Term
| Routes of administration: |
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Definition
| oral, parental, topical, inhalation,intraocular, |
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Definition
| rapid action – good vascular supply. Give nothing to drink until drug is dissolved. Place under tongue, do not swallow. Give this drug last. |
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Definition
| place against mucous membranes of cheek – don’t chew or swallow until dissolved. To be given last. |
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Definition
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Definition
| into dermis below epidermis. Very potent, give in small doses (TB test) |
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Definition
| into subcutaneous or adipose or fatty tissue. Sub-Q tissue has lesser blood supply than the body muscles – slower drug absorption (insulin, heparin) |
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Definition
| into the muscle – absorbed more quickly than Sub-Q because of the greater blood supply (rapid absorption) |
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Definition
| into the vein THE MOST rapid absorption – preferred over injections |
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Definition
| epidural, intrathecal, intraosseous, intraperintoneal, intra-arterial, intracardiac, intraarticular |
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Definition
| subarachnoid space or in ventricle of brain |
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Definition
| in bone marrow (used w/ infants and toddlers w/ poor venous access) |
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Definition
| in peritoneal cavity (chemo, dialysis) |
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Definition
| given directly into arteries |
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Definition
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Definition
| directly into the joint (cortisone injection) |
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Definition
| skin and mucous membrane, suppository, instilled fluid, irrigating |
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Term
| Skin and mucous membrane – |
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Definition
| applied for local effects – creams, ointments over affected areas. Also given for systemic effects – patch – wear gloves and write date/time on patch. |
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Term
| Inserting a med into a body cavity |
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Definition
| (placing suppository into vagina/rectum) |
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Term
| Instilling fluid into body cavity (ear, nose drops, bladder/rectal – fluid is retained) |
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Definition
| (ear, nose drops, bladder/rectal – fluid is retained) |
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Definition
| (flushing eye, ear, vagina, bladder or rectum – fluid is NOT retained) |
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Term
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Definition
| local effect but have the potential for dangerous systemic side effects |
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Term
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Definition
| Soft, contact-like disk w/ layers filled w/ medication is placed into the eye. |
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Term
| The Joint Commission guidelines on adminstering meds – |
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Definition
| only medication needed to treat the condition are ordered. Must be documented diagnosis, condition, or indication for each medication that is ordered |
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Definition
| Physician, nurse practitioner, physician’s assistant |
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Term
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Definition
| verbal, standing or routine, single, STAT, NOW |
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Definition
| write complete order, enter it into computer, read it back & receive confirmation |
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Definition
| Directly talking to MD and Given by phone call |
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Term
| How to document verbal orders |
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Definition
| date/ time; Medication order, name of med, dose of med, route of med, time of med; type of order; Prescriber’s name – should sign w/in 24 hours; Nurse’s name/title |
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Term
| Standing orders or Routine Medication Orders – |
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Definition
| to be administered over certain number of days then stopped. |
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Term
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Definition
| as needed, need to know WHY (prn pain/prn itching) & WHEN given – ex: Tylenol #3 1-2 tabs po q4-63 hrs prn pain |
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Definition
| Ex. Initial dose, pre-operative medication |
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Definition
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Definition
| Must be given w/in 90 minutes |
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Definition
| stock supply, unit dose, ADS |
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Definition
| large quantities of numerous meds – high rate of medication error |
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Definition
| portable carts w/ drawers – designed to reduce medication errors |
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Term
| Automated medicine Dispensing System – |
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Definition
| delivery and control of narcotics, records the medication date, time, quantity & charges to the patient |
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Term
| Nurses administer meds _________&_______________ |
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Definition
| correctly & monitors effects |
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Term
| Nurses assess the client’s ability _________________ |
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Definition
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| Nurses assist with_____________scheduling of meds |
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Definition
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Term
| Nurses perform accurate assessments prior to_____________________. |
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Definition
| med admin (checks VS, K+, blood glucose…) |
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| Nurses provide____________&_________ education |
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Definition
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Term
| Nurses use the nursing process to integrate medication therapy into ____________. |
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Definition
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Term
| DON’T LET PEOPLE INTERRUPT YOU IN THE PROCESS OF |
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Definition
| ADMINISTERING MEDICATIONS! |
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Term
| The 6 RIGHTS medication administration |
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Definition
| rt med, rt dose, rt patient, rt route, rt time, rt documentation |
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Term
| 1. Right Medication – check 3 times |
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Definition
| Before removing med from drawer; As med is removed from container; Before closing the drawer |
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Term
| 2. Right Dose – perform calculations check 3 times |
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Definition
| Measure meds accurately; Score/crush tabs if needed |
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Term
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Definition
| ask Pt to state name and DOB (tell them it’s routine to ensure safety/ check allergies) |
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| 4. Right Route – Prepare med appropriately – check 3 times |
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Definition
| Injection – using sterile technique; Oral med – using aseptic technique |
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Term
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Definition
| can they have it yet? Have they had it? Count time frames |
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| NEVER leave med____________or _______________ |
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Definition
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Term
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Definition
| document med on MAR after it has been given – document on COW prior to giving med as a safety check – always complete the sending process using the COW prior to medication administration |
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Definition
| take med – may need to check some pt’s mouth. |
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Term
| ask patients if there are any ____________________ |
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Definition
| other substances, supplements, OTC products they are taking |
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| Set priorities – give___________ 1st |
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Definition
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Definition
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| HIGH ALERT MEDICATIONS: must do checks!!!!! |
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Definition
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Definition
| potassium & pediatric doses |
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Definition
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Definition
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Definition
| heparin/fractionated heparin/other anticoagulants |
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Definition
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| Prior to Giving Med thru NG tube: |
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Definition
| check pH, assess gastric residual in stomach |
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Term
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Definition
| one at a time and dilute w/ 10ml of water |
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Term
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Definition
| Always flush w/ 15 – 30 mL warm water b/w each med |
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| after giving ALL meds w/ NG tube |
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Definition
| flush tube once more with 30 – 60 mL warm water |
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Term
| W/ NG tube elevate patient’s head for _________ |
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Definition
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Definition
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| For sublingual administered meds: |
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Definition
| have pt place med under tongue and allow it to dissolve completely – do not swallow tab |
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Term
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Definition
| have pt place med in mouth against cheek until dissolves – avoid liquids until dissolved- behind last molars |
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Term
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Definition
| mix w/ liquids at bedside and give to pt to drink |
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Term
| Give effervescent powders and tabs |
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Definition
| immediately after dissolving |
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Term
| For highly acidic meds (aspirin), offer client |
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Definition
| nonfat snack (crackers) if not contraindicated by client’s condition. |
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Term
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Definition
| assist pt to supine position and position head properly-Support pt’s head w/ non-dominant hand; Instruct pt to breathe through mouth; Hold dropper 1 cm above nares and instill prescribed number of drops toward midline of ethmoid bone; Have pt remain in supine position 5 minutes; Offer facial tissue to blot runny nose, nut caution pt against blowing nose for several min |
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Term
| For access to posterior pharynx |
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Definition
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Term
| For access to ethmoid/sphenoid sinus |
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Definition
| tilt head back over edge of bed or place small pillow under pt’s shoulder and tilt head back |
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Term
| For access to frontal/maxillary sinus; |
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Definition
| tilt head back over edge of bed w/ head turned toward sided to be treated |
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Term
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Definition
| Place client in side-lying position with ear to be treated facing up; Straighten ear canal by: adult – pull up and back/ baby – pull ear down & back; Instill prescribed drops holding dropper 1 cm above ear canal; Ask client to remain in side-lying position 2 – 3 min. apply gentle massage or pressure to tragus of ear w/ finger unless contraindicated due to pain.; If cotton ball is needed, place cotton ball into outermost part of canal. Do not press cotton deep into canal. Remove cotton 15 min later. |
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Term
| Administer ear irrigation: |
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Definition
| Assess the tympanic membrane or review medical record for history of eardrum perforation, which contraindicates ear irrigation; Assist client in assuming sitting or lying position with head tilted or turned toward affected ear. Place towel under client’s head & shoulder, and have client hold kidney-shaped basin under affected ear.; Fill irrigating syringe with solution (appx 50 mL); Gently grasp auricle, straighten ear canal by pulling it down and back (children) or upward and outward (children 4 - adult); Slowly instill irrigating solution by holding tip of syringe 1cm above opening of ear canal. Allow fluid to drain out during instillation. Continue until canal is cleansed or all solution is used. |
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Term
| Administer vaginal suppository: |
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Definition
| Remove suppository from foil wrapper and apply liberal amt of sterile water-based lubricating jelly to the rounded end. Lubricate gloved index finger of dominant hand.; With non-dominant gloved hand, expose vaginal orifice by gently retracting labial folds.; With dominant gloved hand, gently insert rounded end along posterior wall of vaginal canal entire length of finger to ensure equal distribution of medication along walls of vaginal cavity.; Withdraw finger, and wipe away remaining lube. |
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Term
| Administer cream or foam: |
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Definition
| Fill cream or foam applicator following directions on pkg.; With non-dominant gloved hand, expose vaginal orifice by gently retracting labial folds; With dominant gloved hand, insert applicator appx 5 – 7.5 cm (2 – 3 in) push applicator plunger to deposit med into vagina to all equal distribution of med.; Withdraw applicator and place on paper towel. Wipe off residual cream.Dispose of supplies, remove gloves, and perform hand hygiene.Instruct client to remain on back for at least 10 min to allow med to be distributed and absorbed evenly throughout vaginal cavity and not lost thru orifice. Document med administration on MAR. Offer client perineal pad when she resumes ambulation. Evaluate client’s response to med and inspect appearance of discharge of vaginal canal and condition of external genitalia between applications. |
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Term
| Administering rectal medications |
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Definition
| Put on clean gloves; Assist client to Sims’ position. Keep client draped with only anal area exposed. Be sure there is adequate lighting to visualize anus. Examine condition of anus externally and palpate rectal walls as needed. Dispose of gloves if soiled. Apply new pair of clean gloves. Remove suppository from wrapper and lubricate rounded end. Lubricate index finger of dominant hand. Ask client to take slow deep breaths thru mouth and relax anal sphincter. Retract buttocks with non-dominant hand, insert suppository gently thru anus, past internal sphincter and against rectal wall, 10 cm (4 in) in adults, 5 cm (2 in) in children and infants. Apply gentle pressure to hold buttocks together if needed to keep med in place. Withdraw finger, and wipe anal area with tissue. Dispose of supplies, remove gloves and perform hand hygiene. Ask client to remain flat or on side for at least 5 min to prevent expulsion of suppository. If suppository contains laxative or fecal softener, place call light within reach. Document med administration on MAR. Observe for effects of suppository at times that correlate with the med onset, peak and duration. |
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Term
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Definition
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Definition
| Scars and damaged adipose tiussue |
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Definition
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| A student nurse ___________ take a verbal order. |
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Definition
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| Always check blood glucose level _______ to giving insulin |
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Definition
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Term
| Medication reconciliation |
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Definition
| verify, clarify, recocile, transmit |
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| ______ do not handle med orders |
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Definition
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Term
| Nursing Diagnosis related to med admin |
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Definition
| knowledge deficit, non-compliance |
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Term
| PINCH + drugs are high risk. Never give in ___________ IV |
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Definition
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Term
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Definition
| wear gloves, clean skin bf and af, label patch |
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Term
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Definition
| wait 10-15 min bt different eye drop meds |
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Term
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Definition
| up for adults/ down for kids |
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Term
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Definition
| 30 bf/ af is too short. Greater risk of errors |
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Term
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Definition
| unwitnessed wasting is a violation of NPAs. Can be arrested by DHEC. Dispose of narcotics immediately! |
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