Medication Administration

Front 1

7 essential parts of medication ORDER

Back 1

1. Clients full name
2. DD-MM-YYYY + time of day order was written
3. Drug name
4. Dose
5. Frequency
6. Route
7. signature

Front 2

6 Rights of med administration + the 7th MOST IMPORTANT RIGHT

Back 2

1. Right client
2. Right drug
3. Right dose
4. Right route
5. Right time
6. Right documentation
7. Right critical thinking

Front 3

Why assess client prior to administration?

Back 3

Gather baseline date

Front 4

Define medication reconciliation

Back 4

"the process of creating the most accurate drug list possible of all medications a client is taking"
CHECKING AGAINST DR ORDERS AND MAKING SURE ALL ESSENTIAL PARTS ARE NOTED

Front 5

6 STEPS to medication administration

Back 5

1. Identify the client
2. Inform the client
3. Administer the drug
4. Provide adjunctive interventions PRN
5. Record the drug administration
6. Evaluate clients response to the drug

Front 6

What are two types of medications MUST get priority and be given ON TIME-EXACLTY? (notes from susan)

Back 6

Auto-immune
Antibiotics

Front 7

Can a student take a verbal order

Back 7

hell no!

Front 8

What should the RN do to confirm a phone/verbal order

Back 8

REPEAT and SPELL back all information, have a witness present if possible

Front 9

Older clients considerations regarding medication administration ( question from objectives)

Back 9

BOX 35-6

1. altered memory
2. decreased visual acuity
3. decreased renal + liver function, decreased metabolism and excretion
4. decreased absorption from GI tract
5. increased proportion of body fat-fat soluble drugs stored in adipose
6. decreased organ sensitivity- less response to drug
7. altered quality of organ response, adverse effects seen BEFORE therapeutic effects
8. decreased dexterity and flexibility

Front 10

Effects of trans-dermal patch being placed on an laceration/burn?

Back 10

increased absorption, increased chance of undesired systemic effects

Front 11

Where should trans-dermal patches be placed?

Back 11

hairless clean area of skin that isn't likely to wrinkle or be subjected to excessive movement

Front 12

How to dispose of trans-dermal patch

Back 12

fold with medication on the inside, in closed container

Front 13

Ophthalmic installations steps

Back 13

1. clean eyelid and lashes
2. Administer according to manufacturers directions/doc orders
3. discard first bead (ointment)
4. have client look up and give them a sterile absorbent sponge
5. DROPS- expose lower conjunctival sac apply drops to OUTER third (less likely to blink and decreases about of medication entering lacrimal duct)
6. DROPS-press lacrimal duct firmly for 30 sec (keeping med out of duct)
5. OINTMENT- apply from from inner to outer (reduces bacteria entering lacrimal duct)
6. Ointment- have client close eyelids gently to spread medication

Front 14

MDI steps

Back 14

1. ensure canister is firmly inserted into inhaler
2. remove mouthpiece cap, shake 3-5 sec
3. exhale comfortably
4. hold canister upside down
5. press once on MDI canister inhale slowly and deeply (3-5 sec)
6. Hold breath 10 sec
7. Exhale slowly through pursed lips
8. Repeat inhalation if ordered (allows medication to get deeper into lungs)
9. rinse mouth
10. clean mouth piece

Front 15

position for rectal administration?

Back 15

left lateral or left sims, with upper leg flexed

Front 16

vaginal medication administration position?

Back 16

back-laying, knees flexed, hips laterally rotated

Front 17

Define lavage?

Back 17

irrigation, washing out of a body cavity by stream of water or other fluid that may or may not be medicated.