The 5 Rights
Med, Dose, Route, Time, Patient
Right to refuse
Clients can refuse to take a medication. Must be documented & practitioner notified.
Medication Administration Record
Allergies & Expiration dates
In addition to the five rights, the nurse should check the __________ & __________ _____.
The name that is given by the manufacturer that first develops the medication
The name given by different manufacturer's that may market the drug under a different name
Insulin, Heparin, Chemotherapy have to be _______ _______.
what is the action? purpose? normal dosage? side effects? time of onset? peak action?
contraindications? nursing implications? ability to swallow? knowledge of medications? nursing assessments? follow up assessments?
may not be able to identify him/her self, ability to swallow may be compromised.
Special Route Medication Administration
rectal, vaginal, nasal, ear,eye, topical, trans-dermal, and inhalation.
used for dryness, congestion.
commonly drops or spray, easier if pt. self administers
Preparing and Assessing
Assess clients health history, and if the drug may be a contraindication.
Review order and rights.
Assess pt knowledge if pt. is self admin
Assess area and palptate
used to lubricate, stain cornea, prevent/treat conditions, dilate.
One bottle= one pt. drops, ointments, disc
used to soften wax, provide anesthesia, treat conditions, facilitate foreign body removal.
drops or irrigation.
Used for local and per-cutaneous systemic effects.
creams, lotions, ointments, patch.
Chart when put on and removed patch, date and initial patch. Sterile Tech. if open wound.
Aerosolized meds directly to lungs.
metered dose inhalers & dry powder inhalers.
Resp assessment prior and post administration
Local effects, easily absorbed, dissolves @ body temp.
Pt. should remain still for 5 min after admin.
for infections, irritations, pruritis.
creams, jellies, foams, local & systemic
Pt. should remain still for 10 min after admin.
How many times should you check your 5 + 2?