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Chapter 7

Chapter 7. Interpreting Drug Orders. Nursing Responsibilities. Interpret order Prepare exact dosage of prescribed drug Identify patient Administer dosage by prescribed route at prescribed time intervals. Nursing Responsibilities. Educate patient regarding medication

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Chapter 7

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  1. Chapter 7 Interpreting Drug Orders

  2. Nursing Responsibilities • Interpret order • Prepare exact dosage of prescribed drug • Identify patient • Administer dosage by prescribed route at prescribed time intervals

  3. Nursing Responsibilities • Educate patient regarding medication • Record administration of prescribed drug • Monitor patient’s response for desired and adverse effects

  4. Medical Abbreviations • Used frequently with drug orders • Must commit to memory

  5. Seven Parts of a Drug Order • Patient name • Name of drug • Dosage • Route of administration • Frequency, time, and special instructions • Date and time of order • Signature and licensure of person writing order

  6. Caution • If any parts of order missing or unclear, order incomplete • Therefore, not a legal drug order

  7. Examining Drug Orders • Must be written clearly • If any parts missing, order is incomplete • If ever in doubt, ask writer to clarify

  8. Six Rights of Medication Administration • Right patient • Right drug • Right amount • Right route • Right time • Right documentation

  9. Six Rights of Medication Administration • Right patient must receive right drug in right amount by right route at right time, followed by right documentation

  10. Drug Orders • Sequence: • Name of drug • Dosage • Route • Frequency

  11. Drug Orders • Example: Procanbid 500 mg p.o. b.i.d. • Name of drug = brand-name Procanbid • Dosage = 500 mg • Route = p.o. • Frequency = b.i.d.

  12. What’s Wrong? • Heparin 5,000 units IV • Lasix b.i.d. • Depakene 250 mg by mouth • Demerol 50 mg IV as needed for pain

  13. Medication Administration Record (MAR) • May be paper form or electronic • Used to record drug orders • Health care professional must verify and initial each order

  14. MAR • Used by nurse as guide to: • Check drug order • Prepare correct dosage • Record drug administration

  15. MAR Delmar/Cengage Learning

  16. MAR Delmar/Cengage Learning

  17. Preventing Medication Errors • Nurse can prevent medication errors by: • Clarifying incomplete orders • Correctly scheduling doses

  18. Preventing Medication Errors • Read entire MAR at beginning of each shift • Verify times scheduled with ordered frequency • Review all medications to identify any potential drug interactions or inconsistencies

  19. Critical Thinking • What is the role of a nurse in medication administration?

  20. Critical Thinking • What are the legal implications related to medication administration?

  21. Critical Thinking • What are some potential outcomes of unsafe medication administration?

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