Medication Theory.txt

• author "me"
• tags "Exam 1"
• description ""
• fileName "Medication Theory"
• freezingBlueDBID -1.0
• Pharmacological concepts - chemical
• Description of the drugs chemical composition

Manufacturer's name--derived from chemical name

Brand name - easy to spell, pronounce, & remember

• Body system
• Symptoms relieved
• Desired effect

• Why am I giving a certain Med
• Always look up Med before giving
• Side effects
• Nursing implications

• Liquid
• Capsules
• Tablets
• Suppository

No impurities in food or drugs

Defines the scope of a nurses professional functions & responsibilities--protects public from unskilled, undereducated,unlicensed personnel

Absorption, distribution, metabolism, excretion, action

Passage of Med into blood-influenced by route, the ability to dissolve, blood flow to site, high lipid cross over membranes easier

To tissue, organs & specific site

Break down to inactive form

Exit via kidneys, liver, bowel, lungs, & exocrine glands

Vary how they act & type of action

• Oral
• sublingual
• buccal
• parenteral
• topical
• inhalation

• ID - dermis
• Sub-Q - just below dermis
• IM - muscle
• IV - vein

• Administer only what you prepare
• Do not ignore client concerns
• Check with MD order
• Never use unmarked containers
• If reused--if opened, do no return to container
• Dont open meds until you are next to pts bedside
• Be aware of distractions
• Never leave meds at bedside
• You are pts advocate -- if meds are containdicated with each other, dont give med to pt, call MD

• Standing orders
• PRN orders
• Single orders
• STAT orders
• Now orders

• Carried out until canceled
• First in MAR

• Given upon client request--as needed
• At end of MAR

One time order

Give immediately & only once

Give within 90 minutes

• Stock supply
• Unit dose supply
• Automated medicine dispensing system
• Individual storage

Multi dose - med rooms

• Portable carts
• Meds are packaged
• Every pt has their own drawer of meds on cart

Computerized control over drawers & distribution of meds

Next to clients room

Any event that could cause or lead to a client receiving inappropriate medication therapy or failing to receive appropriate medication therapy

• Inaccurate prescribing
• Administration of wrong drug
• Wrong route or time interval
• Administration of extra dose or missing dose
• Wrong patient
• Distractions

• Check on pt - very important
• Acknowledge immediately - dont ignore an error
• Report to MD
• File incident report - protects you & pt

Violations of rules & regulations can lead to fines, imprisonment, loss of licensure

• Locked - 2 times - behind door & behind cabinet
• Keys or computer code - nurse manager & shift nurse
• Change of shift - count & sign
• Discrepancies - if off, dont leave - let supervisor know what happened
• Inventory record
• Document name, date, time, med, dose, & signature
• Proper disposal of unused portion

• Schedule I - LSD, marijuana, heroin - illegal
• Schedule II - cocaine, ritalin, MS
• Schedule III - codeine, in combination with tylenol, ASA, & vicodin
• Schedule IV - librium, valium, ativan
• Schedule V - robitussin A-C, lomotil

• Full name
• Date order written
• Med name
• Dose
• Route
• Time & frequency
• Signature

• Right drug
• Right dose
• Right client
• Right route
• Right time
• Right documentation

• Check expiration dates & check 3 times
• Check when looking in drawer - before removing
• Compare side by side with MAR
• Check against med sheet at bedside

• Minimizes errors - if doing math - have another RN check
• Use standard dose sizes - use med cup not spoon
• Morter & pissel - used to crush meds - clean & dry before & after use

• 2 identifiers
• Client states name - check ID band - dont say pts name, ask them
• Check name against med sheet with arm band
• Med record number

Always clarify - if not stated, call MD

• NEVER CHART BEFORE YOU GIVE MED!
• 30 minute time frame before OR after scheduled time

• Information - to be informed in terms they understand
• Refusal - of med, procedure...dont push, ask why & call MD
• Careful assessment - vitals - check apical before any cardiac meds
• Safe administration - receive meds safely without discomfort in accordance with 3 checks & 6 rights
• No unnecessary medications
• To havequalified nurses & MDs assess a medhx, including allergies & use of herbs
• Advised of experimental meds

• Med
• Dose
• Route
• Time
• Patient
• Documentation & equipment

• Ordered
• Classification - of drug
• Why - pt getting drug
• Allergies - to anything...shellfish, latex, tape
• Adverse reactions/side effects
• Action - what system does drug work thru
• Assessment after - BP...
• Labs - check blood thinner, heart meds

• Calculate - have another RN check
• Safe dose
• Dilute
• Equipment
• Draw up meds - graduated cup, syringes, graduated cylinders, droppers

• Correct - route for med, check drug book
• Injection site - landmarks
• Technique - for giving SQ / IM

• Last given (prn) - see if youre in time frame from last date
• Correct time to give - 30 before / 30 after
• Abbreviations
• Rate - of administration for IVs
• Prioritization - pts determine order- based on vitals
• Which one first
• Dont give / why not - if pt is vomiting & cant take med, hold & call MD

• Check ID
• MAR to compare
• ID band
• Whats your name

• Immediately after med administration
• Injection site
• Response to med
• DONT SIGN OFF UNTIL AFTER YOU GIVE MED!