Week 2- Oral Meds Flashcards
Route of medication admin: parenteral
- info
- routes
No first pass effect
Injection (ID, IM, SQ), IV, topical, suppository, inhalation, eye, nose, ear
What are the rights of medication administration according to potter and perry
Right: Patient Dose Drug Route Time/frequncy Site/reason Education Refusal Documentation Evaluation
Route of medication admin: enteral
- info
- route
- considerations
Into digestive system
Gi tract, buccal, sublingual
Dysphagia, patient position, dr orders, GI problems
The equation for dose to administer
Dose ordered (D)/ dose on hand (H) X quantity on hand (Q) = dose to administer
Key checkpoints prior to administering medications
Expiry date Dr order Patient identifiers Allergy The patient rights
What is the function of medications?
Hint: there is five
Replace, enhance, impede a function, destroy tissue, destroy infection
What is the nurses role in medication admin?
- understanding why meds are prescribed
- therapeutic effects and non-therapeutic effects
- why the client needs the med
- if the med is safe to administer
- only administering meds YOU have made
- monitoring drug effects
- reporting/documenting
What drug sees the most common student errors?
insulin; omitting a dose, selecting wrong type, wrong sliding scale, wrong patient
True or False:
A medication ordered for NOW needs to be given right away, immediately.
False. A STAT med is to be given immediately, a ‘now’ medication is to be given right now but not STAT
List what is needed on a doctors order for a medication.
- patient information
- prescriber signature
- medication information (dose, time, frequency, drug, route, purpose)
- students cannot take verbal orders
Therapeutic effect is
expected or predictable
Adverse effect v. side effect v. toxic effect
Adverse: severe response
Side effect: unintended, secondary effect
Toxic effect: medication accumulation
Idiosyncratic v. allergic reaction
Idiosyncratic: over or under reaction
allergic: unpredictable response
What are the benefits of oral meds?
easy
timely
minimal privacy
painless
What is the measurement of eye drops? where are they placed?
gtt= drops
ung= ointment
- into conjuctival sac, 1-2 cm above
- hold lacrimal duct to decrease systemic absorption
