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Administering Medication

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Administration of Medications

The safe and accurate administration of medication is one of the major responsibility of a nurse. The nurse should understand drug action, its side effects, and administer drugs safely .

A drug or medication is a substance used for diagnosis, treatment, cure or prevention of disease .

Every drug has got a chemical name or pharmacological name and trade name , or different trade names by different companies .

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Routes of Administration

The route of a drug depends on its properties, desired effect, and the patients physical and mental condition.

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Routes of Administration

Oral routes: a. Oral administration. b. Sublingual administration. Parenteral routes: a. Subcutaneous. b. intradermal. c. Intramuscularly. d. intravenous. Topical administration: in this , drugs are applied to the

skin and mucous membrane . Inhalation. Rectal route- suppositories. Vaginal route- suppositories.

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Medication Order The drug order, written by the physician, it has

7 essential parts for administration of drugs safely. the nurse should know how to read a drug order.

It should have the following components: 1- Patients full name. 2- Date. 3- Drug name. 4- Dosage. 5- Route of administration. 6- Time and frequency of administration. 7- Signature of physician.

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five Rights of Medication Administration

1. Right drug.2. Right dose.3. Right patient. 4. Right route. 5. Right time.

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Right Drug

When the drug are first ordered , the nurse compare the prepared medication card with the physician written orders.

When administering drug , the nurse should compare the label of the drug three times .

The nurse should never prepare medication from unlabelled containers.

Do not accept verbal orders. Be sure about the changing of orders.

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Right Dose

Carefully read physicians order. Check age and weight of the patient. Calculate the dose correctly. Do not spill medication.

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Right Patient

Medication should be given to the right patient after identifying him .

Call the patient by his name .

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Right Route

Orally. Rectally. Vaginally. Intravenous( I.V) Intramuscular ( I.M) Intradermal ( I.D) Sublingual ( S.L) Subcutaneous (SC) Application. Inhalation.

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Right Time

BID (twice daily)

TID (three times a day)

QID (four times a day)

E.O.D ( every other day)

Stat ( once and stop )

PRN (when necessary)

ABT (at bed time)

AM (at morning)

P.M (at night)

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THE ROLE OF THE NURSE IN THE PHARMACEUTICAL SERVICES

Provide the drug. Make sure there is enough stock of the drugs

in the drug cabin. Check the expiry dates of the drugs. Supply with the dangerous drugs. Drug storage . Drug preparation . Has to know the units and subunits of drugs.

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Contraindications for Oral Drug Administration

In case of nausea and vomiting. Unconscious patient. In case of orally surgery. When the drugs are destroyed in the stomach

by the action of digestive juice. e.g insulin, adrenalin .

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Common Abbreviations Used in Drug Administration

AM morning PM afternoon OD daily Qh every hour BID twice a day PRN when required Stat at once TID three times daily Comp compound FL fluid Liq liquid Syr syrup Tap tablets Cap capsule

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Medicines Measurements

Volume unit Weight unit

Equivalent Code Unit Equivalent Code Unit

L 0.001 MI Milliliter 0.000001g Mcg Microgram

L 0.01 CI Centiliter 0.001g Mg Milligram

L 0.1 DL Deciliter 1g G Gram

L 1 L Liter g1000 Kg Kilogram

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NURSING ROLE WHEN DEALING WITH DRUGS

RIGHT DRUG: make sure that you are giving the right drug which is prescribed by the doctor by double checking from the pts file.

RIGHT DOSE: make sure that you are giving the right dose by making correct calculation for the dose prescribed by the doctor.

RIGHT PATIENT: make sure of patients name by asking him about his name and compare it to the name on medication sheet.

RIGHT ROUT: make sure you will give the drug in the right way , rout of administering drugs .

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NURSING ROLE TOWARD THE PATIENT WHEN GIVING THE DRUG

Make sure that patient took the medication . Watch for drug side effects. Make sure that nurse has no infectious

diseases. Pharmaceutical education to himself.

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THE ROLE OF THE NURSE TOWARD HIMSELF WHEN DEALING WITH

MEDICATION

Use the protective measurements when preparing some dangerous drugs.

Take care when giving injections. Follow the safety measures when dealing with

patients with infectious diseases.