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Principles of Drug Administration All Answers Correct

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Principles of Drug Administration All Answers Correct Responsibilities of the Nurse When Administering Medication - Determine the drug ordered: Understand the specific medication prescribed by the healthcare provider. - Identify the medication: Know both the generic and trade names, along with the drug classification. - Understand intended use: Be aware of the proposed purposes of the medication. - Assess effects on the body: Know how the drug affects the body’s systems. - Recognize contraindications: Be informed about situations where the drug should not be used. - Consider special factors: Understand how factors such as age, weight, body fat distribution, and individual health conditions may impact the pharmacotherapeutic response. - Monitor side effects: Be aware of potential side effects associated with the medication. - Rationale for prescribing: Know why this particular medication has been prescribed for the specific patient. - Learn medication supply format: Understand how the pharmacy supplies the medication (e.g., forms, packaging). - Administer medication correctly: Be knowledgeable about the proper administration method and dosage ranges. - Apply nursing process considerations: Tailor the nursing process to the individual patient concerning medication administration. --- Allergic Reaction - An allergic reaction is characterized as an acquired hypersensitivity of the immune system to a foreign substance (allergen). - Signs may vary in severity and can include skin rashes (with or without itching), edema, runny nose, and reddened eyes with tearing. --- Anaphylaxis - Anaphylaxis is a severe type of allergic reaction involving a rapid, systemic release of histamine and other inflammatory mediators, posing a life-threatening risk. - Symptoms may include acute dyspnea (difficulty breathing), sudden hypotension, or tachycardia following drug administration, which require immediate treatment. --- The Five Rights of Drug Administration - The Five Rights provide a foundational guideline to ensure safe medication delivery and focus on the responsibilities of nurses during drug preparation and administration: 1. Right Patient 2. Right Medication 3. Right Dose 4. Right Route of Administration 5. Right Time of Delivery - Additional rights may include the right to refuse medication, the right to receive medication education, the right preparation, and the right documentation. --- The Three Checks of Drug Administration - Used alongside the Five Rights, these checks help ensure patient safety and drug efficacy: 1. Verify the drug against the Medication Administration Record (MAR) or medication information system when retrieving it from storage. 2. Recheck the drug while preparing, pouring, or connecting IV tubing. 3. Confirm the drug before administering it to the patient. --- Compliance - Compliance involves taking medications as prescribed by a healthcare provider or following over-the counter (OTC) instructions accurately. - Noncompliance ranges from not taking the medication at all to taking it incorrectly. --- Reasons for Noncompliance - Cost of the medication may be prohibitive. - The drug may not be covered by the patient’s health insurance plan. - Patients may forget to take doses, especially if they are required multiple times a day. - Annoying side effects (e.g., headache, dizziness, nausea, diarrhea, impotence) may deter adherence. - Medications may conflict with major lifestyle choices. - Patients may self-adjust their doses, thinking taking more will be more beneficial, or fear dependency on their prescribed doses, leading them to take less than instructed. --- Medication Orders - STAT order: This is an urgent order for medication that must be administered immediately, typically within 5 minutes of receipt, often used in emergency situations (from the Latin "statim," meaning "immediately"). - ASAP order: This is an order that is less urgent than a STAT order but should still be available for administration within 30 minutes of the written order. - Single order: Refers to a medication prescribed to be given only once at a specific time, such as a preoperative medication. - PRN order: The term "pro re nata" means "as needed." The nurse makes the assessment and decides when the medication should be administered based on the patient's current condition. Routine orders ️-orders not written as STAT, ASAP, NOW or PRN -these are usually carried out within 2 hours of the time the order is written by the physician Standing order ️-written in advance of a situation that is to be carried out under specific circumstances -example: set of postoperative PRN prescriptions that are written for all patients who have undergone a specific surgical procedure "Tylenol elixir 325mg PO every 6 hours PRN sore throat" -standing orders are no longer permitted in some facilites because of the legal implications of putting all patients into a single treatment category ac ️-before meals ad lib ️-as desired, as directed AM ️-morning bid ️-twice per day cap ️-capsule gtt ️-drops h or hr ️-hours IM ️-intramuscular IV ️-intravenous no ️-number pc ️-after meals, after eating PO ️-by mouth PM ️-afternoon PRN ️-when needed/necessary qid ️-four times per day q2h, q4h, q6h, q8h, q12h ️-every __ ho

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Principles of Drug Administration All Answers Correct


Responsibilities of the Nurse When Administering Medication

- Determine the drug ordered: Understand the specific medication prescribed by the healthcare
provider.

- Identify the medication: Know both the generic and trade names, along with the drug classification.

- Understand intended use: Be aware of the proposed purposes of the medication.

- Assess effects on the body: Know how the drug affects the body’s systems.

- Recognize contraindications: Be informed about situations where the drug should not be used.

- Consider special factors: Understand how factors such as age, weight, body fat distribution, and
individual health conditions may impact the pharmacotherapeutic response.

- Monitor side effects: Be aware of potential side effects associated with the medication.

- Rationale for prescribing: Know why this particular medication has been prescribed for the specific
patient.

- Learn medication supply format: Understand how the pharmacy supplies the medication (e.g., forms,
packaging).

- Administer medication correctly: Be knowledgeable about the proper administration method and
dosage ranges.

- Apply nursing process considerations: Tailor the nursing process to the individual patient concerning
medication administration.



---



Allergic Reaction

- An allergic reaction is characterized as an acquired hypersensitivity of the immune system to a foreign
substance (allergen).

- Signs may vary in severity and can include skin rashes (with or without itching), edema, runny nose,
and reddened eyes with tearing.



---

, Anaphylaxis

- Anaphylaxis is a severe type of allergic reaction involving a rapid, systemic release of histamine and
other inflammatory mediators, posing a life-threatening risk.

- Symptoms may include acute dyspnea (difficulty breathing), sudden hypotension, or tachycardia
following drug administration, which require immediate treatment.



---



The Five Rights of Drug Administration

- The Five Rights provide a foundational guideline to ensure safe medication delivery and focus on the
responsibilities of nurses during drug preparation and administration:

1. Right Patient

2. Right Medication

3. Right Dose

4. Right Route of Administration

5. Right Time of Delivery

- Additional rights may include the right to refuse medication, the right to receive medication education,
the right preparation, and the right documentation.



---



The Three Checks of Drug Administration

- Used alongside the Five Rights, these checks help ensure patient safety and drug efficacy:

1. Verify the drug against the Medication Administration Record (MAR) or medication information
system when retrieving it from storage.

2. Recheck the drug while preparing, pouring, or connecting IV tubing.

3. Confirm the drug before administering it to the patient.



---

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