Download Administration.

Administering
Medication
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Administration of Medications
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The safe and accurate administration of
medication is one of the major responsibility
of a nurse. The nurse should understand drug
action, its side effects, and administer drugs
safely .
A drug or medication is a substance used for
diagnosis, treatment, cure or prevention of
disease .
Every drug has got a chemical name or
pharmacological name and trade name , or
different trade names by different companies .
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Routes of Administration
 The route of a drug depends on its properties,
desired effect, and the patients physical and
mental condition.
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Routes of Administration
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Oral routes:
a. Oral administration.
b. Sublingual administration.
Parenteral routes:
a. Subcutaneous.
b. intradermal.
c. Intramuscularly.
d. intravenous.
Topical administration: in this , drugs are applied to the
skin and mucous membrane .
Inhalation.
Rectal route- suppositories.
Vaginal route- suppositories.
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Medication Order
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The drug order, written by the physician, it
has 7 essential parts for administration of
drugs safely. the nurse should know how to
read a drug order.
It should have the following components:
1- Patients full name.
2- Date.
3- Drug name.
4- Dosage.
5- Route of administration.
6- Time and frequency of administration.
7- Signature of physician.
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five Rights of Medication
Administration
1.
2.
3.
4.
5.
Right
Right
Right
Right
Right
drug.
dose.
patient.
route.
time.
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Right Drug
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When the drug are first ordered , the nurse
compare the prepared medication card with
the physician written orders.
When administering drug , the nurse should
compare the label of the drug three times .
The nurse should never prepare medication
from unlabelled containers.
Do not accept verbal orders.
Be sure about the changing of orders.
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Right Dose
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Carefully read physicians order.
Check age and weight of the patient.
Calculate the dose correctly.
Do not spill medication.
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Right Patient
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Medication should be given to the right patient
after identifying him .
Call the patient by his name .
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Right Route
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Orally.
Rectally.
Vaginally.
Intravenous( I.V)
Intramuscular ( I.M)
Intradermal ( I.D)
Sublingual ( S.L)
Subcutaneous (SC)
Application.
Inhalation.
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Right Time
BID
(twice daily)
TID
(three times a day)
QID
(four times a day)
E.O.D
( every other day)
Stat
( once and stop )
PRN
(when necessary)
ABT
(at bed time)
AM
(at morning)
P.M
(at night)
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THE ROLE OF THE NURSE IN THE
PHARMACEUTICAL SERVICES
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Provide the drug.
Make sure there is enough stock of the drugs
in the drug cabin.
Check the expiry dates of the drugs.
Supply with the dangerous drugs.
Drug storage .
Drug preparation .
Has to know the units and subunits of drugs.
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Contraindications for Oral Drug
Administration
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In case of nausea and vomiting.
Unconscious patient.
In case of orally surgery.
When the drugs are destroyed in the stomach
by the action of digestive juice. e.g insulin,
adrenalin .
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Common Abbreviations Used in Drug
Administration
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AM
PM
OD
Qh
BID
PRN
Stat
TID
Comp
FL
Liq
Syr
Tap
Cap
morning
afternoon
daily
every hour
twice a day
when required
at once
three times daily
compound
fluid
liquid
syrup
tablets
capsule
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Medicines Measurements
Volume unit
Weight unit
Equivalent
Code
Unit
Equivalent
Code
Unit
L 0.001
MI
Milliliter
0.000001g
Mcg
Microgram
L 0.01
CI
Centiliter
0.001g
Mg
Milligram
L 0.1
DL
Deciliter
1g
G
Gram
L1
L
Liter
g1000
Kg
Kilogram
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NURSING ROLE WHEN DEALING
WITH DRUGS
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RIGHT DRUG: make sure that you are giving
the right drug which is prescribed by the
doctor by double checking from the pts file.
RIGHT DOSE: make sure that you are giving
the right dose by making correct calculation
for the dose prescribed by the doctor.
RIGHT PATIENT: make sure of patients name
by asking him about his name and compare it
to the name on medication sheet.
RIGHT ROUT: make sure you will give the
drug in the right way , rout of administering
drugs .
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NURSING ROLE TOWARD THE
PATIENT WHEN GIVING THE DRUG
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Make sure that patient took the medication .
Watch for drug side effects.
Make sure that nurse has no infectious
diseases.
Pharmaceutical education to himself.
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THE ROLE OF THE NURSE TOWARD
HIMSELF WHEN DEALING WITH
MEDICATION
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Use the protective measurements when
preparing some dangerous drugs.
Take care when giving injections.
Follow the safety measures when dealing with
patients with infectious diseases.
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