Med Admin
genetic vs trade name
genetic- assigned by the manufacturer
trade name- brand name
PO
by mouth
factors to consider for needle selection
-route of administration
-viscosity of medication
-volume of medication
-client age, size, and tissue integrity
purpose of primary IV line, delivers
delivers fluids, electrolytes, or continuous medications
The nurse is preparing to administer an antibiotic to a client. Which action by
the nurse ensures adherence to the "Right Client" in medication
administration?
Checking the client's name and date of birth against the MAR and ID band
components of the medication order
-clients full name, DOB, MRN
-date and time of the order
-medication name
-dosage
-route
-time and frequency
-signature/name of prescribing provider
SL
sublingual, under the tongue, do not chew or shallow
Intradermal- length of needle, angle, site, use
-length 3/8 or 5/8
-5-15 degrees
-inner forearm
-allergy testing and TB screening
what to monitor for primary IV
-IV site for complications
-fluid balance (I&Os)
-response to therapy
A nurse is about to administer a medication and notices the provider's
order is missing the route. What is the nurse's best action?
Call the healthcare provider to clarify the order before
administration
rights of medication
-right med
-right dose
-right client
-right route
-right time
-right documentation
Buccal
between the cheek and gum
SUBQ- length, angle, site, use
-length 3/8 or 5/8
-angle 45-90 degrees
-abdomen, thigh, upper arm
-insulin, heparin
secondary IV, purpose
-administer meds without a separate IV line, such as antibiotics and electrolytes
The nurse is preparing to administer a 0.5 mL subcutaneous injection of
heparin. Which needle size is most appropriate for this medication? Gauge and Length
25 gauge, 5/8 inch
where are the 3 safety checks?
1. pyxis
2. outside the client's room
3. at the bedside, using 2 identifiers, and explaining the med
rules for enteric-coated/extended release
DO NOT crush or chew, this are made to be absorbed in the intestines
IM- length, angle, site, method
- 1 or 1.5
-90 degrees
- deltoid, vastus lateralis, ventrogl
- z-track method
what do you monitor with IVPB
allergic reaction, infiltration, or extravasation
The nurse is administering a once-daily antihypertensive medication
scheduled for 0900. The nurse is delayed and gives the medication at
0935. What should the nurse do?
Document the actual time given and monitor the client
ways to prevent errors
-minimize distractions
-follow the rights
-report and document errors
-barcode scanning
-communicate clearly with provider when verifiying orders
protecting a client from aspiration
-upright seated position
-assess ability to swallow and cough, by check gag reflux then offering small amounts of water
-pills one at a time
-avoid straws
mixing insulin steps
air into NPH, air into regular, draw up regular, draw up NPH
IV push, purpose and site
rapid med delivery (seconds or minutes), port closest to vein
A nurse is preparing to administer a prescribed dose of enoxaparin
(Lovenox) to a client. What is the most appropriate action for the nurse
to take?
Review the client’s lab values prior to administration