right route The right preparation The right documentation
Gloves should be worn if contact with the medication is potentially harmful to the nurse – for example, in the case of_
topical steroid preparations.
Hand hygiene must be performed (5) (medicine administration)
before touching a patient, before clean/aseptic procedures, after body fluid exposure/risk, after touching a patient and after touching a patient’s surroundings.
slow-release’ tablets must be _to allow the medication to be released gradually
swallowed whole
Do not crush coated tablets as in doing this _
you are making their use unlicensed.
Do not break tablets that are unscored as you are _
likely to be giving an inaccurate dose.
If medication is to be administered via a _ or _, ask the pharmacist to dispense a suspension which will not block the tube
nasogastric (NG) percutaneous endoscopic gastrostomy (PEG) tube
If a medication is in liquid form, _
shake the bottle before you pour it out to ensure it is evenly concentrated.
As well as being ingested via an oral route, tablets may be administered via the _, which means they are placed under the tongue or _, which means they are placed between the cheek and the upper gum.
sublingual route buccal route,
Before you give any medication, you will need to complete a full assessment of your patient’s medication needs. This involves: (2)
a. Checking the patient’s care plan for specific requirements b. Checking the Medicine Administration Record (MAR) to determine the correct medicine to be given to the correct patient, taking account of all eight rights of medicine administration
If a number of medicines need to be given at the same time, _
prioritise which one to administer first Some medicines require specific conditions for best effect
Locate medicine to be administered, ensuring it is:
a. in date b. the correct formulation for the route to be given and appropriate for your patient’s preferences c. the correct dose strength for the prescription d. the correct medicine according to the prescription
If your patient is a child or the drug dose is calculated according to the patient’s weight, check that _
the prescribed dose is correct for the patient’s current weight or BMI
Monitor the effectiveness of the medication and any reactions, reporting these to _ and _
a registered nurse and the medication prescriber instigating treatment as appropriate
There are three stages of the nurse’s role in medicine administration
ensuring the safe and effective storage and administration of medications to patients (or supporting patients or their carers to self-medicate), recording the administration of the medication and the outcome, and evaluating the impact and effectiveness of the medication given and assessing any untoward effects
A subcutaneous injection is deposited _
just under the skin into the subcutaneous tissue (adipose tissue or fat).
