Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins
Chapter 32
Oral Medications
Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins
Question
•Is the following statement true or
false?...
Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins
Answer
True.
An advanced practice nurse can write a...
Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins
Medication Orders
• Lists the drug name and directi...
Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins
Medication Orders (cont’d)
• Components of medicati...
Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins
Medication Orders (cont’d)
• Route of administratio...
Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins
Question
•The standard abbreviation for
writing twi...
Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins
Answer
c. b.i.d.
The standard abbreviation for writ...
Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins
Question
•Which of the following is the most
common...
Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins
Answer
a. Oral
The oral route is the most common ro...
Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins
Medication Orders (cont’d)
• Verbal orders: instruc...
Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins
Methods of Supplying Medications
• Storing medicati...
Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins
Methods of Supplying Medications
(cont’d)
• Ways to...
Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins
Medication Administration
• Applying the 5 rights s...
Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins
Drug Calculation Formula
Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins
Preparing Medications Safely
Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins
Taking Medications
Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins
Medication Administration (cont’d)
• Oral medicatio...
Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins
Nursing Implications
• Nursing diagnoses
– Deficien...
Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins
General Gerontologic Considerations
• The body cons...
Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins
General Gerontologic Considerations
(cont’d)
• Poly...
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Ppt chapter 32

  1. 1. Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins Chapter 32 Oral Medications
  2. 2. Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins Question •Is the following statement true or false? An advanced practice nurse can write a medication order.
  3. 3. Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins Answer True. An advanced practice nurse can write a medication order if legally designated to do so by state statutes.
  4. 4. Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins Medication Orders • Lists the drug name and directions for its administration • Written on client’s medical records • Written by medical personnel, physician’s assistant, or advanced practice nurse
  5. 5. Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins Medication Orders (cont’d) • Components of medication orders – Drug name: trade name – Drug dose: the amount of drug to administer, prescribed using the relevant system of measurement
  6. 6. Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins Medication Orders (cont’d) • Route of administration: how the drug is given – Oral, topical, inhalant, or parenteral route • Frequency of administration: how often and how regularly the medication is to be given • Signature of prescribing agent
  7. 7. Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins Question •The standard abbreviation for writing twice a day is? a. q.d. b. q.o.d. c. b.i.d. d. t.i.d.
  8. 8. Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins Answer c. b.i.d. The standard abbreviation for writing twice a day is b.i.d.; q.d. stands for everyday, q.o.d. for every other day, and t.i.d. for three times a day.
  9. 9. Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins Question •Which of the following is the most common route to administer medication? a. Oral b. Topical c. Inhalant d. Parenteral
  10. 10. Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins Answer a. Oral The oral route is the most common route to administer medication. The topical route is used for skin application, inhalant for aerosol, and parenteral for injection.
  11. 11. Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins Medication Orders (cont’d) • Verbal orders: instructions for client care that are given during face-to-face conversations • Telephone orders: obtained from a physician during a telephone conversation • Documented in the medication administration record
  12. 12. Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins Methods of Supplying Medications • Storing medications: medications remain locked until the drugs are administered • Accounting for narcotics: federal laws regulate their possession and administration; nurses are responsible for an accurate account of their use and must keep a record of each narcotic used from the stock supply
  13. 13. Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins Methods of Supplying Medications (cont’d) • Ways to supply drugs: – Individual supply – Unit dose supply – Stock supply
  14. 14. Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins Medication Administration • Applying the 5 rights safeguards against medication errors • Calculating dosages is one of the 5 rights • Oral medications are prepared and taken to the client’s bedside in a paper or plastic cup for administration
  15. 15. Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins Drug Calculation Formula
  16. 16. Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins Preparing Medications Safely
  17. 17. Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins Taking Medications
  18. 18. Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins Medication Administration (cont’d) • Oral medications are administered by enteral tube if client cannot swallow them • Documentation is required on medication administration record • Nurses are ethically and legally responsible for reporting medication errors
  19. 19. Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins Nursing Implications • Nursing diagnoses – Deficient knowledge – Risk for aspiration – Ineffective therapeutic regimen management – Ineffective health maintenance – Noncompliance
  20. 20. Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins General Gerontologic Considerations • The body constitution affects the way medications work • The chemical properties of the medication determine the degree to which these age- related changes influence medication actions
  21. 21. Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins General Gerontologic Considerations (cont’d) • Polypharmacy in older adults increases the risk for drug interactions and adverse medication reactions • Taking more than one medication can cause mental changes • Enteric-coated medications should never be crushed
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