meds1 7-05-07
TRANSCRIPT
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Medication AdministrationMedication AdministrationBasic PrinciplesBasic Principles
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DrugsDrugs
Nomenclature (Name) Chemical name
Generic name
Official name
Trade Name
Preparation Classification
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Mechanics of drug actionMechanics of drug action
Pharmacodynamics Pharmacokinetics
Absorption Route of administration Drug solubility
Distribution Metabolism Excretion
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Factors Affecting Drug Factors Affecting Drug ActionAction
Developmental Weight Psychological Pathology Time of Administration
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Adverse drug effectsAdverse drug effects
Side effects Adverse effects
Drug allergy Drug tolerance Cumulative effect Interaction
antagonistic synergistic
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Medication OrdersMedication Orders
Standing PRN Single STAT
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Parts of the OrderParts of the Order
Patient name Date and time Drug name Drug dosage
Route Frequency Signature
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Problems with OrdersProblems with Orders
Allergies Steps
Drug book Pharmacist Physician Supervisor
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Medication Supply SystemsMedication Supply Systems
Stock Unit dose
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Drug AdministrationDrug Administration
3 checks obtaining the container removing the med replacing the container
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6 Rights6 Rights
Right drug Right patient Right dose Right route Right time Documentation
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Avoiding ErrorsAvoiding Errors
Prepare drugs alone Don’t leave drugs alone Prepare and administer Lock med cart Supervise swallowing
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Steps in AdministrationSteps in Administration
3 checks 6 rights Assessment Patient position
Fluids Keep meds in
wrappers Offer separately
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Administering NarcoticsAdministering Narcotics
Definition Record
Patient name Amount Time
Physician Nurse signature Waste/witness
Count Discrepancies
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DocumentationDocumentation
Legal record When to record Information
med name dosage route time
nurse initials nurse signature site of injection other information
Omitted drugs reason notify MD
Refused drugs
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Medication ErrorsMedication Errors
Reasons for occurrence Steps if error takes place
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Oral medicationsOral medications
Systemic and local actions Forms
solids enteric coated liquids
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SublingualSublingual
Systemic effects Under tongue Buccal
cheek and gum
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TopicalTopical
Systemic and local effects Skin
Technique Transdermal drug patches
Eye instillation drops lower conjunctival sac ointments
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Transdermal drug patchesTransdermal drug patches
Source: Nursing made Incredibly Easy, Vol. 5, No. 2, pg.18
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TopicalTopical
Ear instillations straighten canal
Nasal instillations position
Vaginal applications technique
Rectal instillations technique
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InhalationInhalation
Types of drugs Technique