Guaranteed Pass Solutions.
types of medication orders - Answer -Standing order (routine order): carried out until cancelled by
another order
-PRN order: as needed
-Single or one-time order
-Stat order: carried out immediately
rights of med administration - Answer Checking the medication orders for transcription
errors, allergies, interactions
After preparing the medications,
NEVER leave the medications in the room for the
patient to take later.
You MUST WITNESS the patient taking the
medications to document they were given
three checks - Answer 1) as you reach for the med
2) Compare to EMAR
3) before giving to patient
oral meds - Answer Assess pt before administering, allergies, swallowing, vital signs, lab results, patient
knowledge and needed education
Equipment: cups, spoons, pill cutters,
water to drink, crushing tool
oral special situations - Answer crushing, syringe or doppler, children, buccal, suglingual
feeding tubes and meds - Answer Liquid medicine
,Check placement of tube
Crush and mix with H20
Flush: 15- 30=adult, 5-10=child
Give meds separately, flush between
topical meds - Answer Dermatologic: lotions, patches, spray, powder, transdermal
Wear gloves when applying creams
Cotton balls for lotions
Powder: use caution not to shake and inhale
No estrogen patches on breasts
Remove old patch, replace and rotate
eye administration - Answer Wear gloves and make sure eye med
Place in lower conjunctival sac
Place pressure over inner canthus to prevent systemic absorption
Allow to absorb before rubbing
Eye irrigation: flushing with water
ear meds - Answer Ear drops: temperature
Wait 5 mins before changing sides
Massage tragus to encourage movement of medicine
Cotton ball
Irrigation
nasal meds - Answer Gloves
Kleenex
Fowlers, sitting, head up and tilted back
Depress bottle/dropper to administer
Hold position for a few minutes
, Provide Kleenex
vaginal meds - Answer Gloves and hand hygiene,
Creams, foams, tablets,
Vaginal applicator
Remain supine for 5 10 mins to absorb
Peri pad
rectal meds - Answer Suppositories and enema
Use index finger to insert 3 4 inches
Lubrication
Encourage to remain on side for 5 or greater
minutes
Retain as directed
asthma meds - Answer Read instructions for appliance
Add spacer, prn
Shake med if needed
WANT to inhale, not swallow
Administer with intake of breath
Place 1 2 inches from open mouth
If steroid, rinse mouth after med
injections - Answer IM, SQ, IV, ID
Assess site, do not bounce or hesitate
Use safety features of needle/syringe
syringes and needles - Answer Parts of the syringe- tip, barrel, plunger
-Luer lock (screw on) or non luer lock