- Information
- AI Chat
Pharm Ati Notes
Pharmacokinetics and Medication Administration (NURS 205)
Widener University
Related Studylists
Nursing 1200Preview text
Safe Dosage Nurse Responsibilities Prior to administering medication , important to understand client's Mtd and /history
- what med are they currently taking?
- Do any of these interact with the medication you are preparing ?
- Does the client have any allergies?
- What physical assessments are needed before you can safely administer med ex: beta blocker decrease HR / BP. b/c if client's is to low it should be witheld Must know the purpose , mechanism of action , route , safe dosage range, side effects adverse effects , toxic responses , precautions , and contradictions for medications Acceptable Practice state boards of nursing regulate scope of RN/ PN practice through Nurse Practice Acts Professional Standards in place to ensure med is performed safely the federal controlled substance Act requires strict monitoring / storage of controlled substances Rights of Administration
- Right Client 5. Right Dose
- Right Medication 6. Right
- Right Route Documentation
- Right time
Types Of Prescriptions Routine carried out until provider changes/ discontinues /discharged/end date reached represcribe some meds within specific timeframe standing Protocol - based t contain a list of directives to implement in specific situations single one
- time implemented once ex. fetanot for surgery stat Prescriptions immediately one time PRN Specifies medication , dose , route , frequency , and circumstances NOW similar to single- order or stat prescription , but not as urgent . Administer within 90 mins Prescription components Date /time written Full name Med name Dose: amount , frequency , Strength Route Instructions Provider's signature
Common Med. Errors Giving wrong medication wrong time wrong med strength patient allergic stated in med record wrong IV fluid Omitting dose Diluting med w/ wrong solution giving expired med calculating wrong erroneously discontinuing a med /IV fluid Wrong client infusion wrong route T
- incident Report Document required demographic info ; an objective , what happened , details about the med , and what you did about the error
Dosage Calculation & Safe Medication Administration 3. : Oralmedicaticnn Medication Administration Record Basic Mar clients identifying info (name ,D0B , admission date, Mldrec #,etc Current date ← the date the ← provider writes time of medication prescription / stop date administration
- } with columns separate for each scheduled 8- or 12hr segment
- medications μ of the day IPPRN medications IV fluids ✓ § and medications nurse's signature
Unit- Dose System a method of medication delivery in which each dose of medication ""' is packaged separately and labeled with the medication name/exp. date
- some have barcode for use in point
- of- care medication systems
- used to minimize errors during med admin. Generic / Brand names Dose exp. date Pharmacy Bulk System
- a labeled container holds multiple doses of a medication med. generic and namesbrand identifies Directions for use for med use lists how much med containeris in the Howmedication to store concentration of medication ftp. date
Liquid Medications
- units : mcg , my , g , Milliequivalents 1mL/ounces )
- When dispensing you will use mL and ounces
- instruct client to use calibrated measuring devices common liquid forms Elixir : contains water , ale , sweetener, and the medication → ex: combination medication hydrocodone / acetaminophen syrup: contains water, concentrated sugar, and the medication → Valproic acid is an antiepileptic med that comes in an oral syrup Suspension : contains small, fine particles of the med that do not dissolve comp letty in water . Shake /stir immediately prior to admin. Solution: contains medication dissolved in water or 0% sodium chloride. Using Measuring Devices
- medicine Cup → 5- 30mL
- medicine spoon I-10mL increments
- Always use calibrated oral syringe , dropper , or medicine spoon to administer doses less than 5mL
- Household spoons do not provide accurate doses
ATI 6 : Injectable Medications Routes for parenteral ly : - faster than subcutaneous - flower absorption rate
- 45° t 90° , I 1inch Use if or less Skinfold greater IN sites . than 1inch :
Types
of Insulin
Rapid -
acting
insulin
- 10 -15 mins
most rapid onset of action /Shortest duration
before meal to
- prevent hypoglycemia
clear
Regular
- short
acting
30 mins
Clear
Intermediate - acting insulin
- I
-2hr
Cloudy
delays onset/ duration
Long
acting insulin
- 18 -
24 hr
- same time
everyday
Premixed insulin
- clients who have
difficulty mixing insulin
- Contain 1 intermediate -
acting insulin/rapid
- or - short -
acting
insulin
measuring Insulin
units
U - : there are 100 u of insulin 1mL of solution
T insulin
packaging vials of 10mL
for V- , each ML contains 10th of insulin to calc . multiply 10mL by 1004mL
If-
Vials
plastic /glass containers in which liquid/ powdered med is packaged in airtight/sterile em. Withdrawing mixing - draw air into syringed ' • Draw up air for Med A & - inject into vial inject it into rite ofcried A - draw solution • withdraw needle from A and correct amount of air from med B
- Draw up med B
- Draw up Med A
Pharm Ati Notes
Course: Pharmacokinetics and Medication Administration (NURS 205)
University: Widener University
This is a preview
Access to all documents
Get Unlimited Downloads
Improve your grades
