HESI PHARMACOLOGY FINAL EXAM

What are the 5 rights of medication administration? - Right Patient Right Drug Right Route Right Time Right Dose How do you safely prepare medication? - Have good lighting & work alone. Check medication label 3 times (When you grab the medication, Before dispensing medication, & When you replace medication.) Don't use anything without a label. Bottles with bad labels need to be returned to the pharmacy. Never transfer medication into another bottle. Check expiration date. Inspect & throw away decomposing medications. How would you administer medication via IM? - Injecting at 90° using the Z-Track method. How would you administer medication via IV? - Assess for allergies. Assess the IV site for complications. Clean the port closest to the IV site with alcohol swab. Administer medication. How would you administer medication via SubQ? - Injecting 45° (Skinny Patient) or 90° (Average Patient) into the fatty tissue. How would you administer medication via oral route? - Assist the patient into an upright or side lying position. Ask patient if they would like the medications in his/her hand or in the cup. Offer water. Remain with the patient until each medication is swallowed. Never leave the patient's bedside. How would you instill ear medications? - Warm the medication to prep it before entering the patient's room. Clean any ear drainage. Place the patient on his/her unaffected side or have the patient sit up with head titled to the unaffected side. Straighten the ear canal by pulling up & back for adults or down & back for children. Administer the medication and allow the drops to fall on the side of the canal. Avoid instilling in the middle of the canal or the tympanic membrane. Instruct patient to remain in this position for 5 minutes. Gently press on the tragus to facilitate the medication to travel towards the tympanic membrane. If ordered loosely place a cotton ball into the ear canal.