Comprehensive Nursing Pharmacology and Medication Administration Examination: Six Rights Compliance, Three Label Verification Checks, Drug Dosage Calculations, Enteral and Parenteral Routes, Tablet and Capsule Administration, Liquid Medication Accuracy, N

Comprehensive Nursing Pharmacology and Medication Administration Examination: Six Rights Compliance, Three Label Verification Checks, Drug Dosage Calculations, Enteral and Parenteral Routes, Tablet and Capsule Administration, Liquid Medication Accuracy, NG Tube Verification Techniques, Percutaneous and Inhalation Therapy, Sublingual and Buccal Absorption, Insulin Mixing Protocols, Syringe and Needle Selection, Gauge and Length Determination, Intradermal Subcutaneous and Intramuscular Injections, Ventrogluteal Vastus Lateralis and Deltoid Sites, Z-Track Technique, Drip Rate Calculations, Unit Dose Administration of tablets, pills, and capsules 1. follow 6 rights 2. perform 3 label checks 3. follow standard precautions (prevent spread of microorganisms) 4. perform hand hygiene 5. using unit-dose package: place unopened medication package in medicine cup (prevent errors) 6. using multi dose bottle: pour tablet without touching it into cap of bottle (prevent contamination) 7. pour tablet from cap into medicine cup 8. use separate cup for medication label it 9. break medication in half if needed. discard or put back in original container 10. difficulty swallowing: use a -mortar and pestle -pill crushing device *mix with applesauce, yogurt, or other soft food (small amount) 11. return appropriate time to assess pt response to medication . 3 label checks of medication administration 1. check when taking medication from where it has been stored 2. check label before removing medication from the container 3. check label before discarding or replacing the medication container and before giving the medication to the patient. drug dosage schedule of administration -amount and frequency healthcare provider order -drug name -dosage -route of administration dose=single administration (100mg: one capsule) Ex. Give 100 mg Dilantin PO tid NG tube placement check Method A: attach a piston or aspeto syringe to end of NG tube. pull plunger back or release suction bulb to aspirate stomach contents. If seen , instill 10-20ml of water to clear tube Method B: push 10 ml of air through NG tube with syringe. rush of air is heard through stethoscope Method C: Litmus test. Measure pH with color coded paper. Enteral administration 1. powders 2. pills 3. tablets (scored, enteric coated, capsules, lozenges, or troches) 4. liquids and suspensions 5. suppositories pills, tablets and capsules: enter GI and are absorbed more slowly into the bloodstream. slow absorption makes it safer -enteric coated -long acting -capsules -slow release *prevent stomach irritation, or may get destroyed by gastric acids. -extended release, sustained release, XL, SR or CD Routes of Administration al teral taneous 6 rights of medication administration 1. patient 2. medication 3. dose 4. time 5. route