Medication Observation Paper

Improved Essays
Focus Objectives
1. Develop at least two (2) complete nursing diagnoses related to medication administration.
Impaired Oral Mucous Membrane related to Medication side effects as evidenced by dry mouth and difficulty swallowing. (546)
Risk for Aspiration related to impaired swallowing. (67)
Impaired Tissue Integrity related to Excess fluid volume as evidenced by damaged tissue surrounding the subcutaneous area.
Risk for Infection related to tissue destruction.
2. Identify the six rights of medication administration.
Right Medication-Ensure that the client is about to receive the medication that was ordered.
Right Dose-Make sure the dose is appropriate for the client and pay close attention to calculations, that yield multiple pills or a large
…show more content…
If the time differ from the ordered time, document the reason for the delay. Also, if the client refuses the medication or if a condition prevents the medication from being given, document that as well. (773)
3. List factors that influence the selection of the syringe size and type, the needle length and gauge.
Select the syringe according to the type of medication you are giving and the location the medicine is being delivered, for instance utilizing an insulin syringe to administer insulin.
The length of the needle is determined by the site of the injection. Examples include utilizing a short length needles for intradermal and subcutaneous injection and longer needles for intramuscular injections. Additionally, the client’s body mass should be taking into consideration. The gauge is selected according to the site of the injection as well as the thickness of the medication. (780-784, 797)
4. Locate sites commonly used for subcutaneous (SC), Intradermal (ID), Intramuscular (IM) injections and describe techniques for administering meds through these
…show more content…
Impaired mental status such as confused clients or those with an altered level of consciousness require monitoring. Clients with impaired circulation such as, peripheral vascular disease, diabetes, or congested heart failure is at risk for tissue damage. Likewise, cold application is not advised for these clients. Open wounds are more sensitive to heat and cold. Heat will increase bleeding and swelling during the first 24 hours following a traumatic injury. Moreover, heat can burn or worsen damaged skin with blisters. Cold therapy can decrease blood flow, which increases tissue damage to open wounds. Hypersensitivity to cold can result in swelling, joint pain, or muscle spasms.

Related Documents

  • Improved Essays

    Septic Shock Case Studies

    • 566 Words
    • 3 Pages

    SHOCK Salve Aguilar West Coast University Pathophysiology Dr. Isabelle Tardif July 17, 2015 Abstract The case identifies the type of shock that CC encountered right after his traumatic accident. He was experiencing hypovolemic shock as evidenced by low blood pressure and increased heart rate.…

    • 566 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    IV Catheter Case Study

    • 542 Words
    • 3 Pages

    1. You need to gather all supplies; tourniquet, connection tubbing, alcohol wipe or chloroprep, tagaderm/occlusive dressing, 2x2 gauze, saline flush and appropriate IV catheter size. When determining appropriate IV size, you need to take into consideration why does the patient need an IV, are they receiving blood? If so they need at least a 20 gauge IV. 2.…

    • 542 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    Layla Micheli Monica Malt LVN 121 11/17/2017 What were the Contributing Factors to the problems in this Case? Describe them by category below. Equipment (design, availability and maintenance) The Pyxis machine is designed to calculate patient medications and doses accurately and should have alerted the nurse when the dosage was too high for a pediatric patient.…

    • 1228 Words
    • 5 Pages
    Improved Essays
  • Decent Essays

    Reason for Visit: Puncture Wound Follow Up S: TM started on Cipro 500 mg BID yesterday for his left arm puncture wound yesterday. TM reports the redness and edema has improved and minimal pain with palpation to his left FA; 2/10. TM denies any issues at this time to his left FA. TM reports tenderness to his tetanus IM injection site; right shoulder. O: minimal redness to left FA puncture wound; harden area, radius of 2 cm; no warmth palpated; no s/s of infection noted, Left arm NVS intact, no impairment of movement in Left arm.…

    • 139 Words
    • 1 Pages
    Decent Essays
  • Decent Essays

    Restylane Orange County Dr. Farbod Esmailian is a board certified plastic surgeon in Orange County. He frequently assists individuals in diminishing the signs of aging using innovative products like Restylane. He also uses dermal fillers as a means to enhance the lips, making them more plump. Dr. Esmailian performs Restylane treatments at his office in Orange County.…

    • 551 Words
    • 3 Pages
    Decent Essays
  • Great Essays

    Unit 4222-331

    • 3015 Words
    • 13 Pages

    This means they are taken via the mouth, in the form of a tablet, capsule, liquid or suspension. These medicines come in a variety of shapes and sizes, colours and tastes. Solid dose oral formulations are made either as tablets or capsules, and are formulated to aid compliance and reduce adverse effects. As well as tablets and capsules, oral medicines can also be delivered by liquids, suspensions and syrups. Again, these are formulated to aid compliance.…

    • 3015 Words
    • 13 Pages
    Great Essays
  • Improved Essays

    Patient notes must be written in SOAP format, drug orders must have the correct information from both PA’s and physicians, and journals must be reliable and up to date on current medical issues. Key words: Physician assistants, patient notes, examine, prescribes, journals, flexibility, medicine, drug orders. Introduction…

    • 1031 Words
    • 4 Pages
    Improved Essays
  • Great Essays

    As intravenous access (IV) in the emergency department (ED) is pertinent to acute care, applied research would be most conducive in order to be able to improve and modify nursing practice in such occurrences. Establishing IV access is one of the most frequent procedures in the ED, and unfortunately, plays a key role in critical care treatment. According to the Emergency Nurses Association (ENA) multiple studies have been done looking at how trained the IV access user is and the techniques, and alternatives to invasive access such as ultrasound-guided access. According to Girard and Schectman (2005), there are many studies on improving intravenous access, that state that real-time ultrasound IV guidance has been shown to reduce complications…

    • 1361 Words
    • 6 Pages
    Great Essays
  • Great Essays

    Peripherally Inserted Central Catheter Dressing Changes The focus of this paper is to provide the importance of evidenced based practice (EBP) in the nursing field and to compare the policy of Kaiser Permanente San Jose Medical Center’s topic of peripherally inserted central catheter (PICC) dressing changes to multiple evidenced based practices. Within the past decades, changing a PICC line dressing has changed over time. Different antiseptic agents and techniques of cleaning the site are completely different.…

    • 1666 Words
    • 7 Pages
    Great Essays
  • Superior Essays

    Statistics also state that nearly 1% of hospital admissions have an adverse drug event (Runciman, Roughead, Semple, & Adams, 2003)As a graduate nurse looking to continually improve and develop my practice I need to develop strategies that will help me progress towards this goal. This goal will help to prevent some of those adverse drug event and prevent some of the medication admissions entirely. Being in a position that is directly responsible and accountable for the administration of the medications in a lot of the cases means that I need to continually strive to improve and maintain a high level of medication management. I have already mentioned a few strategies that I believe will help me to continually develop those skills to a desired level. familiarising myself with the medication will help to reduce the risk of a medication error slipping through and effecting the patient.…

    • 1335 Words
    • 6 Pages
    Superior Essays
  • Improved Essays

    Physician-Assisted Death

    • 723 Words
    • 3 Pages

    Physician-Assisted Death In The U.S. Physician-Assisted Death, or Death With Dignity in the United States is one among the many controversial topics being brought up and questioned in politics today. Is it ethical? Is it a bad reflection on the medical side?…

    • 723 Words
    • 3 Pages
    Improved Essays
  • Decent Essays

    Precision medication is a type of medication that takes into consideration the patients genetic makeup, the environment, race, gender, lifestyle, history of previous treatments and diseases, this enables doctors and researchers to be able to choose which best drugs will work for which patient depending on the above mentioned factors. Each person has different genetic makeup hence the medicines used should definitely be different, and the issue of one fits all in medicine is the cause for most Adverse Drug reactions which lead to motility hence the need for precision medication. Precision medication is sometimes used interchangeably with the word personalized medication, however this does not imply that each person in the world gets their own…

    • 242 Words
    • 1 Pages
    Decent Essays
  • Improved Essays

    Medication being administered in a hospital setting is one of the most critical skills that a nurse must master. Many deaths and poor outcomes happen each year in hospitals due to incorrect medication administration. It is of utmost importance for the nurse to be skilled and proficient in this area for the importance of patient care. In the study about the administration of psychiatric medications the article states there are 7000 deaths per year due to incorrect administration of medications. The setting in the study was in a hospital that had around 900 psychiatric inpatients.…

    • 467 Words
    • 2 Pages
    Improved Essays
  • Improved Essays

    Medication Reconciliation in the Hospital Setting The transition of patients from an acute care setting to a home setting is often challenging and stressful. It can be complex for the patient to understand the instructions for discharge and, more importantly, it can be challenging and dangerous when it comes to ensuring the patient understands the medication reconciliation process. Successful transition to home is multifaceted and depends partially on an accurate and complete overview of all medications with the patient. This is an imperative safety measure across the continuum of care (Ruggiero, Smith, Copeland, Boxer, 2015).…

    • 825 Words
    • 4 Pages
    Improved Essays
  • Superior Essays

    During my dialysis experience I found it to be very informative and interesting. We were not allowed to touch the patients or help with any care but the staff was interactive and explained was they were doing. The staff also was able to provided scenarios of different complications that happened and how they 'd respond. By the end of the first day I was able to see what the caregiver would due if a patient had muscle cramps, was short of breath and had chest pain. The first day I mostly interacted with the staff and was able to see medical side of the whole procedure such as learning and seeing how to dispose of contaminated equipment and what machines were used.…

    • 949 Words
    • 4 Pages
    Superior Essays