Medication Administration: Oral, Rectal, Topical, Ophthalmic ...

Medication Administration: Oral, Rectal, Topical, Ophthalmic ...

Medication Administration Automated Medication Administratio n Equipment Pyxis

SureMed MedServe Essential Components of a Medication Order Clients Name Medical Record

Number, Room/Bed # Date & time of order Name of Medication Dosage of Medication Route Frequency of administration MDs signature

Six Rights of Medication Administration Right Patient (check name band, ask client their name) Right Medication Right Dose

Right Route Right Time (frequency) Right Documentation * Clients also have the right to refuse (say no) to medication The Nurses Responsibility for

Medication Administration Assess whether the client can tolerate the meds Administer meds accurately & timely

Monitor for side-effects Know contraindications Client teaching Practice the Six Rights(stressed in clinical) Evaluation (effectiveness & client

response) Types of Oral Medications Tablets Capsules Sublingual Buccal Elixirs

Enteric Coated Precise & Safe Medication Administration Rectal Medications Provide for privacy

Explain procedure to client Place client in Sims position Apply clean gloves Lubricate tip, round end inserted first Encourage client to relax , deep breathe Insert past sphincter, towards umbilicus Have client remain on side at least five

mins. (hold buttocks together etc.) Rectal Medication Administratio n Ophthalmic Medications

Place HOB down or low Fowlers Provide Kleenex for client Have client look towards ceiling Instill meds in conjunctiva (if gtts)

If ointment, apply ribbon from inner to outer canthus Know od, os, ou routes Topical & Inhalation Medications Ointments (absorbed via mucous

membranes, skin) Inserted (vaginal) Instilled (ear/nose gtts) Lotions Sprays (nasal) Pastes (absorbed through skin) Inhalation (nebulized treatments, MDI)

Topical Ointments Otic Medication s MDI

Medications Medications via NGT/EFT Determine whether med comes in elixir form Crush all except for EC meds and mix with water or other liquid medications Stop feedings, clamp tube, apply syringe,

unclamp tube, flush tube with approx. 30cc water Clamp tube, remove syringe, pull plunger from barrel, reattach barrel, pour meds through barrel Add water as necessary to keep things flowing smoothly After all meds have been given, flush with 30cc water, clamp tube, remove syringe, start feedings

Documentation Always record: Date, time & your initials or signature, title (R. Otten, SN,CSUF ) Medication, route (site) and actual time given Reason why med was omitted (ie. refused)

Clients response to the medication Medication Administration Records (MARs) Nursing Considerations for

Injection Sites Assess for adequate tissue & muscle availability/client body wt. Assess where previous injections have been administered Assess client restrictions

Assess for quantity & quality of medication to be administered Parts of a Needle & Syringe Syringe: Barrel

Plunger Tip Needle: Bevel Shaft Hub Types of Syringes

Tips of Syringes Luer-Lok Non Luer-Lok Pre-Filled Systems

Assembling the Device Scoop Method Safety Devices Needless Systems

Three Types of Injections Intradermal - Injected into dermal skin layers (Allergy tests, PPDs, etc.)

Subcutaneous - Injected into subcutaneous tissues (Heparin, Insulin)

Intramuscular - Injected into deep muscles (narcotic analgesics, iron) Intradermal Injections Given in small doses (i.e.. 0.1cc) Common sites include: RFA, LFA

Use 1cc syringe with 26-27 gauge needle, 1/4 - 5/8 inch long Administer with needle at 5-15 degree angle with bevel of needle up Check for bleb or wheal Document site in medication book/nurses notes

Intradermal Injections Subcutaneous Injections Given in doses of 0.5cc - 1.5 cc Common sites include: deltoid, abdomen Deltoid landmarks: Find Acromium

Process and go 4 to 6 finger-lengths below Rotate sites to minimize tissue damage Use Insulin/TB syringe for these meds For other SQ meds use 1-3 cc syringe, 25-27 gauge needle, 3/8-5/8 inch length Insert needle 45-90 degrees

Deltoid Injections Vastus Lateralis Injections Site well-developed in both adults & children, lacks major blood vessels/nerves

Landmark: Find Greater Trochanter & Knee, divide thigh up into three equal quadrants with hand, middle 1/3 is the site for injection (lateral aspect). Good

for clients with position restrictions Intramuscular Injections Vastus Lateralis Dorsogluteal Injections

Rarely used due to Sciatic nerve risk Less accessible than other sites (i.e. requires side-lying or turned further) Landmark: Find Greater

Trochanter & Iliac Crest, draw quadrants and administer in upper two quadrants Dorsogluteal Injections What other site is used for IMs?

Ventrogluteal Good for deep injections Away from blood vessels and nerves Z-track Thick, viscous meds Antibiotics Large volume

Irritating What if when giving an IM injection, the aspirate comes back with blood. What is the correct procedure and why?

Preparing NPH & Regular Insulin Swab tops of both vials Inject desired units of air into NPH vial, remove needle and then inject

desired units of air into Regular vial Invert Regular vial and withdraw desired units of insulin (no bubbles) Insert needle into NPH vial, invert and withdraw desired units of insulin

Regular & NPH Insulins Mixing Insulins NPH Insulin

Regular Insulin Remember !!! If an IM injection requires the administration of > 3cc of medication, divide

the medication up into two equal doses and administer in different sites. Remember !!! Always double-check

Insulin & Heparin amounts/doses with another licensed person (RN/LVN/INSTRUCTOR)

Recently Viewed Presentations



    New knowledge must be integrated into the development of new products or services that a firm can use in an entrepreneurial manner. To move into new markets. Tocapture new customers. To gain access to new resources. Radical innovations are often...
  • Kekhususan BAB Pada ICD 10 Alfian Eka Pradana

    Kekhususan BAB Pada ICD 10 Alfian Eka Pradana

    Lesi muncul sebagai radiopacity di daerah periapikal maka reaksi sklerotik. Osteomyelitis dari rahang (akut) (kronis) (supurative) Osteomyelitis (yang terinfeksi dan radang sumsum tulang, kadang-kadang disingkat OM) yang terjadi pada tulang rahang (yaitu maksila atau mandibula). Secara historis ...
  • Karabuk University Technology Faculty

    Karabuk University Technology Faculty

    Abdurrahim TEMİZ, Koray ÖZDEMİR, M. Sait Cay, Levent TURHAN, Mustafa YAŞAR "ALTIGEN BAL PETEĞİ METAL KÖPÜK KANATLARA SAHİP KOMPAKT ISI DEĞİŞTİRİCİ TEORİK ANALİZİ", 14th International Combustion Symposium (INCOS2018), 163-168.
  • Blue Yonder Airlines Off we go! About Blue

    Blue Yonder Airlines Off we go! About Blue

    The leading adventure charter airline in the US! Dozens of exciting and exotic destinations. A new fleet of luxurious private jets. The industry's best safety record
  • Hydrological Information System

    Hydrological Information System

    Hydrological Information System. Module - Automatic Weather Station and Automatic Rain Gauge. Anish ….. Hydro-Informatics Expert. The World Bank
  • Getting Started Creating Data Dictionaries: Creating Shareable Datasets

    Getting Started Creating Data Dictionaries: Creating Shareable Datasets

    A description of each column can be added, along with information about the levels/groups in the data and synonyms for the variables. On a separate page, category labels can be provided for both character and numeric data (i.e., Likert-type scales...
  • Lesson 5 Talking About Voice & Narrative Voices

    Lesson 5 Talking About Voice & Narrative Voices

    Tying it together… Diction, Denotation, Connotation . Connotations. In the following sentences, choose between the words in parentheses to make the sentence have as negative a connotation as possible. The leader was his nation's most (notorious, well-known, famous) advocate. Immigrants...
  • PowerPoint Sunusu

    PowerPoint Sunusu

    Warning!. AC & HC . may. arise. from. misspecification … THUS " If . im. pure, fix. the specification " "Better" TESTSareavailablefordetecting AC & HC