Ch 35

  1. nurses' six rights for safe med administration
    • right to a complete and clearly written order
    • right to have the correct drug route and dose dispensed
    • right to have access to info
    • right to have policies on med administration
    • right to administer meds safely and to identify problems in the system
    • right to stop, think, and be vigilant when administering meds
  2. client's rights(8)
    • informed of medication's name, pupose, action, and potential undesired effects
    • refuse a mediction regaurdless of consequences
    • have qualified nurses/physicians assess medication history
    • be properly advised of experimental nature of medicaton therapy and to give written consent for its use
    • receive labeled medications safely w/o discomfort w/ 6 rights of med administration
    • receive appropriate supportive therapy in relation to med therapy
    • not receive unnecessary meds
    • be informed if meds are a part of a research study
  3. six rights of medication of administration
    • right client
    • right medication
    • right dose
    • right route
    • right time
    • right documentation
  4. nurse accountability in medication administration
    • knowing which meds are prescribed
    • the therapeutic and non therapeutic effects
    • associated nursing implications
    • why the pt needs the meds
    • determining if supervision is required
    • determining if client requires education about the meds and its effects
  5. types of medication action
    • therapeutic effect: expected or predictable
    • adverse effect: unintended, undesirable, often unpredictable severe response to med
    • idiosyncratic reaction: unpredictable effects, over or under reaction or a reaction different from normal
    • side effect: predictable often unavoidable, unintended, secondary effect produced at a usual therapeutic dose
    • allergic reaction: urticaris(reddened margins,pale centers on raised irregularly shaped skin eruptions), rash, pruritis(itching), rhinitis
  6. medications are excreted through
    • kidney
    • liver
    • bowel
    • lungs
    • exocring glands
  7. metabolism/biotransformation
    • meds metabolized into less potent or inactive form
    • biotransformation occurs under influence of enzymes that detoxify, degrade and remove active chemicals, usually occurs in liver
  8. Distribution
    • depends on:
    • circulation
    • membrane permeability-BBB
    • protein binding- degree to which meds bind to serum proteins affect distribution
    • elderly have decreased albumin levels due to decreased liver function which can increase risk for med activity or toxicity
  9. factors that influence absorbtion
    • route of administration - each has a different rate of absorbtion
    • ability to dissolve
    • blood flow to site of administration
    • body surface area
    • lipid solubility of medication
    • presence of food in the stomach
  10. pharmacokinetics
    • the study of how medications:
    • enter the body
    • are absorbed and distributed into cells, tissues, or organs (site of action)
    • alter physiological functions
    • are metabolized and exit the body
  11. pharmacologial concepts
    • drug names- chemical, generic, trade
    • classification- according to their characteristics, use on a body system, desired effects
    • forms of medication- solid, liquid, other oral forms, topical, parenteral, instillation into body cavities
  12. Scientific knowledge base
    • to safely and accurately administer medications you need knowledge related to:
    • pharmacology
    • pharmacokinetics( the study of drug concentrations)
    • life sciences
    • human anatomy
    • mathematics
    • legal aspects of health care
Card Set
Ch 35
medication administration