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12 rights of medication administration
Right medication, right dose, right route, right time, right client, right documentation, right to receive education, right reason/indication, adverse effects, right response/evaluation, right to refuse
parenteral routes
IV, IM, ID, SC, epidural, intrathecal
client education- right education
don't crush/chew, take morning or night depending on medication, monitor dietary restrictions based on medication, possible ADR, medication name, dose, desired action, frequency of administration
ear drops
pull ear up and back for adults, pull ear down and back for children
diuretics
loop, thiazide, osmotic, potassium sparing
action when missing a dose/medication error
medication error: assess vitals, contact provider/charge nurse, incident report
missing a dose: don't double dose, wait until next time- varies by medication
oral routes (nonparenteral)
oral, sublingual, buccal, topical, vaginal, rectal, transdermal, opthalmic, otic, intranasal,
transdermal patch common areas:
chest, upper arm, back, sides
how to administer buccal medication?
put in cheek
vulnerable clients
adults and children
children
adult
weight
lowest possible dose
eye drops
administer in conjunctiva sac and advise client close eyes gently, wipe away excess, press nasal lacrimal duct
when administering oral medication what are you going to assess
gag reflex and swallowing ability with sip of water
after administration what do you do?
document and monitor client
1 pound=kg?
1kg=lb?
1/2.2kg
2.2lb
1 gram=mg?
mg=g?
1,000mg
1/1,000g
mcg=mg?
mg=mcg?
1/1000mg
1000mcg
BID, TID, PRN,
TID=3x
PRN=as needed
L=ml
ml=L
1000ml
1/1000ml
tsp, tbsp, ounce, cup
tsp=5ml
tbsp=15ml
ounce=30ml
cup=240ml