NUR 118 CL - Meds A PRACTICE ORDER

Question 1

What order would you administer meds?

Answer 1

Oral meds (Assessment, tablets/capsules, liquids)
Transdermal patch
Eye drops
Ear drops

Question 2

How would you administer Oral meds?

Answer 2

• Bring MAR to patient’s bedside and identify patient
• Place patient in high fowler’s
• Assess ability to swallow, determine which liquid patient uses to swallow meds
  - (Know which meds cannot be crushed ex: enteric-coated, sustained-release, sublingual and buccal)
  - For diabetic patients, use sugar-free food for crushed meds
• Don gloves
  -Administer meds (assessment, tablets/capsules/liquids)
  -Hand hygiene
• Document administration
  -If a medication was held or refused place your initials in the dox and circle them. Document and notify the prescriber

Question 3

How to administer transdermal patch?

Answer 3

-Don gloves
- Locate old patch and remove
- Fold patch with medication sides together
- Dispose of patch, per policy
- Controlled substance patches (ex: fentanyl) are disposed of in sharps container
- Second nurse must witness disposal, both must sign
- Inspect area for irritation/redness
- Use different sides, select for dry, intact and free of hair (CANNOT shave hair)
- Do not place hormone patches near breast
- Clean site
- Remove gloves + perform hand hygiene
- Do third check of med to MAR
- Don gloves
- Open new patch, write: date, time, initials
- Place patch, hold for 30 seconds
- Remove gloves + perform hand hygiene
- Document administration
-If a medication was held or refused place your initials in the dox and circle them. Document and notify the prescriber

Question 4

How to administer eye drops?

Answer 4

• Position patient in supine or Fowler’s
• Don gloves
• Inspect eyes for contacts, drainage or crusting
  - clean area from inner to outer canthus if req.
• Remove gloves, hand hygiene and new gloves
• Perform third med check against MAR
• Inform patient vision may be blurry
• Ask patient to look up
  - Pull down lower eyelid, expose conjunctiva
  - Administer drops into conjunctiva
  - If drops miss, wipe area and administer again
• Ask patient to close eyes
• If drops have systemic effects, apply pressure to nasolacrimal duct for 1 min
• Remove gloves and perform hand hygiene
• Document administration
• If a medication was held or refused place your initials in the dox and circle them. Document and notify the prescriber

Question 5

How to administer ear drops?

Answer 5

• Warm drops between hands; cold drops may cause pain,dizziness
• Position patient on side
• Don gloves
  -Inspect ear for cerumen/drainage; clean if necessary
  - Remove gloves, perform hand hygiene and don new gloves, if cleaning was conducted
• Perform third med check against MAR
• Pull ears up and back for children and adults over 3yo
• Pull ear down and back for kids 3 or younger
  -Instill drops
  
  • Massage tragus to help medication move
• Remove gloves and perform hand hygiene
• Have patient remain on side for 10 minutes
• Assure patients safety
• Document administer meds
• If a medication was held or refused place your initials in the dox and circle them. Document and notify the prescribe