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Medication Administration

Medication Administration

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Published by queenzk

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Published by: queenzk on Oct 03, 2010
Copyright:Attribution Non-commercial


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Medication Administration
7 Rights
Physician’s Orders
Essential Information
Client Teaching
7 Rights
--Right Patient –Right Drug –Right Reason –Right Dose –Right Route –Right Time –Right DocumentationAlso check for drug allergies and expiry date of medication
3 Checks Note changes
When are these completed?
3 Checks –Removing medication bubble pack, envelope or bottle fromdrawer  –Pouring medication –Returning medication to drawer 
Physician orders---check the order first --- does it contain the following?
Client’s Name & Identification –Medication Name –Amount & Frequency of Dose –Route of Administration –Date & Time the prescription was ordered –Signature of the prescriber 
Essential information to know before Administering
Action/Indication of Use
 Nursing Process
Principles of therapy
 Nursing Actions – administer accurately,
assess therapeutic effects and adverse effects
Medication History
Assess for Allergies. –Obtain Medication history (including OTC, supplements and herbs) –Obtain a Medical history (renal, hepatic, respiratory, cardiac, endocrine, neurological-related healthchallenges, substance abuse). –Assess Pregnancy or Lactation Status
Medication Assessment before medication administered
Assess Diet & Fluid Status. –Aware of Lab Values –Ability to Swallow –Gastrointestinal motility –Adequate Muscle Mass & VenousAccess –Vital Signs –Understanding/Client Rights
 –Accurately interpret physician orders –Position client in appropriate position when administering medication (oral,eye/ear/nose, enteral feeding tube, rectal, vaginal, inhalation) –Have Client drink enough fluid to avoid lodging in esophagus –Avoid touching medications (tablets, lotions, creams, ointments) –Follow standards care according to route: –Liquid
Keep cap of bottle inverted when placing on counter 
Ensure label of bottle is in the palm of your hand
Hold liquid medication at eye level –TransdermalEnsure previous transdermal patch has been removed
Rotate sites of administration (s.c., transdermal patches)
Ensure skin surface is clean/dry/intact, free of hair/bone
Date/time & initial patch –Eye
O.D. (right eye); O.S (left eye); O.U.(both eyes)
Retract conjunctival sac
Avoid touching eye/lashes/lid with tip of bottle
Place pressure on inner canthus to avoid systemic absorption- Ear 
A.D (right ear); A.S. (left ear); A.U. (both ears)
Straighten canal up/back (older children/adults) & down/back (infants & children<3 years)

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