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Oral drug administration

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.

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welcome
Mr. Manikandan.T,
RN., RM., M.Sc(N)., D.C.A .,(Ph.D)
Assistant Professor,
Dept. of Medical Surgical Nursing,
VMCON, Puducherry.
Oral drug administration
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.
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
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
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

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Oral drug administration

  • 1. welcome Mr. Manikandan.T, RN., RM., M.Sc(N)., D.C.A .,(Ph.D) Assistant Professor, Dept. of Medical Surgical Nursing, VMCON, Puducherry.
  • 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