Principles Of Medicines Management Flashcards
5 R’s of medicine management.
Right patient Right route Right drug Right time Right dose
Routes of medication.
IM - intramuscular SC - subcutaneous ORAL Rectal Transdermal Inhaled Topical Vaginal IV - intravenous Otic Sublingual Buccal Intrathecal Nasal
What do you need to know about a drug before giving it?
Indications Normal dose Contraindications Cautions Side effects Route Any specific instructions
Reasons to report errors with medication.
Duty of candour
Reassurance of patient
Learning opportunity - preventing reoccurrence
Minimising patient harm
Medical review of patient/any needed treatment.
Considerations - children’s medication
- consent
- tablets are not recommended for children.
- ability to swallow.
- different forms available ?
- some medication isn’t licensed for use with children.
- sugar-free version available?
- parent-child involvement
- storage safety
- All ADRs in children must be reported via yellow card scheme.
- most done on weight
- hepatic or renal systems may not be fully developed.
Considerations - older adults.
- consent
- capacity
- hepatic and renal ability
- swallowing ability
- increased side effects.
- frailty
- dose differs - Weight
- co-morbidities/polypharmacy
Level 1 administration
Registrant responsible for storing and giving medication and the patient takes it under full supervision.
Level 2 self administration
Registrant responsible for storing medication. When the time comes, the patient asks for the medication from a secure locker. Patient takes medication under supervision.
Level 3 self administration
Patient takes full responsibility for storage and administering of medication. Registrant verbally checks for compliance.
