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10 Cards in this Set
- Front
- Back
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Review and describe how medication are stored and supplied in healthcare facilities
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Meds are stored in a "med room" or separate storage room in hospitals. They are double-locked; for instance the med cart will have individual locked trays and the med room will be locked. Only an RN or doctor can access the meds.
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Discuss the importance of documenting medication administration in the medication administration record, the computerized record, or the client's chart.
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It is important to document to know that it was done and to avoid another shift of duplicating the task which could result in overdose or harm to the client. Documentation=communication between shifts.
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Differentiate between STAT, PRN, and bedtime medications
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STAT means NOW, immediately emergency. PRN means as needed or on request. Bedtime Medications are charted or documented as HOURS OF SLEEP
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Discuss the importance of the "Six Rights" of medication administration, including steps to observe before administering medications
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client, medication, dose, time, route, documentation. STEPS are to ask the client name before giving meds and check the arm band. Confirm the MED the first check is on removing the medication from the storage area (2) check while placing the med in the medication cup (3) opening the med unit-dose package at the client's bedside AND document AFTER you give the med.
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Differentiate between desired and undesired medication effects.
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desired effect is called the therapeutic effect meaning that the medication produces the result for which it was given
undesired effect is the adverse effect which is the response not intended |
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Explain what is meant by enteral and parenteral administration
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ENTERAL indicates medication administration by way of the digestive tract.
Parental administration means medication administration into any part of the body other htan by way of the gastrointestinal tract (via the vagina, eye, ear, nose and respiratory tract, skin and by injection) |
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Demonstrate various methods of enteral medication administration
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Enteral administration is by orally (sublingual "under the tongue" or translingual "on the tongue"), bucally (cheek) and via a gastrointestinal tube
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Demonstrate the proper technique for administering subcutaneous, intramuscular, and intradermal injections
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j
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Identify nursing considerations for the use of total parenteral nutrition
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perform sterile dressing changes; use strict aseptic techinquen when changing the bottles of nutrients, tubing and dressing. Dressing is kept clean and changed every 4 to 7 days. Measure blood gluclose levels several times a day; keep client in I&O and weigh client daily.
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Discuss the use of infusion pumps, piggyback administration of medication, and intermittent infusion devices such as heparin or saline locks
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INFUSION PUMPs incorporate the use of positive pressure to deliver a preset fluid volume; disadvange is that they continue to pump fluids even though the catheter may have been displaced from the vein this is called infiltration=when the fluid is pumped into the tissues and not the vein.
PIGGYBACK is when you connect a separate medication bag and connect to an existing IV bag of nutrients or other meds; usually adminsitered twice a day. The secondary bag is hung higher than the primary bag. Intermittent infusion is IV catheter inserted in a vein and left in place, either for intermittent administratio of medication or as an opne line in case of an emergeny. called Hep Lock or Saline Lock |
