Medication Administration
MAR stands for...
Medication Administration Record
What can you use to apply topical medications?
cotton swab or a tongue blade OR a gloved finger
what does NPO stand for?
Nothing by mouth
1L to ml
What is 1 L equals 1000 ml
List the 6 rights of medication administration.
Right:
patient, drug, dose, route, time, documentation,
Used ONLY for medication intended for systemic absorption.
Transdermal Patches
Before administering PO meds, what do you need to assess on your patient?
their swallow
When preparing the eye for medication instillation what must we do first?
Cleanse the eye gently from inner to outer canthus.
1G to mg
What is 1 G equals 1000 mg
Any noxious, unintended, and undesired result of taking a drug in appropriate doses
adverse reaction
What directions would you give a parent when educating how to instill ear drops for their 3 year old.
Pull lower ear lobe down and backward prior to instillation.
How far should you insert a rectal suppository in an adult.
Up to 4 inches. NEVER force.
32 oz to lb.
What is 2 lbs
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.
What is the difference between bucccal and sublingual?
Sublingual is under the tongue and buccal is in between the cheek & tongue
When are oral mediations contraindicated?
Patients with impaired swallowing. Risk for aspiration is to great.
Patients who have nausea or vomiting.
NPO
Absence of a gag reflex
18 inches to feet
What is 1.5 feet
Number of times the nurse should check the medication being administered against the MAR.
3 times.
Reasons a patient may not adhere to the 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 symptoms of disease
Does not believe in the medication regimen
What are the essential parts of a medication order.
Patient's full name.
Date and time
Name of the medication
Dosage. frequency
Route of administration
Signature of the provider.
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.
10:15pm in military time`
What is 2215
Besides using 2 identifiers what do you ask the patient before administering a new medication
Do you have any allergies?
Whenever you give a medication into a vein
What is intravenous
Given on a regular schedule until the provider cancels or replaces the order
What is routine order
Number of identifiers used before administering medications
What is 2
2300
What is 11:00 pm
Drugs that enter through the GI tract
What is enteral
Injection into a muscle 20-25 gauge at 90 degree angle
What is IM
Most convenient and easiest administration
Given at the request of a patient or when the nurse observes the need
What is prn order
4 hrs equals how many minutes
what is 240 minutes
You have an order showing the mortar and pestle showing, what does this mean?
pharmacy needs to verify the med
What route is SQ, IV or IM
What are parenteral routes
What is the biggest risk associated with oral administration of medications?
What is aspiration
To be given once and immediately
What is stat
72.2kg to pounds
158.8lb
Applied to the skin or mucous membranes for a localized effect
What is topical administration
Administered through nasal or oral passages
What is inhalation route
Types of medications that you don't crush. Name 3
What is enteric coated, XL, SR
To be given once up to 90 minutes after the order is given
What is now order
Explain BID vs q12h
BID is twice a day, but does not have to be in 12-hour intervals. BID can be morning and evening during waking hours. Every 12 hours need to given on that interval
An older adult patient needs an intramuscular injection of antibiotic. Which site is best to use?
What is ventrogluteal
Administered to the eye area for a localized effect.
What is intraocular route
The essential component that is missing
Jane Doe
September 23, 2023 0735
Amoxicillin 250 mg every 8 hours for 10 days
Dr. John Smith
What is route
what does PCN stand for?
What is penicillin
1mg to mcg
1mg = 1000mcg