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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

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Presentation Transcript
drugs
Nomenclature (Name)

Chemical name

Generic name

Official name

Trade Name

Preparation

Classification

Drugs
mechanics of drug action
Mechanics of drug action
  • Pharmacodynamics
  • Pharmacokinetics
    • Absorption
      • Route of administration
      • Drug solubility
    • Distribution
    • Metabolism
    • Excretion
factors affecting drug action
Factors Affecting Drug Action
  • Developmental
  • Weight
  • Psychological
  • Pathology
  • Time of Administration
adverse drug effects
Adverse drug effects
  • Side effects
  • Adverse effects
    • Drug allergy
    • Drug tolerance
    • Cumulative effect
    • Interaction
      • antagonistic
      • synergistic
medication orders
Medication Orders
  • Standing
  • PRN
  • Single
  • STAT
parts of the order
Patient name

Date and time

Drug name

Drug dosage

Route

Frequency

Signature

Parts of the Order
problems with orders
Problems with Orders
  • Allergies
  • Steps
    • Drug book
    • Pharmacist
    • Physician
    • Supervisor
drug administration
Drug Administration
  • 3 checks
    • obtaining the container
    • removing the med
    • replacing the container
5 rights
5 Rights
  • Right drug
  • Right patient
  • Right dose
  • Right route
  • Right time
avoiding errors
Avoiding Errors
  • Prepare drugs alone
  • Don’t leave drugs alone
  • Prepare and administer
  • Lock med cart
  • Supervise swallowing
steps in administration
3 checks

5 rights

Assessment

Patient position

Fluids

Keep meds in wrappers

Offer separately

Steps in Administration
administering narcotics
Definition

Record

Patient name

Amount

Time

Physician

Nurse signature

Waste/witness

Count

Discrepancies

Administering Narcotics
documentation
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
medication errors
Medication Errors
  • Reasons for occurrence
  • Steps if error takes place
oral medications
Oral medications
  • Systemic and local actions
  • Forms
    • solids
    • enteric coated
    • liquids
sublingual
Sublingual
  • Systemic effects
  • Under tongue
  • Buccal
    • cheek and gum
topical
Topical
  • Systemic and local effects
  • Skin
    • technique
  • Eye instillation
    • drops
    • lower conjunctival sac
    • ointments
topical1
Topical
  • Ear instillations
    • straighten canal
  • Nasal instillations
    • position
  • Vaginal applications
    • technique
  • Rectal instillations
    • technique
inhalation
Inhalation
  • Types of drugs
  • Technique
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