Medication Administration Basic Principles

1. Medication AdministrationBasic Principles

2. Nomenclature (Name) Chemical name Generic name Official name Trade Name Preparation Classification Drugs

3. Mechanics of drug action • Pharmacodynamics • Pharmacokinetics • Absorption • Route of administration • Drug solubility • Distribution • Metabolism • Excretion

4. Factors Affecting Drug Action • Developmental • Weight • Psychological • Pathology • Time of Administration

5. Adverse drug effects • Side effects • Adverse effects • Drug allergy • Drug tolerance • Cumulative effect • Interaction • antagonistic • synergistic

6. Medication Orders • Standing • PRN • Single • STAT

7. Patient name Date and time Drug name Drug dosage Route Frequency Signature Parts of the Order

8. Problems with Orders • Allergies • Steps • Drug book • Pharmacist • Physician • Supervisor

9. Medication Supply Systems • Stock • Unit dose

10. Drug Administration • 3 checks • obtaining the container • removing the med • replacing the container

11. 5 Rights • Right drug • Right patient • Right dose • Right route • Right time

13. Avoiding Errors • Prepare drugs alone • Don’t leave drugs alone • Prepare and administer • Lock med cart • Supervise swallowing

14. 3 checks 5 rights Assessment Patient position Fluids Keep meds in wrappers Offer separately Steps in Administration

15. Definition Record Patient name Amount Time Physician Nurse signature Waste/witness Count Discrepancies Administering Narcotics

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

17. Medication Errors • Reasons for occurrence • Steps if error takes place

18. Oral medications • Systemic and local actions • Forms • solids • enteric coated • liquids

20. Sublingual • Systemic effects • Under tongue • Buccal • cheek and gum

22. Topical • Systemic and local effects • Skin • technique • Eye instillation • drops • lower conjunctival sac • ointments

23. Topical • Ear instillations • straighten canal • Nasal instillations • position • Vaginal applications • technique • Rectal instillations • technique

24. Inhalation • Types of drugs • Technique