This document discusses various aspects of medication including definitions, purposes, uses, classifications, forms, routes of administration, orders, and effects. A medication is a substance used for diagnosis, treatment, or prevention of disease. Drugs can be used for diagnostic, prophylactic, or therapeutic purposes. Medications are classified based on their target body system, use, disease treated, or effect. Proper storage, administration according to the 6 rights, and documentation are important. Medication orders should include patient name, drug, dosage, route, time, and prescriber signature.
Drug administration is an important but dangerous duty for medical assistants. They must understand pharmacology principles, fundamentals of administration including various routes, dosage calculations, and the seven rights of medication administration. When preparing to administer a drug, medical assistants must pay close attention to dose, route, form and follow rules like preparing in a well-lit area, properly identifying the patient, having the physician in office, observing the patient after, and documenting properly. Special considerations must be made for pediatric, pregnant, breastfeeding and elderly patients due to alterations in drug metabolism and absorption. Proper documentation of drug administration in the patient's chart is also essential.
This document discusses key concepts related to safe medication administration in nursing. It defines key terms and outlines learning objectives. The document covers medication names, classifications, routes of administration, principles of drug action, and factors affecting drug safety. It also discusses medication orders, prescriptions, calculations, and legal aspects of medication administration. The goal is to develop knowledge around safe and effective medication practices in nursing.
1. A bed bath cleanses the skin and helps keep patients comfortable and free from infection. It is important for personal hygiene and stimulates circulation.
2. Proper bed bath procedure involves explaining the process to the patient, gathering supplies, washing from head to toe using clean water and washing between areas, and ensuring privacy is maintained.
3. A complete bed bath washes the entire body while a partial bed bath focuses on key areas like the face, underarms, and genitals. Proper technique is important for patient comfort and dignity.
This document discusses oral administration of medications. It provides information on drug definitions, prescription orders, generic and trade names, legal aspects, routes of administration, parts of a medication order, and the procedure for administering oral medications. It also discusses nursing process considerations like assessment, diagnoses, planning, implementation, and evaluation related to medication administration. Key steps in the procedure include preparing medications, identifying the patient, explaining the purpose and effects, administering with fluids, recording administration, and monitoring the patient.
An enema is the introduction of fluid into the lower bowel through the rectum to cleanse or administer medication. There are several types of enemas that serve different purposes such as treating constipation, softening stool, administering medication, or nourishing patients. The document outlines various enema solutions used, including soap and water, oil, glycerin, and medications. It also describes procedures for administering different types of enemas and important safety considerations.
This document provides information on oral hygiene procedures. It defines oral hygiene as cleaning the teeth and oral cavity to prevent disease spread and increase patient comfort. Good oral hygiene includes daily stimulation of gums and brushing teeth. The purposes of oral hygiene are to maintain oral health and relieve discomfort. It should be performed for patients who are seriously ill, have infections, or are unconscious. The procedure involves using various tools to clean the mouth depending on the patient's consciousness. Complications from neglected mouth care can include local issues like halitosis or stomatitis as well as general infections.
The document provides guidelines for administering oral medications. It states that hand hygiene and patient identification are the first steps. Medications should be measured accurately using proper devices and not mixed together or returned to containers. If a patient vomits after administration, the nurse should identify the medication and notify the physician before re-administering. Crushing enteric coated medications is not recommended.
The document discusses the nursing process, which includes assessment, nursing diagnosis, planning, implementation, and evaluation. It describes each component in detail. Assessment involves collecting client data through various methods. Nursing diagnosis identifies client problems based on the assessment. Planning establishes goals and interventions. Implementation carries out the planned interventions. Evaluation assesses client progress and intervention effectiveness. The nursing process is a systematic approach to providing individualized care.
Drug administration is an important but dangerous duty for medical assistants. They must understand pharmacology principles, fundamentals of administration including various routes, dosage calculations, and the seven rights of medication administration. When preparing to administer a drug, medical assistants must pay close attention to dose, route, form and follow rules like preparing in a well-lit area, properly identifying the patient, having the physician in office, observing the patient after, and documenting properly. Special considerations must be made for pediatric, pregnant, breastfeeding and elderly patients due to alterations in drug metabolism and absorption. Proper documentation of drug administration in the patient's chart is also essential.
This document discusses key concepts related to safe medication administration in nursing. It defines key terms and outlines learning objectives. The document covers medication names, classifications, routes of administration, principles of drug action, and factors affecting drug safety. It also discusses medication orders, prescriptions, calculations, and legal aspects of medication administration. The goal is to develop knowledge around safe and effective medication practices in nursing.
1. A bed bath cleanses the skin and helps keep patients comfortable and free from infection. It is important for personal hygiene and stimulates circulation.
2. Proper bed bath procedure involves explaining the process to the patient, gathering supplies, washing from head to toe using clean water and washing between areas, and ensuring privacy is maintained.
3. A complete bed bath washes the entire body while a partial bed bath focuses on key areas like the face, underarms, and genitals. Proper technique is important for patient comfort and dignity.
This document discusses oral administration of medications. It provides information on drug definitions, prescription orders, generic and trade names, legal aspects, routes of administration, parts of a medication order, and the procedure for administering oral medications. It also discusses nursing process considerations like assessment, diagnoses, planning, implementation, and evaluation related to medication administration. Key steps in the procedure include preparing medications, identifying the patient, explaining the purpose and effects, administering with fluids, recording administration, and monitoring the patient.
An enema is the introduction of fluid into the lower bowel through the rectum to cleanse or administer medication. There are several types of enemas that serve different purposes such as treating constipation, softening stool, administering medication, or nourishing patients. The document outlines various enema solutions used, including soap and water, oil, glycerin, and medications. It also describes procedures for administering different types of enemas and important safety considerations.
This document provides information on oral hygiene procedures. It defines oral hygiene as cleaning the teeth and oral cavity to prevent disease spread and increase patient comfort. Good oral hygiene includes daily stimulation of gums and brushing teeth. The purposes of oral hygiene are to maintain oral health and relieve discomfort. It should be performed for patients who are seriously ill, have infections, or are unconscious. The procedure involves using various tools to clean the mouth depending on the patient's consciousness. Complications from neglected mouth care can include local issues like halitosis or stomatitis as well as general infections.
The document provides guidelines for administering oral medications. It states that hand hygiene and patient identification are the first steps. Medications should be measured accurately using proper devices and not mixed together or returned to containers. If a patient vomits after administration, the nurse should identify the medication and notify the physician before re-administering. Crushing enteric coated medications is not recommended.
The document discusses the nursing process, which includes assessment, nursing diagnosis, planning, implementation, and evaluation. It describes each component in detail. Assessment involves collecting client data through various methods. Nursing diagnosis identifies client problems based on the assessment. Planning establishes goals and interventions. Implementation carries out the planned interventions. Evaluation assesses client progress and intervention effectiveness. The nursing process is a systematic approach to providing individualized care.
This document provides information on oxygen administration including definitions, sources, purposes, indications, precautions, equipment, and methods. It defines oxygen administration as supplementing oxygen at a higher concentration than atmospheric air. Therapeutic oxygen sources are wall outlets and cylinders. Oxygen is administered through masks or nasal cannulas to treat conditions like respiratory distress and hypoxia. Precautions include avoiding sparks and open flames near cylinders. The two main methods described are mask administration and nasal cannula administration, including equipment requirements and step-by-step procedures.
This document provides guidance on bed bath procedures for patients. It discusses the purposes of bathing patients, which include cleaning the skin, promoting blood circulation, refreshing the patient, preventing bacteria spreading, and more. It outlines key principles such as maintaining privacy, safety, and cleanliness. It describes different types of baths including cleaning baths (shower/tub baths and complete bed baths) and therapeutic baths. The document provides detailed steps for performing a complete bed bath, including preparing supplies, positioning the patient, washing each body part, and documenting the process. It emphasizes cleanliness, safety, and patient comfort throughout bathing.
1. Oral administration is the process of delivering drugs by mouth through the alimentary tract, which can be done in either liquid or solid form sublingually or buccally.
2. The nurse must check for allergies, follow the rights of medication administration, and check for any issues before or after food. Proper preparation, administration technique, and monitoring of the patient is required.
3. Precautions include contamination prevention, following instructions specific to each drug, and ensuring the patient swallows and the medication effects are evaluated.
The document discusses the "Ten Rights" of medication administration that nurses must follow to ensure patient safety. The ten rights are: 1) Right patient, 2) Right drug, 3) Right dose, 4) Right time, 5) Right method, 6) Right patient education, 7) Right documentation, 8) Right to refuse, 9) Right assessment, and 10) Right evaluation. Each right is described in detail with examples of how to properly identify the patient, drug, dose, timing, administration method, educate the patient, document, allow refusal, assess need and evaluate effectiveness.
The document discusses drug administration including defining it, listing routes of administration, and outlining the rights to ensure proper administration. It covers oral, parenteral, and other routes. Parenteral routes discussed in detail include intramuscular, subcutaneous, and intravenous injections. The document emphasizes the importance of assessing the patient, medication order, and documenting properly to administer drugs safely and effectively.
Nurses are primarily involved in the administration of medication across various settings. Nurses are also involved in both dispensing and preparation of medication. Research on medical administration errors (MAEs) shows an error rate of 60%, 34 mainly in the form of wrong time, wrong rate, or wrong dose.
There are many ways to prevent medication errors and one way of which is understanding the 10 “rights” of drug administration:
This document describes 10 different positions used for patients: supine, prone, lateral, lithotomy, dorsal recumbent, Fowler's, Sims, Trendelenburg, knee-chest, and orthopneic. Each position is defined, with its purposes, indications, and procedures explained in 1-2 sentences. The positions are used for examinations, procedures, postoperative care, and to promote patient comfort and physiological functions. Proper positioning requires explaining the procedure to the patient, ensuring comfort and safety, and placing pillows or other supports as needed.
1. Intravenous therapy involves administering fluids directly into the bloodstream through a catheter or needle inserted into a peripheral vein to replace water, electrolytes, and nutrients.
2. IV therapy is used for patients unable to take oral intake, to rapidly replace fluids and nutrients, for unconscious patients, and during surgery or shock.
3. Solutions administered intravenously can be hypertonic, hypotonic, or isotonic depending on their electrolyte concentration relative to body fluids. The most commonly used solutions, like normal saline and lactated Ringer's, are isotonic.
Bed-making is the act of arranging the bedsheets and other bedding on a bed, to prepare it for use. It is a household chore, but is also performed in establishments including hospitals, hotels, and military or educational residences. Bed-making is also a common childhood chore.
The document discusses preoperative, intraoperative, and postoperative nursing care. It outlines the three phases of operative nursing care which include preoperative, intraoperative, and postoperative phases. In the preoperative phase, nurses provide education to patients, assess patients' knowledge, and prepare patients physically and psychologically for surgery. Key aspects of preoperative nursing care are also discussed such as preoperative assessment, tests, and medications. The roles and responsibilities of nurses in the intraoperative phase are summarized as monitoring patients, ensuring sterility, documenting care, and safely positioning patients for surgery.
This document discusses the nursing diagnosis process. It begins by introducing nursing diagnosis as the second phase of the nursing process and a pivotal step. It then discusses NANDA's role in developing standardized nursing diagnoses and taxonomy. The document outlines the 13 domains of nursing diagnosis and characteristics such as being clear, evidence-based, and amenable to nursing intervention. It describes different types of diagnoses and provides examples. Finally, it discusses formulating diagnostic statements, including one, two and three part statements, and qualities of accurate diagnostic statements.
The document discusses health assessment, which involves a nurse collecting and analyzing client data through interaction to establish a health baseline and identify any health issues or risks. The purposes are to understand a client's normal health and any current problems, determine necessary treatment, and get a holistic view of their health. Key terms like diagnosis, prognosis, and subjective/objective symptoms are defined. Health history collection involves biographic data, chief complaints, medical history, family history, and psycho-social factors.
Back care consists of cleaning and massaging back (from shoulder to lower level of the buttocks) by using scientific form of required strokes for maximizing cutaneous stimulation, comfort and emotional relaxation as well.
The document outlines the 10 rights of medication administration that nurses must follow to safely administer medications to patients. These include always verifying the patient's identity, medication, dosage, and route before administering and documenting properly after administering. Nurses must also inform patients and their representatives about the medication and obtain consent when possible.
This document discusses the process for discharging a patient from the hospital. It involves coordination between the medical staff, patient, and family to plan for the patient's care after leaving the hospital. The nurse is responsible for ensuring the patient is ready for discharge and that they receive instructions for medications, diet, follow-up care, and any other needs. Discharge planning involves teaching the patient and family to care for the patient at home as well as documenting the discharge instructions and type of discharge.
This document discusses nasogastric tube feeding and its nursing management. It begins by introducing NG tube feeding and its purposes, which include providing nourishment to patients who cannot feed themselves or be fed orally. It then covers indications for NG tube feeding, the necessary equipment, assessment steps, the procedure including feeding administration and aftercare, and complications to watch for. It also discusses gastrostomy and jejunostomy tube feeding procedures and their differences from NG tube feeding.
This document discusses medical and surgical aseptic practices and isolation techniques. It defines key terms like asepsis, antisepsis, pathogenic organisms, and sterilization. It also covers the principles of surgical asepsis including maintaining a sterile field, proper gowning and gloving. Methods of preventing and controlling infections are outlined like hand hygiene, disinfecting surfaces, and sterilization techniques.
This document discusses guidelines for the administration of oral medication by nurses. It provides abbreviations used for medication timing, classifications of drugs by action, abbreviations for drug preparation and amounts, formulas for calculating pediatric dosages, safety measures like the six rights, and the nurse's responsibilities and procedure for administration. The key aspects are ensuring correct patient, drug, dose, time and documentation according to orders and assessing for any reactions after administration.
This document provides information on the nurse's role and responsibilities regarding the use of restraints. It defines restraints and outlines general principles, indications, types, risks, and guidelines for their use. The nurse's role includes obtaining a doctor's order, monitoring the restrained patient every 15 minutes, documenting checks every 2 hours, and considering the earliest removal of restraints. Alternatives to restraints should always be tried first to reduce risk of harm.
Positioning involves placing a patient in specific body alignments to promote health and allow for medical interventions. Some key reasons for positioning include providing comfort, relieving pressure on body parts, improving circulation, preventing deformities, and enabling examinations and treatments. Common positions include supine, prone, lateral, lithotomy and Fowler's positions, each having distinct uses and safety considerations. Positioning requires ensuring patient comfort and safety by using supportive devices and regularly adjusting alignment to prevent pressure injuries.
Medication Administration
Policy & Process
Medication Administration
Policy & Process
Medication Administration
Policy & Process
Medication Administration
Policy & Process
It is made by me and I added all the topic whatever are necessary in the drugs administration. It will be very usefull for you all so kindly utility this knowledge and improve your knowledge about the drug administration and I hope you will not face any problem in this slide
This document provides information on oxygen administration including definitions, sources, purposes, indications, precautions, equipment, and methods. It defines oxygen administration as supplementing oxygen at a higher concentration than atmospheric air. Therapeutic oxygen sources are wall outlets and cylinders. Oxygen is administered through masks or nasal cannulas to treat conditions like respiratory distress and hypoxia. Precautions include avoiding sparks and open flames near cylinders. The two main methods described are mask administration and nasal cannula administration, including equipment requirements and step-by-step procedures.
This document provides guidance on bed bath procedures for patients. It discusses the purposes of bathing patients, which include cleaning the skin, promoting blood circulation, refreshing the patient, preventing bacteria spreading, and more. It outlines key principles such as maintaining privacy, safety, and cleanliness. It describes different types of baths including cleaning baths (shower/tub baths and complete bed baths) and therapeutic baths. The document provides detailed steps for performing a complete bed bath, including preparing supplies, positioning the patient, washing each body part, and documenting the process. It emphasizes cleanliness, safety, and patient comfort throughout bathing.
1. Oral administration is the process of delivering drugs by mouth through the alimentary tract, which can be done in either liquid or solid form sublingually or buccally.
2. The nurse must check for allergies, follow the rights of medication administration, and check for any issues before or after food. Proper preparation, administration technique, and monitoring of the patient is required.
3. Precautions include contamination prevention, following instructions specific to each drug, and ensuring the patient swallows and the medication effects are evaluated.
The document discusses the "Ten Rights" of medication administration that nurses must follow to ensure patient safety. The ten rights are: 1) Right patient, 2) Right drug, 3) Right dose, 4) Right time, 5) Right method, 6) Right patient education, 7) Right documentation, 8) Right to refuse, 9) Right assessment, and 10) Right evaluation. Each right is described in detail with examples of how to properly identify the patient, drug, dose, timing, administration method, educate the patient, document, allow refusal, assess need and evaluate effectiveness.
The document discusses drug administration including defining it, listing routes of administration, and outlining the rights to ensure proper administration. It covers oral, parenteral, and other routes. Parenteral routes discussed in detail include intramuscular, subcutaneous, and intravenous injections. The document emphasizes the importance of assessing the patient, medication order, and documenting properly to administer drugs safely and effectively.
Nurses are primarily involved in the administration of medication across various settings. Nurses are also involved in both dispensing and preparation of medication. Research on medical administration errors (MAEs) shows an error rate of 60%, 34 mainly in the form of wrong time, wrong rate, or wrong dose.
There are many ways to prevent medication errors and one way of which is understanding the 10 “rights” of drug administration:
This document describes 10 different positions used for patients: supine, prone, lateral, lithotomy, dorsal recumbent, Fowler's, Sims, Trendelenburg, knee-chest, and orthopneic. Each position is defined, with its purposes, indications, and procedures explained in 1-2 sentences. The positions are used for examinations, procedures, postoperative care, and to promote patient comfort and physiological functions. Proper positioning requires explaining the procedure to the patient, ensuring comfort and safety, and placing pillows or other supports as needed.
1. Intravenous therapy involves administering fluids directly into the bloodstream through a catheter or needle inserted into a peripheral vein to replace water, electrolytes, and nutrients.
2. IV therapy is used for patients unable to take oral intake, to rapidly replace fluids and nutrients, for unconscious patients, and during surgery or shock.
3. Solutions administered intravenously can be hypertonic, hypotonic, or isotonic depending on their electrolyte concentration relative to body fluids. The most commonly used solutions, like normal saline and lactated Ringer's, are isotonic.
Bed-making is the act of arranging the bedsheets and other bedding on a bed, to prepare it for use. It is a household chore, but is also performed in establishments including hospitals, hotels, and military or educational residences. Bed-making is also a common childhood chore.
The document discusses preoperative, intraoperative, and postoperative nursing care. It outlines the three phases of operative nursing care which include preoperative, intraoperative, and postoperative phases. In the preoperative phase, nurses provide education to patients, assess patients' knowledge, and prepare patients physically and psychologically for surgery. Key aspects of preoperative nursing care are also discussed such as preoperative assessment, tests, and medications. The roles and responsibilities of nurses in the intraoperative phase are summarized as monitoring patients, ensuring sterility, documenting care, and safely positioning patients for surgery.
This document discusses the nursing diagnosis process. It begins by introducing nursing diagnosis as the second phase of the nursing process and a pivotal step. It then discusses NANDA's role in developing standardized nursing diagnoses and taxonomy. The document outlines the 13 domains of nursing diagnosis and characteristics such as being clear, evidence-based, and amenable to nursing intervention. It describes different types of diagnoses and provides examples. Finally, it discusses formulating diagnostic statements, including one, two and three part statements, and qualities of accurate diagnostic statements.
The document discusses health assessment, which involves a nurse collecting and analyzing client data through interaction to establish a health baseline and identify any health issues or risks. The purposes are to understand a client's normal health and any current problems, determine necessary treatment, and get a holistic view of their health. Key terms like diagnosis, prognosis, and subjective/objective symptoms are defined. Health history collection involves biographic data, chief complaints, medical history, family history, and psycho-social factors.
Back care consists of cleaning and massaging back (from shoulder to lower level of the buttocks) by using scientific form of required strokes for maximizing cutaneous stimulation, comfort and emotional relaxation as well.
The document outlines the 10 rights of medication administration that nurses must follow to safely administer medications to patients. These include always verifying the patient's identity, medication, dosage, and route before administering and documenting properly after administering. Nurses must also inform patients and their representatives about the medication and obtain consent when possible.
This document discusses the process for discharging a patient from the hospital. It involves coordination between the medical staff, patient, and family to plan for the patient's care after leaving the hospital. The nurse is responsible for ensuring the patient is ready for discharge and that they receive instructions for medications, diet, follow-up care, and any other needs. Discharge planning involves teaching the patient and family to care for the patient at home as well as documenting the discharge instructions and type of discharge.
This document discusses nasogastric tube feeding and its nursing management. It begins by introducing NG tube feeding and its purposes, which include providing nourishment to patients who cannot feed themselves or be fed orally. It then covers indications for NG tube feeding, the necessary equipment, assessment steps, the procedure including feeding administration and aftercare, and complications to watch for. It also discusses gastrostomy and jejunostomy tube feeding procedures and their differences from NG tube feeding.
This document discusses medical and surgical aseptic practices and isolation techniques. It defines key terms like asepsis, antisepsis, pathogenic organisms, and sterilization. It also covers the principles of surgical asepsis including maintaining a sterile field, proper gowning and gloving. Methods of preventing and controlling infections are outlined like hand hygiene, disinfecting surfaces, and sterilization techniques.
This document discusses guidelines for the administration of oral medication by nurses. It provides abbreviations used for medication timing, classifications of drugs by action, abbreviations for drug preparation and amounts, formulas for calculating pediatric dosages, safety measures like the six rights, and the nurse's responsibilities and procedure for administration. The key aspects are ensuring correct patient, drug, dose, time and documentation according to orders and assessing for any reactions after administration.
This document provides information on the nurse's role and responsibilities regarding the use of restraints. It defines restraints and outlines general principles, indications, types, risks, and guidelines for their use. The nurse's role includes obtaining a doctor's order, monitoring the restrained patient every 15 minutes, documenting checks every 2 hours, and considering the earliest removal of restraints. Alternatives to restraints should always be tried first to reduce risk of harm.
Positioning involves placing a patient in specific body alignments to promote health and allow for medical interventions. Some key reasons for positioning include providing comfort, relieving pressure on body parts, improving circulation, preventing deformities, and enabling examinations and treatments. Common positions include supine, prone, lateral, lithotomy and Fowler's positions, each having distinct uses and safety considerations. Positioning requires ensuring patient comfort and safety by using supportive devices and regularly adjusting alignment to prevent pressure injuries.
Medication Administration
Policy & Process
Medication Administration
Policy & Process
Medication Administration
Policy & Process
Medication Administration
Policy & Process
It is made by me and I added all the topic whatever are necessary in the drugs administration. It will be very usefull for you all so kindly utility this knowledge and improve your knowledge about the drug administration and I hope you will not face any problem in this slide
INTRODUCTION TO CLINICAL PHARMACHOLOGY.PPTXcharan zagade
The document provides an introduction to clinical pharmacology, including definitions of key terms like medication, pharmacology, and prescription. It discusses the purposes of medication administration like diagnosis, prophylaxis, and treatment. It also outlines principles of safe medication administration, including the rights of medication administration and types of medication orders. Potential sources of medication errors are identified at different stages, from prescribing to dispensing to administration. Actions to take in the event of an error include stopping the drug, assessing the patient, notifying the physician, and filing an incident report.
This document discusses medication administration for nurses. It defines types of medication orders and responsibilities. It also lists and explains the six rights of administering medication and identifies dos and don'ts. Common abbreviations are identified. Considerations for medication administration are discussed and the importance of following proper technique is emphasized.
This document provides an overview of clinical pharmacology. It defines pharmacology as the science of drugs and their interaction within living systems. The document outlines the purposes of medication including diagnostic, prophylactic, and therapeutic uses. It discusses principles of safe medication administration including the rights of medication administration. The document also covers drug forms, routes of administration, storage and maintenance of drugs, and types of medication errors. It provides examples of different medication orders and emphasizes the importance of safety in administering medications.
Rational Use of Antibiotics and Prescription Writing.pptxLozaGetachew1
This document provides information on rational antibiotic use and prescription writing. It discusses the importance of rational antibiotic use given the crisis of antibiotic resistance. Factors contributing to inappropriate antibiotic use and strategies for antibiotic stewardship are described. The AWaRe classification for grouping antibiotics is introduced. Prescription writing guidelines are outlined, including the parts of a prescription, pediatric dosage calculations, and steps for writing prescriptions clearly and accurately.
The document outlines responsibilities and guidelines for the safe administration of medications by health care providers. It describes four responsibilities of providers including having up-to-date medication information, accurately assessing patient needs, skillfully delivering medications with documentation, and educating patients. It also lists the 10 rights of medication administration and provides guidelines for oral administration including checking the patient's identification and medication order, preparing and monitoring the dosage, and documenting the administration.
Form of drugs , patients right and route of drug administrationShipraMishra30
This document discusses various aspects of drug administration including:
1. Drug names can include the chemical, generic, official, and trade names.
2. Drugs come in many forms for different routes of administration such as tablets, capsules, solutions, and suppositories.
3. The rights of patients include receiving the right drug, dose, route, and information to ensure safe and effective treatment. Nurses must properly document and monitor patients during drug administration.
The document discusses various aspects of medication administration including principles, rights, storage, classification and types of medication orders. Key points include that there are 10 rights of medication administration to prevent errors including right patient, medication, dose, time and route. Medications should be stored properly in cool, dry places like cabinets or refrigerators. Classification can be based on the body system, therapeutic use, or effects on the body. Common types of medication orders are stat, single, PRN, and schedule orders.
This document discusses several key aspects of medication safety:
1. Medication errors are a major cause of preventable patient harm. Proper knowledge of pharmacology principles is important for safely administering and monitoring medications.
2. Several factors can contribute to medication errors, including lack of communication, assumptions, inadequate labeling, and lack of checking procedures. Errors can be prevented by developing safe habits like verifying medications and using memory aids.
3. Patients should be educated on their medication regimens and actively involved in their own care by maintaining accurate medication lists. Thorough medication histories are important to avoid unintended interactions or duplications.
Introduction to Medicines Administration.pptxMSJNX X NJ
1. Medication administration is a core nursing function that requires knowledge of drug names, classifications, effects and factors that influence drug action.
2. Nurses must have a valid medication order from a licensed practitioner before administering any drug and should verify that orders contain all required information.
3. Common types of medication orders include standing orders, PRN orders, single doses and stat doses.
4. To safely administer medications, nurses must follow the 5 rights (right patient, drug, dose, route and time) and perform 3 medication label checks. Documentation of administration is also important.
The document discusses the types of medication orders, the six rights of administering medication, routes of medication administration, important considerations when administering medication including dosage calculations and identifying the patient, common abbreviations used, and the importance of proper documentation. It emphasizes that nurses must understand pharmacology and drug administration fundamentals to safely administer medications.
The document discusses safe medication administration practices for nurses. It covers the nurse's legal responsibility to safely administer medications, the six rights of administration, types of medication prescriptions, tools to minimize medication errors, using the nursing process, and providing atraumatic care when giving medications to pediatric patients.
This document discusses the administration of medicines. It begins by defining medicine and drug, and explaining the stages of medication delivery which can lead to errors. It then classifies medicines according to their actions and names, and describes various routes of drug administration including oral, parenteral, and other external routes. The rights of drug administration are outlined to minimize errors. Different types of medication orders and forms drugs can take are also defined. Finally, the document provides guidance on properly administering oral medications according to established best practices.
The document discusses medication administration and its responsibilities for nurses. It defines medication and describes the mechanisms of drug action including absorption, distribution, metabolism and excretion. It discusses adverse drug effects such as allergic reactions, drug tolerance, toxicity, idiosyncratic effects, and drug interactions. It provides guidelines for calculating drug dosages, essential elements of medication orders, types of orders, abbreviations used and principles of safe administration including the rights. It describes various routes of drug administration including oral, sublingual, rectal and parental routes. The nursing responsibilities before, during and after medication administration are outlined along with general medication safety guidelines.
This document discusses the administration of medication presented by an assistant professor. It defines administration of medication as dispensing medicine to patients for therapeutic purposes. It outlines the rights and principles of medication administration including the right patient, drug, dose, route, time, documentation, and reason. It also discusses terminology related to pharmacology, pharmacotherapeutics, pharmacodynamics, pharmacokinetics, and components of prescriptions. Guidelines for safe administration and factors that can influence medication errors are presented.
The document discusses the interpretation of prescriptions and medication orders. It defines a prescription as an order for medication issued by a medical practitioner. Prescriptions contain information like the prescriber, patient, medication, dosage, and directions. Medication orders in hospitals contain similar information. The document outlines components of a typical prescription and provides examples of directions to pharmacists and patients. It also defines many common medical abbreviations.
Administration of Medication, Unit - 12 FONAtul Yadav
Administration of Medication
1.Introduction of medication ,drug
2. Drug
3. Medication
4. Name of drugs or Nomenclature
5. Classification of drugs
6. Classification of drugs according to their action
7. Terminologies of drugs
8. Routes of drug administration
a. Oral route
b. Sublingual route
c. Rectal route
d. Inhalation route
e. Cutaneous route
f. Parental route
9. Intravenous
10. Interamuscular
11. Intradermal
12. subcutaneous
13. Purposes of medication
14. Principles of medication
15. Medication errors
16. Drugs form
17. Storage and maintenance of drugs
18. Effects of drugs on the body
19. Factors affecting drugs response
20. Factors affecting drug absorption
21. Systems of drug measurement
22. Converting measurements units
23. Dose calcuations
24. Abbreviations used in drugs
25. Abbreviations uses in pharmacology
26. Abbreviations use in nursing
27. Oral drug administration equipments
28. Oral administration procedure
29. Parental administration procedure
30. Cannula
31. Types of cannula
32. Needle stick injuries
33. Preventing needle stick injuries
This document discusses medication orders, types of medication orders, essential parts of a medication order, communicating orders, calculating dosages, administering medications, and medication reconciliation. It provides details on physician and nurse practitioner ordering abilities, verbal/telephone orders, stat, single, standing, and PRN orders. It also outlines the 7 essential parts of orders, 2 methods for individualizing dosages, systems for dispensing medications, and the 5 rights of administration.
Hildegard Peplau developed interpersonal theory, which views nursing as an interpersonal process between nurse and client focused on problem-solving. The theory outlines four phases of the relationship: orientation where problems are identified, identification where the client engages with solutions, exploitation where alternatives are used, and resolution when the relationship ends. Peplau's theory revolutionized psychiatric nursing by emphasizing therapeutic relationships over custodial care.
The document discusses literature reviews in nursing research. It defines a literature review as a comprehensive description and evaluation of evidence on a given topic. The purposes of a literature review are outlined as attaining knowledge in a field, identifying common methodologies, verifying that proposed research is needed, and generating hypotheses for further study. Sources of literature can include electronic databases, books, journals, and conference papers. The document reviews the general guidelines and steps for conducting a literature review, including understanding the problem and keywords, identifying relevant sources, searching and analyzing the literature, and writing the review. Common errors in literature reviews are also listed.
1. A research problem is an issue identified for investigation that arises from experience, literature, theories or social issues. It begins with selecting a broad topic and understanding the nature and relevance of the problem.
2. Literature review helps gain knowledge on existing data and scientific support for stating the problem. The research problem should also be evaluated for feasibility.
3. The general topic is then made more specific by identifying variables, population and setting, and formulating a final research problem statement in either declarative or interrogative format.
This document discusses drugs used in cardiopulmonary resuscitation (CPR) and emergencies. It provides details on the mechanism of action, indications, contraindications, adverse reactions and considerations for over 30 different drugs including epinephrine, vasopressin, atropine, lidocaine, sodium bicarbonate, amiodarone, magnesium sulfate, defibrillation, naloxone, flumazenil, atipamezole, activated charcoal, adenosine, albuterol, alteplase, amiodarone, amyl nitrite, aspirin, atenolol, atropine sulfate, calcium chloride, calcium gluconate,
Anti-venom, also known as antivenin, is a treatment for venomous bites and stings composed of antibodies. It is produced by injecting venom into animals to produce antibodies in their blood. The three main types of venom are neurotoxic, cytotoxic, and hemotoxic, which attack the nervous system, cells, and blood/circulatory system respectively. Symptoms depend on the venom type but can include paralysis, respiratory failure, and internal bleeding. Anti-venom is the only available treatment and works by binding to the venom before it can cause harm, though it sometimes causes mild allergic reactions. It is manufactured by several companies in India and must be administered as soon as possible after envenomation
This document discusses evidence-based practice (EBP) in nursing. It defines EBP as making clinical decisions based on evidence from scientific research combined with clinical experience and patient preferences. The history of EBP in nursing began in the 1970s with projects that developed research-based clinical protocols and demonstrated improved patient outcomes. EBP requires nurses to critically assess scientific evidence and implement high-quality interventions. It can help standardize care, reduce delays, and increase confidence in decision-making while maintaining professional standards and guiding further research. Factors that facilitate EBP include knowledge, skills, beliefs, capabilities, tools, and mentors while barriers include lack of value for research and lack of time, resources, and administrative support.
This document provides guidance on writing a critical review. It defines a critical review as a text that discusses and evaluates another work such as an article or book. The purpose is to summarize and evaluate the text. A critical review follows a similar structure regardless of length, including an introduction, summary, and critique section. The introduction presents the work, its topic and purpose. The summary explains the key points without evaluation. The critique evaluates the strengths, weaknesses and features of the text based on criteria such as significance, methodology, arguments, and writing style. A conclusion restates the overall opinion and recommendations.
1. The document discusses the TNM classification system for staging tumors, which evaluates the size of the primary tumor (T), whether the cancer has spread to regional lymph nodes (N), and the presence of distant metastasis (M).
2. Staging provides information on cancer prognosis and treatment by assessing how far the cancer has progressed. The TNM system is overseen by organizations like the International Union Against Cancer and the American Joint Committee on Cancer.
3. In addition to staging, tumors are also graded based on their histopathological characteristics like differentiation and growth rate, with higher grades indicating faster growth and worse prognosis. Grading provides additional details beyond tumor staging.
This document provides information on drug dosage calculations including terminology, measurement systems, calculation methods, routes of administration, conversions, and formulas for calculating dosages for tablets, mixtures, IV rates, and fluid therapy. Key terms are defined such as flow rate, dose, concentration, and drop factor. The three main measurement systems of apothecary, household, and metric are described. Dimensional analysis and other methods for calculations are discussed. Common routes of drug administration are also listed.
This document defines and discusses virtual learning environments (VLEs). It begins by defining a VLE as a collection of software tools that support online academic administration, teaching, and research. Examples of popular VLE platforms like Moodle, Blackboard, and Google Classroom are provided. The document then discusses key functional components of VLEs, including using them for information distribution, delivering course content, facilitating communication, performing assessments, and managing students and courses. Advantages like flexibility and cost savings are outlined, alongside potential disadvantages like lack of attention or human contact. Suggestions for overcoming limitations, like incorporating more interactive elements, are provided.
The document discusses the special senses of touch, including the different types of touch sensations like pain, temperature, and proprioception. It describes the receptors in the skin that detect touch sensations and how signals are transmitted through sensory nerves and pathways in the spinal cord and brain. It also discusses methods to measure touch sensitivity and the physiology of touch reception and pain perception.
The document discusses immunity and the immune system. It describes two main types of immunity - innate immunity and adaptive immunity. Innate immunity provides early defense responses that are non-specific, while adaptive immunity provides later, highly specific responses that improve with repeated exposure. The mechanisms of innate immunity include physical and chemical barriers, white blood cells, inflammation, and the complement system. Adaptive immunity involves both humoral immunity through B cells and antibodies, and cellular immunity through T cells. Antibodies help neutralize pathogens through mechanisms like agglutination and lysis. The immune system also has abnormal reactions like autoimmunity and hypersensitivity.
The document discusses the anatomy and physiology of taste. It describes the five basic taste sensations - sweet, salty, sour, bitter, and umami. Taste buds are located within papillae on the tongue and contain receptor cells that detect these tastes. Signals from the taste buds are transmitted through cranial nerves to the brainstem and thalamus, which interpret the sensations of different tastes.
The document discusses the anatomy and physiology of smell. It describes the olfactory epithelium as the organ of smell, which contains olfactory receptor cells that detect odors. These sensory neurons undergo turnover and are replaced by olfactory stem cells. When an odorant binds to a receptor, it activates a process that leads to depolarization and the transmission of signals to the olfactory bulb and prepiriform cortex along the olfactory pathway. Disorders of smell that are discussed include anosmia, hyposmia, dysosmia, parosmia, and cacosmia.
The document discusses the anatomy and physiology of the ear and hearing. It describes the three parts of the ear - external, middle, and inner ear. The external ear collects sound waves and directs them through the external auditory canal to the tympanic membrane. Vibrations are transmitted through the middle ear ossicles to the inner ear. In the inner ear, vibrations cause movement of fluids and structures that leads to stimulation of hair cells and generation of nerve impulses for hearing. Different frequencies cause distinct regions of the inner ear to vibrate, allowing for perception of pitch. The document also discusses properties of sound and the auditory pathway in the brain.
This document discusses the scope and characteristics of nurse-led clinics in cancer care. It defines nurse-led clinics as autonomous clinics managed by registered nurses, often nurse practitioners or clinical nurse specialists. The document outlines the core roles and competencies of nurse-led clinics, including health education, screening, basic cancer care, emergency care, chemotherapy support, side effect management, and palliative care. Nurse-led clinics can provide a more coordinated continuum of cancer care from diagnosis through treatment and rehabilitation. Their benefits include improved patient outcomes, enhanced care coordination, and increased job satisfaction for nurses. The document advocates expanding nursing education to strengthen the role of nurse-led clinics.
Bone marrow transplantation replaces unhealthy blood-forming stem cells with healthy ones. There are two main types of transplants - autologous using a patient's own cells, and allogeneic using cells from a donor. The transplant process begins with conditioning to eliminate disease and prevent rejection, followed by stem cell infusion. Patients then go through a neutropenic phase making them susceptible to infection, and an engraftment phase where the new cells grow. Complications can include graft-versus-host disease where donor cells attack host tissues. Long term care after transplant focuses on immune recovery and managing side effects.
This document discusses three advanced cancer treatment options: immunotherapy, gene therapy, and phototherapy. Immunotherapy uses substances like interleukin and interferon to boost the immune system's ability to fight cancer. Gene therapy introduces a normal copy of a defective gene to cure or prevent disease progression. Phototherapy involves administering a light-activated drug to destroy tumors using a laser. Nurses monitor patients for side effects and educate them about managing symptoms from these therapies.
Cancer is characterized by uncontrolled growth of abnormal cells that can spread to other parts of the body. Several factors can increase cancer risk, including lifestyle habits, genetics, and environmental exposures. Common cancers globally include lung, breast, colorectal, prostate, and stomach cancers. Cancer prevention strategies include avoiding tobacco, maintaining a healthy weight, regular screening tests, and adopting a diet high in fruits and vegetables. Treatment options include surgery, chemotherapy, radiation therapy, immunotherapy and targeted therapy.
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Adhd Medication Shortage Uk - trinexpharmacy.comreignlana06
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Integrating Ayurveda into Parkinson’s Management: A Holistic ApproachAyurveda ForAll
Explore the benefits of combining Ayurveda with conventional Parkinson's treatments. Learn how a holistic approach can manage symptoms, enhance well-being, and balance body energies. Discover the steps to safely integrate Ayurvedic practices into your Parkinson’s care plan, including expert guidance on diet, herbal remedies, and lifestyle modifications.
Here is the updated list of Top Best Ayurvedic medicine for Gas and Indigestion and those are Gas-O-Go Syp for Dyspepsia | Lavizyme Syrup for Acidity | Yumzyme Hepatoprotective Capsules etc
Cell Therapy Expansion and Challenges in Autoimmune DiseaseHealth Advances
There is increasing confidence that cell therapies will soon play a role in the treatment of autoimmune disorders, but the extent of this impact remains to be seen. Early readouts on autologous CAR-Ts in lupus are encouraging, but manufacturing and cost limitations are likely to restrict access to highly refractory patients. Allogeneic CAR-Ts have the potential to broaden access to earlier lines of treatment due to their inherent cost benefits, however they will need to demonstrate comparable or improved efficacy to established modalities.
In addition to infrastructure and capacity constraints, CAR-Ts face a very different risk-benefit dynamic in autoimmune compared to oncology, highlighting the need for tolerable therapies with low adverse event risk. CAR-NK and Treg-based therapies are also being developed in certain autoimmune disorders and may demonstrate favorable safety profiles. Several novel non-cell therapies such as bispecific antibodies, nanobodies, and RNAi drugs, may also offer future alternative competitive solutions with variable value propositions.
Widespread adoption of cell therapies will not only require strong efficacy and safety data, but also adapted pricing and access strategies. At oncology-based price points, CAR-Ts are unlikely to achieve broad market access in autoimmune disorders, with eligible patient populations that are potentially orders of magnitude greater than the number of currently addressable cancer patients. Developers have made strides towards reducing cell therapy COGS while improving manufacturing efficiency, but payors will inevitably restrict access until more sustainable pricing is achieved.
Despite these headwinds, industry leaders and investors remain confident that cell therapies are poised to address significant unmet need in patients suffering from autoimmune disorders. However, the extent of this impact on the treatment landscape remains to be seen, as the industry rapidly approaches an inflection point.
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
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Muktapishti is a traditional Ayurvedic preparation made from Shoditha Mukta (Purified Pearl), is believed to help regulate thyroid function and reduce symptoms of hyperthyroidism due to its cooling and balancing properties. Clinical evidence on its efficacy remains limited, necessitating further research to validate its therapeutic benefits.
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Overall life span (LS) was 1671.7±1721.6 days and cumulative 5YS reached 62.4%, 10 years – 50.4%, 20 years – 44.6%. 94 LCP lived more than 5 years without cancer (LS=2958.6±1723.6 days), 22 – more than 10 years (LS=5571±1841.8 days). 67 LCP died because of LC (LS=471.9±344 days). AT significantly improved 5YS (68% vs. 53.7%) (P=0.028 by log-rank test). Cox modeling displayed that 5YS of LCP significantly depended on: N0-N12, T3-4, blood cell circuit, cell ratio factors (ratio between cancer cells-CC and blood cells subpopulations), LC cell dynamics, recalcification time, heparin tolerance, prothrombin index, protein, AT, procedure type (P=0.000-0.031). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and N0-12 (rank=1), thrombocytes/CC (rank=2), segmented neutrophils/CC (3), eosinophils/CC (4), erythrocytes/CC (5), healthy cells/CC (6), lymphocytes/CC (7), stick neutrophils/CC (8), leucocytes/CC (9), monocytes/CC (10). Correct prediction of 5YS was 100% by neural networks computing (error=0.000; area under ROC curve=1.0).
Basavarajeeyam is a Sreshta Sangraha grantha (Compiled book ), written by Neelkanta kotturu Basavaraja Virachita. It contains 25 Prakaranas, First 24 Chapters related to Rogas& 25th to Rasadravyas.
2. • A medication is a substance administered
for the diagnosis, cure, treatment, or relief
of a symptom or for prevention of disease.
• Pharmacology is the study of the effect of
drugs on living organisms.
3. • The written direction for the preparation
and administration of a drug is called a
prescription.
4. Purpose of medication
Drugs can be administered for these
purposes:
• Diagnostic purpose: to identify any
disease
• Prophylaxis: to prevent the occurrence
of disease. eg:-
heparin to prevent thrombosis or
antibiotics to prevent infection.
• Therapeutic purpose : to cure
the disease.
5. Uses of Drugs
Prevention- used as prophylaxis to prevent
diseases e.g. vaccines; fluoride-prevents tooth
decay.
Diagnosis- establishing the patient’s disease
or problem e.g. radio contrast dye; tuberculosis
(Mantoux) testing.
Suppression- suppresses the signs and
symptoms and prevents the disease process
from progressing e.g. anticancer, antiviral
drugs.
6. Treatment- alleviate the symptoms for
patients with chronic disease e.g. Anti-
asthmatic drugs.
Cure- complete eradication of diseases e.g.
anti-biotics, anti-helmintics.
Enhancement aspects of health- achieve
the best state of health e.g. vitamins,
minerals
7. Legal Aspects of Medication
Preparation, dispensing and administration of
medications are all covered by laws in every
country.
Dangerous Drug Act – 1930 and The Narcotic
Drugs and Psychotropic Substances Act - 1985.
It is an act that governs the procurement and use
of some drugs especially the narcotics e.g.
morphine, pethedine, cocaine etc. These drugs are
prescription only drugs hence cannot be bought or
administered without prescription.
Dangerous drugs are always kept under lock and
key in the Dangerous Drug Cupboard under the
care of trusted senior nurses.
8. It is worth knowing that nurses are
responsible for their own actions regardless
of the presence of a written order. If a
nurse gives an overdose of a drug because it
is written by a doctor, the error is accounted
to the nurse and not the doctor. The nurse
should bear in mind that ALL substances
are poisons: there is none that is not a
poison. The right dose differentiates a
poison from a remedy.
9. Drug Nomenclature
One drug can have as much as 4 different
names as follows:
Chemical Name - any typical organic name;
this precisely describes the constituents of
the drug
E.g. N-(4-hydroxyphenyl)acetamide for
paracetamol
10. • Generic Name - is given by the
manufacturer who first develops the drug; it
is given before the drug becomes official. It
is the name by which the drug will be
known throughout the world no matter how
many companies manufacture it. This name
is usually agreed upon by the WHO. Often
the generic name is derived from the
chemical name. E.g. acetaminophen
11. • Official Name – United States Adopted
Name (USAN) or Japanese Accepted Name
(JAN). It will also apply for an International
Nonproprietary Name (INN) through the
World Health Organization (WHO).
12. Classification of Medication
Medications may be classified according to:
The body system that the medicine is targeted
to interacts wit; e.g. cardiovascular
medications, nervous system medication etc.
Therapeutic usages of the medicine; e.g.
antihypertensives ,neuroleptics,
The diseases the medicine is used for; e. g.
anticancer drugs, antimalaria drugs
antihelminthics etc.
13. • The action of the medication can also be
used to classify the it; e.g. beta-adrenergic
blocking agents
• The overall effect of the medication on the
body can also be a criteria for its
classification; e.g. sedatives, antianxiety
drugs etc.
14. Storage of Medications
• Medications are dispensed by the pharmacy
to nursing units. Once delivered, proper
storage becomes the responsibility of the
nurse. All medications must be stored in a
cool dry place (usually in cabinets, medicine
carts or fridges)
15. All medications must be stored in a cool dry place
(usually in cabinets, medicine carts or fridges)
16. Storage of Medications
• In less advanced countries, 3 cupboards are
usually used for drug storage.
• Cupboard I-used for drugs for external use
only; e.g. calamine lotion, detol, methylated
spirit etc. These drugs are contained in
distinctive bottles, usually ridged with deep
colours (dark green, blue, brown) with red
label marked POISON and FOR EXTERNAL USE
ONLY.
17. • Cupboard II-contains drugs for internal use
only e.g. tablets, suspension, mixtures etc.
All drugs must be labelled.
• Cupboard III-contains the dangerous drug;
drugs of addiction. E.g. Morphine,
pethedine etc.
All drugs should be kept away from
direct sunlight and at a temperature
suggested by the manufacturer.
18. • Another cupboard called the Emergency
Cupboard may be stationed at or near the
nurses bay for easy access. This cupboard
contains drugs for emergency situations e.g.
aminophylline (for asthma), hydralazine
(for severe hypertension), oxytocin (for
maternal bleeding), intravenous infusions
(for rehydration) etc.
19. Principles of medication
administration
• Principles include 3 checks and
10 Rights:
• 3 checks are
1. Check when obtaining the
container of medicine.
2. Check when removing the
medicine from the container.
3. Check when replacing the
container.
20. Rights of Medication Administration
Medication errors can be detrimental to patients.
To prevent these errors, these guidelines are - the
rights- are used in drug administration.
1. Right Patient: correct identification of the
client cannot be over emphasized. This can be
done by asking the client to mention his/her
full name which should be compared with that
on the identification bracelet or the patient’s
folder and medication/treatment chart for
confirmation.
21. 2. Right Medication:
Beware of same and similar first and surnames to
prevent the error of administering one person’s
medication to another and vice versa.
Right Medication: before administering any
medicine, compare name on medication
chart/medication order with that on the medication
at least 3 times-checking medication label when
removing it from storage unit, compare medication
label with that on treatment chart and medication
label and name on treatment chart with patient’s
name tag.
22. 3. Right Time
Right Time: drug timing is very especially with
some drugs like antibiotics, antimalaria drugs
etc. to achieve cure and prevents resistance.
Some drugs must be given on empty stomach
e.g. antituberculosis drugs; and some after meals
e.g. NSAIDS-these must be noted and adhered to.
• The interval of administration of drugs should
also be adhered to because it is important for
many drugs that the blood concentration is not
allowed to fall below a given level and for others
two successive doses closer than prescribed
might increase blood concentration to a
dangerous level that can harm the patient.
23. 4. Right Dose
This becomes very important when
medications at hand are in a larger volume
or strength than the prescribed order given
or when the unit of measurement in the
order is different from that supplied from
the pharmacy. Careful and correct
calculation is important to prevent over or
under dosage of the medication.
24. 5. Right Route
An acceptable medication order must
specify the route of medication. If this is
unclear, the prescriber should be contacted
to clarify or specify it. The nurse should
never decide on a route without consulting
the prescriber.
25. 6. Right to information on
drug/client education
• The patient has the right to know the drug
he/she is taking, desired and adverse effects
and all there is to know about the
medication. The charter on patient’s right
made this clear.
26. 7. Right to Refuse Medication
The patient has the right to refuse any
medication. However, the nurse is obliged to
explain to patients why the drug is
prescribed and the consequences refusing
medication.
27. 8. Right Assessment
Some medications require specific assessment
before their administration e.g. checking of
vital signs. Before a medication like Digoxin is
administered the pulse must be checked.
Some medication orders may contain specific
assessments to be done prior to medication
30. Medication order
The drug order, written by the physician,
should has 7 essential parts for
administration of drugs safely.
1. Patients full name.
2. Date and time.
3. Drug name.
4. Dosage.
5. Route of administration.
6. Time and frequency of administration.
7. Signature of physician.
31. Types of Medication Orders
• Four types of medication orders are commonly
used:
1. Stat order: A stat order indicates that the
medication is to be given immediately and only
once. e.g: morphine sulfate 10 milligrams IV stat.
2. Single order: The single order or one-time order
indicates that the medication is to be given once
at a specified time. e.g: Seconal 100 milligrams at
bedtime.
32. 3. Standing order: Standing order is written in
advance carried out under specific
circumstances. (e.g: amox twice daily × 2 days)
4. PRN order: “PRN” is a Latin term that stands
for “pro re nata,” which means “as the thing is
needed.” A PRN order or as-needed order,
permits the nurse to give a medication when
the client requires it. (e.g., Amphojel 15 mL
prn)
34. Abbreviations Meaning
STAT order
refers to any medication that is needed immediately and is to
be given only once
often associated with emergency medications that are
needed for life-threatening situations
comes from the latin word "statim" meaning immediately
should be administered within 5 minues or less of recieving
the written order
ASAP order
not as urgent as STAT
as soon as possible
should be avaliable for administration to the patient with 30
minutes of the written order
Single order
for a drug that is to be given only once, and at a specific time,
such as a preoperative order
PRN order
latin "pro re nata"
administered as required by the patient's condition
the nurse makes the judgement, based on patient
assessment, as to when such a medication is to be
administered
35. Abbreviations Meaning
Routine orders
orders not written as STAT, ASAP, NOW or PRN
these are usually carried out within 2 hours of the time the
order is written by the physician
Standing order
written in advance of a situation that is to be carried out under
specific circumstances. example: set of postoperative PRN
prescriptions that are written for all patients who have
undergone a specific surgical procedure "Tylenol elixir 325mg
PO every 6 hours PRN sore throat"
standing orders are no longer permitted in some facilites
because of the legal implications of putting all patients into a
single treatment category
ac before meals
AM morning
bid twice per day
Cap capsule
36. Abbreviations Meaning
gtt drops
h or hr hours
IM intramuscular
IV intravenous
no number
pc after meals, after eating
PO by mouth
PM afternoon
PRN when needed/necessary
37. Abbreviations Meaning
qid four times per day
q2h, q4h, q6h,
q8h, q12h
every __ hours
Rx take
STAT immediately, at once
tid three times per day
ad lib as desired, as directed
tab tablet
38. Drug forms
• Medications are available in variety of
forms. The form of the medication
determines its route of administration.
39. • Drug forms can be of three types;
– Solid eg: tablet, capsule
– Liquid eg: syrup, eye drops
– Semi solid eg: ointment, lotion
40. • Tablet: It is the powdered
medication compressed into
hard disk or cylinder.
• Capsule: Medication covered in
gelatin shell.
• Gel or jelly: A clear or
translucent semisolid that
liquefies when applied to the
skin.
41. • Lozenge: A flat, round, or oval
preparation that dissolves and
releases a drug when held in the
mouth.
• Lotion: Drug particles in a solution
for topical use.
• Ointment: Semisolid preparation
containing a drug to be applied
externally.
42. • Powder: Single or mixture of
finely ground drugs.
• Solution: A drug dissolved in
another substance.
• Suspension: Finely divided,
undissolved particles in a liquid
medium; should be shaken
before use.
43. • Syrup: Medication
combined in a water and
sugar solution.
• Suppository: An easily
melted medication
preparation in a firm base
such as gelatin that is
inserted into the body
(rectum, vagina, urethra)
44. • Transdermal patch: Unit dose of
medication applied directly to skin for
diffusion through skin and absorption
into the bloodstream.
45. Route of administration
• Different route of drug administration are;
• Oral
• Parenteral
• Topical
• Inhalation
46. Oral route
Oral route: Medications are given
by mouth.
• Sublingual Administration:
Some medications are readily
absorbed when placed under the
tongue to dissolve.
• Buccal Administration:
Administration of a medication by
placing in the mouth against the
mucous membranes of the cheek
until it dissolves.
47. Parenteral Routes
Parenteral Routes: Parenteral
administration involves injecting a
medication into body tissues.
The following are the four major sites of
injection:
1. Intradermal (ID): Injection into the
dermis just under the epidermis.
2. Subcutaneous (SC): Injection into tissues
just below the dermis of the skin.
3. Intramuscular (IM): Injection into a
muscle.
4. Intravenous (IV): Injection into a vein.
48.
49. Some medications are administered into body
cavities. These additional routes include
• Epidural
• Intrathecal
• Intraosseous
• Intraperitoneal
• Intrapleural
• Intraarterial
50. • Epidural: Epidural
medications are
administered in the
epidural space.
• Intrathecal:
Administration of
medications into
subarachnoid space or
one of the ventricles of
the brain.
51. • Intraosseous: Administration of
medication directly into the bone marrow.
• Intraperitoneal: Medications administered
into the peritoneal cavity
• Intrapleural: Administration of
medications directly into the pleural space.
• Intraarterial: Intraarterial medications are
administered directly into the arteries.
52. Topical Routes
• Topical: Medications applied to the skin and
mucous membranes (eye, ears, nose, mouth,
vagina, urethra, rectum).
53. • Inhalation Route: Administer inhaled
medications through the nasal and oral
passages or endotracheal or tracheostomy
tubes.
54. Broad Classification of drugs
• A drug may be classified by the chemical type
of the active ingredient or by the way it is
used to treat a particular condition. Eg:
• Analgesics: to reduce pain
• Antipyretics: to reduce fever
• Antibiotics: to treat bacterial infection
• Anti viral: to treat viral infection
• Antihypertensive : to treat hypertension
• Antidiabetic: to treat diabetes
56. • Therapeutic Effects: The therapeutic effect is the
expected or predicted physiological response that a
medication causes.
Eg: paracetamol reduces pain, fever and inflammation
• Side Effects/Adverse Effects: Every medication
cause some harm to patient.
– Side effects are predictable and often unavoidable
secondary effects produced at a usual therapeutic dose.
– Eg: nausea, loss of appetite, stomach pain
– Adverse effects are undesirable and unpredictable severe
responses to medication.
57. • Toxic Effects: Toxic effects develop
after prolonged intake of a medication
or when a medication accumulates in
the blood because of impaired
metabolism or excretion.
Eg: liver damage or kidney damage
• Allergic Reactions: unpredictable
immunological responses to a
medication.
Eg: paracetamol produces rash or swelling
as allergic reaction.
58. • Idiosyncratic Reactions: a patient
overreacts or underreacts to a medication
or has a reaction different from normal.
For example, a child who receives Benadryl
becomes extremely agitated or excited instead
of drowsy.
59. Systems of drug measurement
Different systems available are;
• Metric system
• Household system
• Apothecary system
• Solutions
60. • Metric system : In this system, metric units
are used. Eg: milligram, gram, milliliter, liter
etc
• Household system: Household measures
include drops, teaspoons, tablespoons or
cups for measuring medications. Their
disadvantage is their inaccuracy. Household
utensils such as teaspoons and cups vary in
size.
61. • Eg:
Metric system Household system
1 ml 15 drops
5 ml 1 teaspoon
15 ml 1 tablespoon
62. • Apothecary system : It is older system. The
basic unit of weight in the apothecary
system is the grain (gr) and the basic unit of
volume is the minim.
The other units of weight are the dram,
the ounce, and the pound. The units of volume
are the fluid dram, the fluid ounce, the pint,
the quart, and the gallon.
63. • Eg:
Metric system Apothecary system
1 mg 1/60 grain
60 mg 1 grain
1 g 15 grains
4 g 1 dram
30 g 1 ounce
500 g 1.1 pound (lb)
1 ml 15-16 minims
5 ml 1 fluid dram
30 ml 1 fluid ounce
500 ml 1 pint
1 L 1 quart
4 L 1 gallon
64. • Solutions: A solution is a given mass of
solid substance dissolved in a known
volume of fluid or a given volume of liquid
dissolved in a known volume of another
fluid.
For example, a 10% solution is 10 g of solid
dissolved in 100 mL of solution.
66. Conversion within one system
• To convert measurements within one
system simply divide or multiply.
• Eg: To change milligrams to grams, divide by
1000, moving the decimal 3 points to the
left.
1000 mg = 1 g
350 mg = 0.35 g
67. Conversion Between Systems
• To convert measurements from one system
to another system the nurse should be
familiar with the equivalent values of all the
systems.
68.
69. Dose Calculations
Methods used to calculate medication doses
include
• The ratio and proportion method
• The formula method
• Dimensional analysis
70. • The Ratio and Proportion Method: A ratio
indicates the relationship between two
numbers separated by a colon (:). For
example, the ratio 1 : 2 is the same as 1/2.
Write a proportion in one of three ways:
Example 1: 1:2 = 4:8
Example 2: 1:2 :: 4:8
Example 3: 1/2 = 4/8
71. In a proportion the first and last
numbers are called the extremes, and the
second and third numbers are called the
means. When multiplying the extremes, the
answer is the same when multiplying the
means.
Example: The prescriber orders 500 mg of
amoxicillin to be administered in every 8
hours. The bottle of amoxicillin is labeled 400
mg/5 mL.
72. Formula method
1. Calculating dose of solid medications
First convert the drug amount to the same units
and then use the formula.
Dose required=
𝒔𝒕𝒓𝒆𝒏𝒈𝒕𝒉 𝒓𝒆𝒒𝒖𝒊𝒓𝒆𝒅
𝒔𝒕𝒐𝒄𝒌 𝒔𝒕𝒓𝒆𝒏𝒈𝒕𝒉
= number of
tablets
Stock strength is the amount written on the
drug cover.
73. 2. Calculating dose of liquid medications
First convert the drug amount to the same units
and then use the formula
Volume required=
𝑠𝑡𝑟𝑒𝑛𝑔𝑡ℎ 𝑟𝑒𝑞𝑢𝑖𝑟𝑒𝑑×𝑣𝑜𝑙𝑢𝑚𝑒 𝑜𝑓 𝑠𝑡𝑜𝑐𝑘 𝑠𝑜𝑙𝑢𝑡𝑖𝑜𝑛
𝑠𝑡𝑜𝑐𝑘 𝑠𝑡𝑟𝑒𝑛𝑔𝑡ℎ
74. 3. Calculating drip rates
First convert volume to milliliters and then
use this formula
drops per 𝑚𝑖𝑛𝑢𝑡𝑒 =
𝑡𝑜𝑡𝑎𝑙 𝑣𝑜𝑙𝑢𝑚𝑒 𝑡𝑜 𝑏𝑒 𝑔𝑖𝑣𝑒𝑛 ×𝑑𝑟𝑜𝑝 𝑓𝑎𝑐𝑡𝑜𝑟
𝑡𝑖𝑚𝑒 𝑖𝑛 ℎ𝑜𝑢𝑟𝑠 × 60
Drop factor is the drops per millilitre given to
the patient.
Drop factor for macro set is 15 and micro set
is 60
75.
76. 4. Calculating dose according to body
weight
Total dose = prescribed dose x patient’s
weight
5. Calculating dose according to body
surface area
Total dose = prescribed dose x patient’s body
surface area
77. FACTORS AFFECTING DRUG
ACTION
• Body Size
• Pregnancy
• Lactation
• Age – Peadiatric & Geriatric
• Genetic Factors
• Disease States – Kidney & Liver
• Routes of Drug Administration
• Environmental Factors
• Psychological Factors
• Tolerance & Resistance
78. FACTORS AFFECTING
MEDICATION ACTION
Various factors affects the action of the
medicine.
1. Developmental Factors
a. Pregnancy : Most drugs are contraindicated
because of their possible adverse effects on
the fetus.
b. Infants usually require small dosages because
of their body size and the immaturity of their
organs.
79. c. In adolescence or adulthood, allergic reactions
may occur.
d. Oldage have different responses to
medications due to aging.
2. Gender
Different action can occur in men and
women due to the distribution of body fat and
fluid and hormonal differences.
80. 3. Cultural, Ethnic, and Genetic Factors
• Genetic differences in the production of
enzymes that affect drug metabolism. Cultural
factors and practices (e.g., values and beliefs)
can also affect a drug’s action.
4. Diet
• Nutrients can affect the action of a
medication. For example,vitamin K, found in
green leafy vegetables, can counteract the
effect of an anticoagulant such as warfarin
81. 5. Environment
• Environmental temperature may also affect
drug activity. When environmental
temperature is high, the peripheral blood
vessels dilate, thus increase the action of
vasodilators.
• A client who takes a sedative or analgesic in
a busy, noisy environment may not benefit
as fully as if the environment were quiet and
peaceful.
82. 6. Psychological Factors
A client’s expectations about what a drug
can do can affect the response to the
medication.
7. Illness and Disease
Drug action is altered in clients with
circulatory, liver, or kidney dysfunction.
8. Time of Administration
• The time of administration of oral
medications affects the speed with which
they act.
83. Safety in Administering
medications
• The safe and accurate administration of
medication is one of the major
responsibility of a nurse.
• Read the physician’s orders of the drug.
• If the order is not clear consult the
physician.
• Consider the age and weight of the patient.
84. • The nurse must have thorough knowledge
of drugs that is administered by her.
• Look for the colour, odour and consistency
of the drug before administration.
• Follow 10 rights and 3 checks in drug
administration.
85. • Calculate the drug dosage accurately.
• Identify the patient correctly.
• Observe for the symptoms of over dosage of
the drugs before it is administered.
• Give the drugs one by one
• Stay with the patient until he has taken the
medicine completely.
• Do not leave the medicine with the patient.
86. • The nurse should always assess a client’s
health status and obtain a medication
history prior to giving any medication.
• The medication history includes
information about the drugs the client is
taking currently or has taken recently. And
the history of drug allergies.
• The nurse should clarify with the client any
side effects, adverse reactions, or allergic
responses due to medications.
87. • The nurse has to identify any problems the
client may have in self-administering a
medication.
• For example, a client with poor eyesight,
may require special labels for the
medication container.
• The nurse needs to consider socioeconomic
factors for all clients.
• Medication errors must be reported
according to the policy of the hospital.
88. Medication error
• Medication errors are unintended
mistakes in the prescribing, dispensing and
administration of a medicine that could
cause harm to a patient.
89. • Medication errors can occur at all stages of the
medication administration process.
• The four main types of medication errors that occur
with hospitalized clients:
1. Prescription errors (eg. Wrong drug or dose)
2. Transcription/ interpretation error (eg.
Misinterpretation of abbreviations)
3. Preparation errors (eg. Calculation error)
4. Administration errors (eg. Wrong dose, wrong time,
omission, or additional dose).
Most medication errors occur during the
administration stage.
92. Oral Medication
Oral medication can be by
ingestion, sublingual
administration (place the pill
or direct spray between the
underside of the tongue and
the floor of the oral cavity)or
buccal (place the medication
between the patient’s cheek
and gum).
93. Oral Medication
A tray or trolley should be set with:
Drug to be administered
Water in a jug
Glass on a saucer all in the tray
Spoons
Mortar and pestle (when necessary)
Towel
Straw
Spatula
Patient’s folder/treatment chart and pen
95. Parenteral Administration of
Medications
• Parenteral administration of medications is
the administration of medications by
injection into body tissues.
• When medications are administered this
way, it is an invasive procedure that is
performed using aseptic techniques.
96. Equipment
• To administer parenteral medications,
nurses use syringes and needles to
withdraw medication from ampules and
vials.
Ampule vial
97. Syringes
Syringes have three parts:
1. The tip, which
connects with the
needle
2. The barrel, or outside
part, on which the
scales are printed
3. The plunger, which fits
inside the barrel
98. Several kinds of syringes are available in
differing sizes, shapes, and materials. Syringes
range in sizes from 1 to 60 mL.
A nurse typically uses a syringe ranging
from 1 to 3 mL in size for injections (e.g.
subcutaneous or intramuscular).
99. • Insulin syringes are available
in sizes that hold 0.3 to 1 mL
and are calibrated in units.
• The tuberculin syringe has a
capacity of 1 mL.
• 5 ml syringe
• 3 ml syringe
• Tuberculin syringe
• Insulin syringe
100. Needles
• Most needles are made
of stainless steel, and all
are disposable.
• A needle has three parts:
1. The hub, which fits
onto the tip of a syringe
2. The shaft, which
connects to the hub
3. The bevel, the tip of
the needle
102. • The gauge varies from 18 to 30.Use longer
needles for IM injections and a shorter
needle for subcutaneous injections.
103. Preventing needle stick injuries
• One of the most potentially hazardous
procedures that health care personnel face
is using and disposing of needles and
sharps.
• Needlestick injuries present a major risk for
infection with hepatitis B virus, human
immunodeficiency virus (HIV), and many
other pathogens.
104. • Use appropriate puncture-proof disposal
containers to dispose of uncapped needles
and sharps.
• Never throw sharps in wastebaskets.
• Never recap used needles
• When recapping a needle, Use a one-handed
“scoop” method.
105. This is performed by
a) placing the needle cap and syringe with
needle horizontally on a flat surface.
b) inserting the needle into the cap, using one
hand.
c) then using your other hand to pick up the
cap and tighten it to the needle hub.
106.
107. Cannula
A cannula is a flexible tube that can be
inserted into the body. A venous cannula is
inserted into a vein, for the administration
of intravenous fluids, for obtaining blood
samples and for administering medicines.
108. Types of cannula are
• IV cannula pen-like model.
• IV cannula with wings model.
• IV cannula with injection part model.
• IV cannula y-type model.
115. Intradermal Injections
• An intradermal (ID) injection is the administration
of a drug into the dermal layer of the skin just
beneath the epidermis. Usually only a small
amount of liquid is used, for example 0.1ml. This
method of administration is frequently used for
allergy testing and tuberculosis (TB) screening.
116. • Use a tuberculin or small hypodermic
syringe for skin testing.
• The angle of insertion for an intradermal
injection is 5 to 15 degrees
117. • After injecting the medication, a small bleb
resembling a mosquito bite appears on the
surface of the skin.
118. Subcutaneous Injections
The subcutaneous injection sites
include
• The outer posterior aspect of the
upper arms
• The abdomen
• The anterior aspects of the
thighs
• The scapular areas of the upper
back
• The upper ventral or dorsal
gluteal areas.
119. Kinds of drugs commonly
administered:
1. vaccines
2. preoperative medications
3. narcotics
4. insulin
5. heparin
• Only small volumes (0.5 to
1.5 mL) of medications are
given subcutaneously.
• The angle of insertion for a
subcutaneous injection is 45
degrees
120. Intramuscular Injections
• The angle of insertion for an IM injection is
90 degrees. 2 to 5 ml of medication can be
administered into a larger muscle for an
adult.
121. Sites for IM injections are
• Ventrogluteal
• Dorsogluteal
• Vastus Lateralis
• Deltoid
• Rectus Femoris
122. Ventrogluteal site
Injection is given to gluteus
medius muscle.
Position client in prone or
side lying position with the
knee bent and raised
slightly toward the chest.
The nurse places the heel
of the hand on the client’s
greater trochanter, with the
fingers pointing towards
the client head.
123. • Point the thumb toward the patient’s groin
and the index finger toward the anterior
superior iliac spine; extend the middle
finger back along the iliac crest toward the
buttock. The index finger, the middle finger,
and the iliac crest form a V-shaped triangle;
the injection site is the center of the triangle.
124.
125. Dorsogluteal site
Injection is given to the gluteus maximus muscle. Position the
client in prone position. Draw an imaginary line to divide the
buttocks into 4 equal quadrants.
The injection site is upper outer quadrant.
127. The land- mark is established by dividing the area
between the greater trochanter of the femur & the
lateral femoral into thirds & selecting the middle
third.
128. Deltoid Site
Found on the lateral aspect of the upper arm.
Locate the site by placing four fingers
across the deltoid muscle, with the top finger
along the acromion process. The injection site
is then three finger widths below the
acromion process.
129.
130.
131. Rectus Femoris
it is used occasionally for IM injections. Situated on the
anterior aspect of the thigh.
132.
133. Z-Track Method in Intramuscular
Injections
• When administering IM injections, the
Z-track method be used to minimize local
skin irritation by sealing the medication in
muscle tissue. The Z-track method has been
found to be a less painful technique, and it
decreases leakage of irritating medications
into the subcutaneous tissue
134. • For administering in Z-track method pull
the overlying skin and subcutaneous tissues
approximately 2.5 to 3.5 cm laterally or
downward.
135. • Hold the skin in this position until you
administer the injection.
• With the needle at a 90-degree angle to the
site administer the medicine.
136.
137. Intravenous Administration
• Needle is injected into the vein. Direct IV or IV
push, IV infusion. This is the most rapid route of
absorption of medications.
• Angle of insertion is 25 degree.
138. For adults, the veins on the
arm are:
• Basilic vein
• Median cubital vein
• Dorsal veins
• Median vein
• Radial vein
• Cephalic vein
On the foot, the veins are;
• Great saphenous vein
• Dorsal plexus
140. Complications to observe for
during IV therapy:
Infiltration escape of fluid into subcutaneous
tissue due to dislodgement of the needle
causing swelling and pain. Gross infiltration
may result in nerve compression injury which
can result in permanent loss of function of
extremity or in case of irritating medications
(vesicant), significant tissue loss, permanent
disfigurement or loss of function may result.
When there is infiltration, the site should be
changed.
141. Phlebitis is the inflammation of the vein. This may
result from mechanical trauma due to the insertion
too big a needle (for small vein) or leaving a device
in place for a long time. Chemical trauma result s
from irritation from solutions or infusing too
rapidly. This manifests as pain or burning sensation
along the vein. On observation, there may be
redness, increased temperature over the course of
the vein.
The site should be changed and warm compress
should be applied.
142. • Circulatory Overload; the intravascular
fluid compartment contains more fluid than
normal. This occurs when infusion is too
rapid or excess volume is infused. This
manifests as dyspnoea, cough, frothy
sputum and gurgling sounds on aspiration.
• Embolism; obstruction of the blood vessels
by travelling air emboli or clot of the blood.
It is fatal.
143. Duties of the Nurse during IV
Therapy
Explain the need for the IV therapy, what to expect,
duration of the therapy, activities permitted during
the procedure and observations to be made.
Help patient to maintain activities of daily living;
bathing and grooming, feeding etc.
Observation should be made on the flow rate,
patency of the tubing, infusion site, level of fluid in
the infusion bag/bottle, patient’s comfort and
reaction to therapy.
Change dressing on the IV line as may be necessary.
144. Topical Medication Applications
• Drugs are applied topically to the skin or mucous
membranes, mainly for local action.
– Skin Applications
– Nasal Instillation
– Eye Instillation
– Ear Instillation
– Rectal Instillation
– Vaginal instillation
145. Skin Applications
• Skin applicants are applied using gloves.
Before applying medications, clean the skin
thoroughly.
• When applying skin applicants, spread the
medication evenly over the involved surface
and cover the area well.
• Topical skin or dermatologic preparations
include ointments, pastes, creams, lotions,
powders, sprays, and patches.
146. Procedure for Applying Skin
Preparations
POWDER
Make sure the skin surface is dry. Spread
apart any skinfolds, and sprinkle the powder
until the area is covered with a fine thin layer
of powder. Cover the site with a dressing if
ordered.
147. LOTION
Shake the container before use. Put a
little lotion on a small gauze dressing or
gauze pad, and apply the lotion to the skin by
stroking it evenly in the direction of the hair
growth.
148. CREAMS, OINTMENTS, PASTES
Take the medicine in gloved hands.
Spread it evenly over the skin using long
strokes in the direction of the hair growth.
Apply a sterile dressing if ordered by the
physician.
149. AEROSOL SPRAY
Shake the container well to mix the
contents. Hold the spray container at the
recommended distance from the area
(usually about 15 to 30 cm. Cover the client’s
face with a towel if the upper chest or neck is
to be sprayed. Spray the medication over the
specified area.
150. TRANSDERMAL PATCHES
Select a clean, dry area that is free of hair.
Remove the patch from its protective covering,
holding it without touching the adhesive edges,
and apply it by pressing firmly with the palm of
the hand for about 10 seconds.
Advise the client to avoid using a heating
pad over the area to prevent an increase in
circulation and the rate of absorption. Remove
the patch at the appropriate time, folding the
medicated side to the inside so it is covered.
151.
152. Direct application of liquids-
Gargle
• Gargling is the act of bubbling a liquid in
mouth to reduce the sore throat. The head is
tilted back, allowing a mouthful of liquid to
sit in the upper throat.
153. Insertion of drug into body cavity-
suppository
• A suppository is a medicated solid dosage form
used in the rectum, vagina and urethra.
• Vaginal suppositories are called pessaries.
• Urethra suppositories are called bougies.
154. Rectal suppository
Rectal suppository: Insertion of medications into
the rectum in the form of suppositories.
Procedure:
• Give left lateral position, with the upper leg
flexed.
• Expose the buttocks.
• Wear gloves.
• Unwrap the suppository and
lubricate the suppository.
• Lubricate the gloved index finger.
155. • Encourage the client to relax.
• Insert the suppository gently into the anal
canal, rounded end first along the rectal wall
using the gloved index finger.
• Press the client’s buttocks together for a few
minutes.
• Ask the client to remain in the left lateral or
supine position for at least 5 minutes to help
retain the suppository.
156.
157. Instillation of drug
• Instillation is the administration of liquid
form of drug drop by drop.
• Different drug instillations are;
–Nasal Instillation
–Eye Instillation
–Ear Instillation
159. • Perform hand washing.
• Instruct the patient to clear or blow nose gently.
• Position the patient. Supine position with head
backward.
• Take the medicine in dropper.
• Administer the nasal drops.
• Have patient remain in supine position 5 minutes.
• Replace the articles and document the procedure.
160.
161. Eye Instillation
• Administration of medicine drop by drop into
eyes.
Articles
– Tray
– Bowl
– Cotton swabs
– Dropper
– Gloves
– Medicine
– Kidney tray
162. • Perform hand washing.
• Position the patient. Ask patient to lie
supine or sit back in chair with head slightly
hyperextended.
• Wipe the eyes with cotton balls from inner
canthus to outer canthus.
• Take the medicine.
• Expose the lower conjunctival sac by placing
the thumb or fingers of nondominant hand
on the client’s cheekbone just below the eye
and gently drawing down the skin on the
cheek.
163. • Administer the medication drops into
conjunctival sac.
• After instilling drops, ask patient to close
eye gently.
• Replace the articles and document the
procedure.
165. • Perform hand washing.
• Place patient in side-lying
position.
• Straighten ear canal by pulling
auricle down and back (children
younger than 3 years) or upward
and outward (children 4 years of
age and older and adults).
• Instill prescribed drops holding
dropper 1 cm above ear canal
• Ask patient to remain in side-lying
position 2 to 3 minutes.
• Replace the articles and
document the procedure.
166. Irrigation
• Some medications are used to irrigate or
wash out a body cavity. Commonly used
irrigating solutions are sterile water, saline,
or antiseptic solutions on the eye, ear and
bladder.
• Irrigations cleanse an area.
167. Eye irrigation
• An eye irrigation is administered to wash
out the conjunctival sac to remove
secretions or foreign bodies or to remove
chemicals that may injure the eye.
168. Articles
• Sterile irrigating solution warmed to 37⁰ C
(98.6 F)
• Disposable gloves
• Cotton balls
• Sterile irrigating set (sterile container and
irrigating tube or irrigating syringe)
• Emesis basin or kidney tray
• Mackintosh
• Towel
169. Procedure
• Explain procedure to the client.
• Arrange all articles.
• Wash hands.
• Have the client sit or lie with the head tilted toward
the side of the affected eye. Protect the client and the
bed with mackintosh.
• Clean the lids and the lashes with a cotton ball
moistened with normal saline or the solution
ordered for the irrigation. Wipe from the inner
canthus to the outer canthus. Discard the cotton ball
after each wipe.
• Place the emesis basin at the cheek on the side of the
affected eye to receive the irrigating solution.
170. • Expose the lower conjunctival sac.
• Hold the irrigator about 2.5cm(1 inch) from
the eye. Direct the flow of the solution from the
inner canthus to the outer canthus along the
conjunctival sac.
• Irrigate until the solution is clear or all of the
solution has been used.
• Dry the area after the irrigation with cotton
balls or a gauze sponge. Offer a towel to the
client if the face and neck are wet.
• Wash hands.
• Replace all articles and document the
procedure.
173. Ear irrigation
• An ear irrigation is administered to wash
the external ear canal to remove secretions
or foreign bodies that may obstruct the ear.
174. Articles
• Sterile irrigating solution warmed to 37⁰ C
(98.6 F)
• Disposable gloves
• Cotton balls
• Sterile irrigating set (sterile container and
irrigating tube or irrigating syringe)
• Emesis basin or kidney tray
• Mackintosh
• Towel
175. Procedure
• Explain procedure to the client.
• Arrange all articles.
• Wash hands.
• Protect the client and the bed
with mackintosh.
• Explain that the client may experience a feeling
of fullness, warmth, and, occasionally,
discomfort when the fluid comes in contact
with the tympanic membrane.
• Assist the client to a sitting or lying position
with head tilted toward the affected ear.
176. • Place the emesis basin under the ear to be
irrigated.
• Fill the syringe with solution.
177. • Straighten the ear canal.
• Administer the fluid.
• Continue instilling the fluid until all the
solution is used or until the canal is cleaned.
• Assist the client to a side-lying position on
the affected side for the complete drainage
of the fluid.
• Dry the area after the irrigation with cotton
balls or towel.
• Wash hands.
• Replace all articles and document the
procedure.
178. Bladder irrigation
• Bladder irrigation is done to wash out the
bladder and sometimes to apply a
medication to the bladder lining.
• Two method;
– Open method
– Closed method
179. Closed bladder irrigation
• Arrange all articles.
• Wash hands.
• Apply clean gloves and cleanse the port with
antiseptic swabs.
• Connect the irrigation tubing to the input port of the
three way catheter.
• Irrigate the bladder by allowing the irrigating fluid
into bladder.
• Adjust the flow rate. The irrigated fluid back from
the bladder is collected in urinary bag.
• Wash hands.
• Replace all articles and document the procedure.
180.
181.
182. Open bladder irrigation
• Arrange all articles.
• Wash hands.
• Apply clean gloves and cleanse the port with
antiseptic swabs.
• Disconnect catheter from drainage tubing and
place the catheter end in the sterile basin. Place
sterile protective cap over end of drainage
tubing.
• Draw the prescribed amount of irrigating
solution into the syringe.
183. • Insert the tip of the syringe into the catheter opening.
• Gently and slowly inject the solution into the catheter.
• Remove the syringe and allow the solution to drain back
into the basin.
• Continue to irrigate the client’s bladder until the total
amount to be instilled has been injected or when fluid
returns are clear.
• Remove the protective cap from the drainage tube and
wipe with antiseptic swab.
• Reconnect the catheter to drainage tubing.
• Remove and discard gloves.
• Perform hand hygiene.
• Replace all articles and document the procedure.
184. Inhalation medications
• Nebulizers deliver most medications
administered through the inhaled route. A
nebulizer is used to deliver a fine spray of
medication or moisture to a client.
185. • The metered-dose inhaler (MDI) is a
pressurized container of medication that
can be used by the client to release the
medication through a mouthpiece.