NR I224: I Exam I3 IStudy IGuide
MedicationIAdministration:
Six Irights Iof I medication Iadministration:
1. Right I medication
2. Right Idose
3. Right Ipatient
4. Right Iroute
5. Right Itime
6. Right Idocument
• A Ipatient I has Ithe Iright I to Irefuse Ibut Iyou Ishould Iexplain Ito Ithem Iwhy Ithey Ishould Itake I it.
Chemical I vs. IGeneric Ivs. ITrade
o Chemical: Iprovides Ithe Iexact Idescription Iof Ithe I medication
o Generic: Ithe I manufacture Iwho I first Idevelops Ithe Idrug Ican Iassigns Ithe I name Iand I it
I isIt hen I listed I(ex. IAcedimedifin)
o Trade: Ialso Iknown Ias Ithe Ibrand Ior Iproletary Iname. I This I is Ithe I name Iunder I which
IaImanufacturer I markets Ithe I medication I(ex. ITylenol)
• If Ia Ipatient Iuses I herbal Isupplements Ithey I need Ito Itell I us Iwhat I they Iare Itaking Ibecause I it
IcanIinteract Iwith I medications.
Types Iof Iorders:
o Standing: Iwaiting I if I you I need I it I later Ior I not.
o PRN: Ias Ineeded
o One-Time: Ione Itime Ionly
o STAT: Iasap
o Now: Iwithin Ian I hour Ior Ias Isoon Ias Iyou Ican
• If Ithe Ipatient I is I in Ipain Iand I it I is Itoo Isoon Ito I give Ipain I meds, Iuse Inon Ipharmacological I meds
IasInecessary
• If Ia Istanding Iorder I has Iexpired, Icall Idr. I for Inew Iorder.
Instilling I Ear I Drops I for IAdult Iand IChild
o ProperItechnique: IUse Isterile Isolution, Ican Iput Icotton Iball I in Iear Ibut Idon’t Ipush I it
Iin.IDrops Ineed Ito Ibe Iroom Itemp. I Do Inot I force I the I medication I in I the Iear.
Adult: I up Iand Iback
IChild: Idown Iand Iback
Eye IDrops
, o ProperItechnique: IIn Ithe Iwhite Ipart Iof Ithe Ieye Ionly. IDon’t Itouch Ithe Itip Iof Ithe Idropper
ItoIt he Ipts Ieye. INever I use Ianother Ipts Ito Ianother Ipatient. I Drops Iat Iroom I temp Ior Ispecific
Itemp.
• You I may Ichange Ithe Itime I you I give Ia I medication I if I it I is IPRN Ior Ionce Idaily
• Orders: Idr, Inp, Ior Ipa Iorders Ican Ibe Iwritten, Iverbal, Ior I given Iby Iphone. I Each I medication
IorderImust I include Ipatients I name, Iorder Idate, I med I name, Idosage, Iroute, Itime Iof
Iadministration, Idrug I interaction, Iand I signature.
▪ Verbal: Iare I illegal I unless I it I is Ian Iemergency Isituation.
Injections:
o Rotate Isites
o Best Isite Iand Iroute I for Iabsorption I(abdomen Iand Isublingual)
o Intramuscular: I90 Idegrees
o Sub IQ: I45 Idegrees
o Intradermal: I15 Idegrees
• When I giving Ia Isubcutaneous I injection I you Iwould Ipinch Ithe Iskin.
o Absorption Itime I is Islower
• Medication Iare Iexcreted I in Ithe Ikidneys Iand I if I it I is Ireduced I medication Itoxicity Ican Ioccur.
Syringes:
o Needles I lengths Iand I gauges I•
o 19 Igauge, I1.5 I in. I length
o 20 Igauge, I1 I in. I length
o 21 Igauge, I1/2 I in. I length
o 23 Igauge, I3.4 I in. I length
o 25 Igauge, I5/8 I in. I length
• How Iwould I you Ichoose Ithe Icorrect Ineedle I length Iand I gauge?
o IM: I1 Ior I1.5 I inch, I very Iobese I3 I inches Ior Idifferent Iroute
o Shorter I= ISub IQ
o IM I= I5/8th Iinch
Sites:
o Ventrogluteal: Ianterosuperior Iiliac Ispine
o Vastus ILateralis: Igreat4er Itrochanter, Iknee, Ivastus Ilateralis
o Deltoid: Iscapula, Iacromion Iprocess, I humerus
• We Iaspirate Ito I make Isure Iwe Iare I in Ithe I muscle Iand Iwould Ire-do Iinjection I if Ithere I is Iblood.
MedicationIAdministration:
Six Irights Iof I medication Iadministration:
1. Right I medication
2. Right Idose
3. Right Ipatient
4. Right Iroute
5. Right Itime
6. Right Idocument
• A Ipatient I has Ithe Iright I to Irefuse Ibut Iyou Ishould Iexplain Ito Ithem Iwhy Ithey Ishould Itake I it.
Chemical I vs. IGeneric Ivs. ITrade
o Chemical: Iprovides Ithe Iexact Idescription Iof Ithe I medication
o Generic: Ithe I manufacture Iwho I first Idevelops Ithe Idrug Ican Iassigns Ithe I name Iand I it
I isIt hen I listed I(ex. IAcedimedifin)
o Trade: Ialso Iknown Ias Ithe Ibrand Ior Iproletary Iname. I This I is Ithe I name Iunder I which
IaImanufacturer I markets Ithe I medication I(ex. ITylenol)
• If Ia Ipatient Iuses I herbal Isupplements Ithey I need Ito Itell I us Iwhat I they Iare Itaking Ibecause I it
IcanIinteract Iwith I medications.
Types Iof Iorders:
o Standing: Iwaiting I if I you I need I it I later Ior I not.
o PRN: Ias Ineeded
o One-Time: Ione Itime Ionly
o STAT: Iasap
o Now: Iwithin Ian I hour Ior Ias Isoon Ias Iyou Ican
• If Ithe Ipatient I is I in Ipain Iand I it I is Itoo Isoon Ito I give Ipain I meds, Iuse Inon Ipharmacological I meds
IasInecessary
• If Ia Istanding Iorder I has Iexpired, Icall Idr. I for Inew Iorder.
Instilling I Ear I Drops I for IAdult Iand IChild
o ProperItechnique: IUse Isterile Isolution, Ican Iput Icotton Iball I in Iear Ibut Idon’t Ipush I it
Iin.IDrops Ineed Ito Ibe Iroom Itemp. I Do Inot I force I the I medication I in I the Iear.
Adult: I up Iand Iback
IChild: Idown Iand Iback
Eye IDrops
, o ProperItechnique: IIn Ithe Iwhite Ipart Iof Ithe Ieye Ionly. IDon’t Itouch Ithe Itip Iof Ithe Idropper
ItoIt he Ipts Ieye. INever I use Ianother Ipts Ito Ianother Ipatient. I Drops Iat Iroom I temp Ior Ispecific
Itemp.
• You I may Ichange Ithe Itime I you I give Ia I medication I if I it I is IPRN Ior Ionce Idaily
• Orders: Idr, Inp, Ior Ipa Iorders Ican Ibe Iwritten, Iverbal, Ior I given Iby Iphone. I Each I medication
IorderImust I include Ipatients I name, Iorder Idate, I med I name, Idosage, Iroute, Itime Iof
Iadministration, Idrug I interaction, Iand I signature.
▪ Verbal: Iare I illegal I unless I it I is Ian Iemergency Isituation.
Injections:
o Rotate Isites
o Best Isite Iand Iroute I for Iabsorption I(abdomen Iand Isublingual)
o Intramuscular: I90 Idegrees
o Sub IQ: I45 Idegrees
o Intradermal: I15 Idegrees
• When I giving Ia Isubcutaneous I injection I you Iwould Ipinch Ithe Iskin.
o Absorption Itime I is Islower
• Medication Iare Iexcreted I in Ithe Ikidneys Iand I if I it I is Ireduced I medication Itoxicity Ican Ioccur.
Syringes:
o Needles I lengths Iand I gauges I•
o 19 Igauge, I1.5 I in. I length
o 20 Igauge, I1 I in. I length
o 21 Igauge, I1/2 I in. I length
o 23 Igauge, I3.4 I in. I length
o 25 Igauge, I5/8 I in. I length
• How Iwould I you Ichoose Ithe Icorrect Ineedle I length Iand I gauge?
o IM: I1 Ior I1.5 I inch, I very Iobese I3 I inches Ior Idifferent Iroute
o Shorter I= ISub IQ
o IM I= I5/8th Iinch
Sites:
o Ventrogluteal: Ianterosuperior Iiliac Ispine
o Vastus ILateralis: Igreat4er Itrochanter, Iknee, Ivastus Ilateralis
o Deltoid: Iscapula, Iacromion Iprocess, I humerus
• We Iaspirate Ito I make Isure Iwe Iare I in Ithe I muscle Iand Iwould Ire-do Iinjection I if Ithere I is Iblood.
