Chapter 35: Medication Administration. Bonnie M. Wivell, MS, RN, CNS. Introduction. Medication is a substance used in the Diagnosis Treatment Cure Relief Prevention of health alterations The nurse is responsible for the following in regard to medications: Preparation Administration
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Bonnie M. Wivell, MS, RN, CNS
To err is Human
Medications are metabolized into a less potent or an inactive form.
Biotransformation occurs under the influence of enzymes that detoxify, degrade, and remove active chemicals.
Most biotransformation occurs in the liver
Other sites for metabolism: lungs, kidneys, blood, intestines
Requires the ability to compute medication doses accurately and correctly
Metric system: organized in units of 10
Apothecaries: older than metric
Household system: least accurate
Prescriber can be physician, nurse practitioner, or physician’s assistant.
Prescribers must document the diagnosis, condition, or need for each medication.
Orders can be written, computer generated, verbal, or by telephone.
DO NOT use abbreviations on pages 701-703 when documenting med orders or other information about meds