Medication Administration
What does MAR stand for?
Medication Administration Record
How should us apply topical medications.
With an apparatus such as a cotton swab or a tongue blade.
OR a gloved finger
What must you never do with enteric coated ET or delayed release DR p.o. medications?
Cut or crush
The delivery of medication from the site of administration to various organs in the body.
Distribution
List three other patient rights with administering medication that is covered in your book.
Given for the right reason.
Right to know why they are taking the medication
Right to refuse.
List the 7 rights of medication administration.
Right:what is Individual, drug, dose, route, time, documentation, consistency
What us used ONLY for medication intended for systemic absorbtion?
Transdermal Patches
What is the onset of p.o. administered medications?
Ususally 20-30 mins, but up to an hour
The deactivation of drugs in the body where drugs are chemically deactivated or changed into a inactivated form in preparation for excretion.
Drug Metabolisim
When preparing the eye for medication instillation what must we do first?
Cleanse the eye gently from inner to outer canthus.
Any noxious, unintended, and undesired result of taking a drug in appropriate doses
adverse reaction
What directions would you give an Individual when educating how to instill ear drops for them.
Pull lower ear lobe up and backward prior to instillation.
Absorption
How far should you insert a rectal suppository in an adult.
1 to 3 inches. NEVER force.
A pre-existing condition that makes it unsafe or otherwise inappropriate to administer a particular drug
Contraindication
When is a rectal medication contraindicated?
When there is active rectal bleeding.
The ultimate removal of drug molecules from their sites of action and and elimination from the body.
Excretion
When are oral mediations contraindicated?
Patients with impaired swallowing. Risk for aspiration is to great.
Patients who have nausea or vomiting.
NPO
How many times should you check the medication you are administering against the MAR.
AT least 3 times.
Before you mix, pour or draw up a med. Check the label against the Mar.
After you prepare and return the medication.
Read name of medication before you administer.
What are some reasons that a patient may not adhere to medication regimen.
Cost.
Visual and motor deficit: Can not read label or manipulate bottles/syringes.
Unable to tolerate side effects.
Forgetfulness
Impaired mental capacity
Do to symptoms of disease
Does not believe in the medication regimen
What are the essential parts of a medication prescription.
Patient's full name.
Date and time the script was written
Name of the medication
Dosage. Including size, frequency and number of doses
Route of administration
Signature of the provider.
Where are drugs metabolized.
Kidneys
Liver
Gastrointestinal tract.
Lungs
Blood Plasma are primary organs of drug metabolism
What are ways you can help a person who has difficulty swallowing take their medications.
You may crush the tablets if not contraindicated
See if the medication is available in liquid form
Gently massage the area just below the chin to initiate swallowing.
Ask for a speech (swallow) consult and collaborate with the speech therapist for other suggestions.