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19 terms

Med Administration

STUDY
PLAY
The 5 Rights
Med, Dose, Route, Time, Patient
Right to refuse
Clients can refuse to take a medication. Must be documented & practitioner notified.
MAR
Medication Administration Record
Allergies & Expiration dates
In addition to the five rights, the nurse should check the __________ & __________ _____.
Generic
The name that is given by the manufacturer that first develops the medication
Trade/Brand
The name given by different manufacturer's that may market the drug under a different name
Double checked
Insulin, Heparin, Chemotherapy have to be _______ _______.
Review Medication
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?
Lifespan Variations
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.
Nasal Instillations
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
Eye
used to lubricate, stain cornea, prevent/treat conditions, dilate.
One bottle= one pt. drops, ointments, disc
Ear
used to soften wax, provide anesthesia, treat conditions, facilitate foreign body removal.
drops or irrigation.
Transdermal/Topical
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.
Inhaled
Aerosolized meds directly to lungs.
metered dose inhalers & dry powder inhalers.
Resp assessment prior and post administration
Rectal
Local effects, easily absorbed, dissolves @ body temp.
Pt. should remain still for 5 min after admin.
Vaginal
for infections, irritations, pruritis.
creams, jellies, foams, local & systemic
Pt. should remain still for 10 min after admin.
3
How many times should you check your 5 + 2?