3. definition
• Oral adm is process by which drugs are
delivered by mouth through alimentary tract.
They can be either liquid or solid form. It is
done sublingual and buccal.
4. precaution
♣ The nurse should check wether the pt has any
known allergy
♣ Check the rights
♣ Check BF/AF
♣ Do not handle tab,cap,mix,syr unnecessarily to
avoid contamination.
♣ Do not give water after adm sedatives
♣ Shake bottle well b4 taking syr. And mix
♣ Do not pour back medicine into bottle.
♣ Do not adm water after giving cough syr
5. contraindication
• Vomiting
• Reduced gi motility(after GAM bowel
inflammation)
• s/y resection of portion GIT
• Inability to swallow
• Pts with gastric suction/aspiration
• Prior to certain test/surgery
• Unconscious/ confused pts
• Poor gag reflex
6. equipment
• Medication card
• Medication tray
• Small plastic cups/ paper cups/ ounce glass
• Glass of water
• Caliberated disposable cups/ ounce glass
• Mortar& pestle
• Scissor
• Kidney tray
• Paper towel/ tissue paper
• Teaspoon
• Dropper
• Cup with sterile water for drinking
7. procedure
• Explain procedure
• Assist pt in sitting position if possible
• Lateral position can be given unless contraindicated
• Spread the towel under chin across chest
• Wash hands
• Take medicine card verify physician order
• Take appropriate medicine from shelf compare with
chart and read the entire label including exp date
• Calculate dose & double check
8. cont,.,
PREPARATION:
• For tablets & cap pour required nu into bottle
cap 1st and then into medicine cup. Take
required number. Do not touch use gloved
hand . If there is need to broken to adm half
dose.
• Assess clients condition, if not able to swallow,
ask physician to dissolve in liquid. To crush the
medication use mortar and pestle.
9. Cont.,
PREPARE LIQUIDS
Remove bottle cap from container and place cap
upside down
Pour liquids from opposite side of label hold measuring
cup at eye level and place thumb nail at correct
measurement and scale shuold be even with fluid level.
If there is excessive medicine, discard in sink. Wipe the
mouth of bottle& close it.
Check exp date
Replace medicine to the shelf and read label again.
10. Cont.,
• Administering medication
• Identify right pt(comparing name and
medicine card, calling pt name,asking pt to
repeat his name)
• Explain purpose of each drug and its action
• Offer some water or juice to the patient thus
prevent sticking of medication
11. Sublingual administration
• Pt should be placed in supine position
• The pt places medication under the tongue for
atleast 10 minutes.
• Avoid opening mouth, eating, drinking, chewing
during this time
• Shift the tab to a different position under the
tongue if necessary
• Wait several minutes after dis solving the
sublingual medication before drinking or rinsing
the mouth.
12. Buccal administration
• The tablet should be placed b/w gum and the
walls of cheek. With the mouth closed, the
tablet should be held in this position for 5 – 10
minutes or until it has dissolved
• Do not adm fluids until medication dissolves.
• Powdered medicines are mixed at bed side
• Stay with pt until swallow and check the
mouth for ensuring swallowing
• Wipe mouth and remove towel
13. Cont.,
• Return with in 30 minutes to evaluate
response
• Replace the articles
• Wash dry and replace
• Wash hands
• Recording and reporting
