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Medication Administration Basic Principles






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Medication Administration Basic Principles. Nomenclature (Name) Chemical name Generic name Official name Trade Name. Preparation Classification. Drugs. Mechanics of drug action. Pharmacodynamics Pharmacokinetics Absorption Route of administration Drug solubility Distribution
Medication Administration Basic Principles

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Slide 1

Medication AdministrationBasic Principles

Slide 2

Nomenclature (Name)

Chemical name

Generic name

Official name

Trade Name

Preparation

Classification

Drugs

Slide 3

Mechanics of drug action

  • Pharmacodynamics

  • Pharmacokinetics

    • Absorption

      • Route of administration

      • Drug solubility

    • Distribution

    • Metabolism

    • Excretion

Slide 4

Factors Affecting Drug Action

  • Developmental

  • Weight

  • Psychological

  • Pathology

  • Time of Administration

Slide 5

Adverse drug effects

  • Side effects

  • Adverse effects

    • Drug allergy

    • Drug tolerance

    • Cumulative effect

    • Interaction

      • antagonistic

      • synergistic

Slide 6

Medication Orders

  • Standing

  • PRN

  • Single

  • STAT

Slide 7

Patient name

Date and time

Drug name

Drug dosage

Route

Frequency

Signature

Parts of the Order

Slide 8

Problems with Orders

  • Allergies

  • Steps

    • Drug book

    • Pharmacist

    • Physician

    • Supervisor

Slide 9

Medication Supply Systems

  • Stock

  • Unit dose

Slide 10

Drug Administration

  • 3 checks

    • obtaining the container

    • removing the med

    • replacing the container

Slide 11

5 Rights

  • Right drug

  • Right patient

  • Right dose

  • Right route

  • Right time

Slide 13

Avoiding Errors

  • Prepare drugs alone

  • Don’t leave drugs alone

  • Prepare and administer

  • Lock med cart

  • Supervise swallowing

Slide 14

3 checks

5 rights

Assessment

Patient position

Fluids

Keep meds in wrappers

Offer separately

Steps in Administration

Slide 15

Definition

Record

Patient name

Amount

Time

Physician

Nurse signature

Waste/witness

Count

Discrepancies

Administering Narcotics

Slide 16

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

Documentation

Slide 17

Medication Errors

  • Reasons for occurrence

  • Steps if error takes place

Slide 18

Oral medications

  • Systemic and local actions

  • Forms

    • solids

    • enteric coated

    • liquids

Slide 20

Sublingual

  • Systemic effects

  • Under tongue

  • Buccal

    • cheek and gum

Slide 22

Topical

  • Systemic and local effects

  • Skin

    • technique

  • Eye instillation

    • drops

    • lower conjunctival sac

    • ointments

Slide 23

Topical

  • Ear instillations

    • straighten canal

  • Nasal instillations

    • position

  • Vaginal applications

    • technique

  • Rectal instillations

    • technique

Slide 24

Inhalation

  • Types of drugs

  • Technique


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