Medication Administration
What is Medication Administration Record?
These are all the essential parts of a medication order.
What is:
Patient's full name?
Date and time?
Name of the medication?
Dosage frequency?
Route of administration?
Signature of the provider?
You must never do this when preparing enteric-coated or time release oral medications.
What is cut or crush?
The term for delivery of medication from the site of administration to various organs in the body.
What is distribution?
2.5L to ml
What is 2500ml?
These are the 6 rights of medication administration.
What is right the...
1) Patient?
2) Time?
3) Drug/indication?
4) Dose/route?
5) Assessment?
6) Documentation/reevaluation?
This is the term for meds given at the request of a patient or when the nurse observes the need.
What is a PRN medication order?
This is generally the time of onset for oral medications.
What is usually 20-30 mins, but up to an hour?
The term for the movement of a drug from the site of administration into the bloodstream.
What is absorption?
3.3g to mg
What is 3300mg?
This is the term for any noxious, unintended, and undesired result of taking a drug at appropriate dosage amounts.
What is adverse reaction?
These directions you would give a parent when educating how to instill ear drops for their 3 year old child.
What is "Pull lower ear lobe down and backward prior to instillation."
These are the people to call if you need to clarify a medication order.
What is prescribing medical provider or pharmacist?
The term for the ultimate removal of drug molecules from their sites of action and and elimination from the body.
What is excretion?
28 oz to mL
What is 840mL?
This is the term for a pre-existing condition that makes it unsafe or otherwise inappropriate to administer a particular drug.
What is contraindication?
These are some reasons that a patient may not adhere to their medication regimen.
What is:
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?
This is the difference between buccal and sublingual routes.
What is sublingual is under the tongue and buccal is in the back of the mouth between the cheek and the back of the tongue (behind the last molar)?
These are all sites where drugs can be metabolized.
What are:
Kidneys?
Liver?
Gastrointestinal tract?
Lungs?
Blood Plasma?
52 inches to cm
What is 132cm?
How many times should you check the medication you are administering against the MAR.
3 times.
This is the term for injection of a medication into a vein.
What is intravenous?
This route of medication administration is the most convenient, easiest administration, generally lower in cost and less potent.
What is oral administration?
The term for when medication reaches the intended site and begins to break down.
What is metabolism?
10:15pm in military time
What is 2215?
Besides using 2 patient identifiers, it is also important to ask a patient this before administering a new medication.
What is -"Do you have any allergies?"
This type of injection goes into a muscle with an 18 - 27 gauge needle and at a 45 to 90 degree angle depending on patients size.
What is an IM injection?
This is the biggest risk associated with oral administration of medications.
What is aspiration?
This is the term for the the time required for amount of drug in body to decrease by 50%.
What is half-life?
4 tbsp to ml
What is 60ml?
This is the term for drugs that enter through the GI tract.
What is enteral?
These are all examples of this classification of route administration: ID, SQ, IV or IM.
What are parenteral routes?
This essential component is missing from this medication order:
Jane Doe, DOB 01/01/1900
September 23, 2023 0735
Amoxicillin 250 mg every 8 hours for 10 days
Dr. John Smith
What is route?
Drugs bind to this place in the body, causing it to mimic or block the normal action and cause an increase or decrease in the rate of physiologic activity.
What is a receptor?
Order: Tylenol liquid 250mg PO every 6 hours.
Available: 650mg/10ml
How many ml should be administered with each dose? Round to nearest tenth.
What is 3.8ml?