Core Concepts - Medication Administration Flashcards
How many checks must you do for oral meducation administration?
3 checks
- MAR checked with Dr’s orders
- Medications with the order
- Medications check at the bedside when giving
What are the 6 rights of medication administration?
Patient Drug Dose Rate/route Time Documentation (Patty Doesn't Do Rectal Temperatures, Doc!)
What must be included when checking medications?
Name of pt DOB Medical record number Medication name Medication dose How much medication Route of medication Medication expiration Patient allergies ** remember to state the time of day that medication is given as well **
What must you keep in mind when pouring liquid medications?
- Always pour at eye level
- Always palm the label
What do you state when administering the medication to the patient?
- Name of drug
- What the drug does
if patient does not want to take the medication, you must document this and listen to their wishes
What do you do to tablets regarding G-tube medication administration?
Tablets must be crushed for G-tube administration.
What is the first step you take before administering G-tube medications?
You must check the placement by introducing 30cc’s of air into the tube, and listening for bubbling.
What is the second step that you would do after checking placement of the G-tube?
Aspirate the stomach contents
be sure to put the contents back into the stomach so as not to disturb f&e balance and I&O
Regarding medication administration why is it important to give medications one at a time?
Giving meds via G-tube one at a time is important because some medications will cause chemical reactions when mixed. You don’t want this happening during the administration process.
What must you do in between medication administration via G-tube?
You must flush with 5-15 cc’s of water between medications
How many cc’s would you flush with before giving the first medication, and after the last medication?
You flush with 30 cc’s before administering, and 30 cc’s after administering all medications.
How many cc’s of fluid should you mix with the medication for administration?
5-15 cc’s must be mixed with the medication for administration.
How would you administer the medications?
30 cc FLUSH 5-15 cc's mixed with MEDS (1st med) 15 cc FLUSH 5-15 cc's mixed with MEDS (2nd med) 30'cc FLUSH
Example is based on a 2 medication administration.
What are the two different injection types?
Subcutaneous and intramuscular.
Subcutaneous injections are done in the ______ _______ ________, and are absorbed _________.
Loose connective tissue, slowly.
Where are the 5 spots you can administer sub-q injections?
Arm Abdomen Thigh Dorsigluteal Back
____ -_____ gauge needles are used for sub-q injections
25-30 gauge
What needle length is used for a sub-q injection?
3/8 to 1 inch needle
What are the landmarks for sub-q injection in the arm?
Acromion process and the axilla
