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MERCYFUL & MIGHTY
09/28/18 1
PostRN 2014
09/28/18 2
DRUGS & THERE
ADMINISTRATION
09/28/18 3
 Define drug.
 Role of nurse in drugs administration.
 5 rights of drugs administration.
 Some important terms and definitions related to
the drugs administration.
 common Abbreviations of drugs according to
frequency and routes.
09/28/18 4
 A drug is, in the broadest of terms, a chemical 
substance that has known biological effects on 
humans or other animals.
09/28/18 5
 Patient’s Rights
Because of the risks involved in drug
administration patients have the right to:
- be informed of the name, purpose, action &
potential side effects of drugs
09/28/18 6
 Patient’s Rights (con’t)
- receive labelled medications safely in accordance
with the five (5) rights
- be adequately informed of the experimental
nature of any drug and sign a written consent
09/28/18 7
The nurse is also responsible for ensuring that
they have the knowledge to ensure the correct
administration of drugs. This includes
pharmacology, anatomy and physiology, and legal
issues.
09/28/18 8
Medication charts are legal documents and must
be completed accurately and unambiguously in
order to ensure that patients receive safe and
optimal drug therapy.
09/28/18 9
Every registered nurse is legally responsible for
the correct administration of drugs. This includes
the five “rights” of administration:
 Right patient
 Right drug
 Right dose
 Right route
 Right time
09/28/18 10
 Right Patient
◦ check the patient name & hospital number against the
chart & I.D. band.
◦ ask the patient to state his/her name, & their date of birth
(D.O.B)
09/28/18 11
 Right Drug
Identify the drug from the M.O.’s order. Clarify
with the M.O. if in doubt.
Check the drug three times:
- before removing it from the trolley or shelf
- when the drug is removed from the container
- before the container is returned to storage
- check the expiry date of the drug
09/28/18 12
 Right Dose
- check the dose, read the container label,
calculate the dose & check with a RN if
necessary
- use proper measuring devices for liquids, do not
crush tablets or open capsules unless directed
to by the pharmacist.
09/28/18 13
 Right Route
- make sure the M.O.’s order is clear & only give
the medications by the route designated.
- know the abbreviations for the different routes.
09/28/18 14
 Right Time
- check the time interval ordered by the M.O. &
give the medication at the prescribed time.
- drugs should be given within 20 minutes
of the prescribed time.
09/28/18 15
 Allergies
Check if your patient:
1. has any known drug allergies
2. has had any previous adverse drug
reaction
09/28/18 16
Another responsibility of the nurse is to monitor the
effect of the drugs that are administered to a
client, i.e.
- whether the drug had the required effect
- little or no effect or
- if any adverse reactions occurred.
09/28/18 17
 Adverse Reactions
- unwanted and/or unintended(accidental) effects
of the administration of a drug.
09/28/18 18
ANAPHYLAXIS
A life-threatening immediate reaction is called
anaphylaxis. There is respiratory distress, sudden
severe bronchospasm, and cardiovascular
collapse. It may result in death if not treated
immediately.
09/28/18 19
 MANE
 MIDI
 NOCTE
 BD
 TDS
 QID
 STAT
 PRN
 morning
 midday
 Night
 twice a day
 three times a day
 four times a day
 give immediately
 when required
when necessary
09/28/18 20
 ac
 pc
 q.h.or 1/24
 q2h or 2/24
 q4h or 4/24
 before meals
 after meals
 every hour
 every two hours
 every four hours
09/28/18 21
 BUC
 O/P.O
 S/L
 ID
 IM
 SC
 inside cheek
 oral/per oral
 sublingal
(under the tongue)
 intradermal
 Intramuscular
 subcutaneous
09/28/18 22
 IV
 NEB
 PR
 TOP
09/28/18 23
 intravenous
 nebuliser
 per rectum
 topical/skin
THANK YOU
09/28/18 24

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drug administeration

  • 4.  Define drug.  Role of nurse in drugs administration.  5 rights of drugs administration.  Some important terms and definitions related to the drugs administration.  common Abbreviations of drugs according to frequency and routes. 09/28/18 4
  • 5.  A drug is, in the broadest of terms, a chemical  substance that has known biological effects on  humans or other animals. 09/28/18 5
  • 6.  Patient’s Rights Because of the risks involved in drug administration patients have the right to: - be informed of the name, purpose, action & potential side effects of drugs 09/28/18 6
  • 7.  Patient’s Rights (con’t) - receive labelled medications safely in accordance with the five (5) rights - be adequately informed of the experimental nature of any drug and sign a written consent 09/28/18 7
  • 8. The nurse is also responsible for ensuring that they have the knowledge to ensure the correct administration of drugs. This includes pharmacology, anatomy and physiology, and legal issues. 09/28/18 8
  • 9. Medication charts are legal documents and must be completed accurately and unambiguously in order to ensure that patients receive safe and optimal drug therapy. 09/28/18 9
  • 10. Every registered nurse is legally responsible for the correct administration of drugs. This includes the five “rights” of administration:  Right patient  Right drug  Right dose  Right route  Right time 09/28/18 10
  • 11.  Right Patient ◦ check the patient name & hospital number against the chart & I.D. band. ◦ ask the patient to state his/her name, & their date of birth (D.O.B) 09/28/18 11
  • 12.  Right Drug Identify the drug from the M.O.’s order. Clarify with the M.O. if in doubt. Check the drug three times: - before removing it from the trolley or shelf - when the drug is removed from the container - before the container is returned to storage - check the expiry date of the drug 09/28/18 12
  • 13.  Right Dose - check the dose, read the container label, calculate the dose & check with a RN if necessary - use proper measuring devices for liquids, do not crush tablets or open capsules unless directed to by the pharmacist. 09/28/18 13
  • 14.  Right Route - make sure the M.O.’s order is clear & only give the medications by the route designated. - know the abbreviations for the different routes. 09/28/18 14
  • 15.  Right Time - check the time interval ordered by the M.O. & give the medication at the prescribed time. - drugs should be given within 20 minutes of the prescribed time. 09/28/18 15
  • 16.  Allergies Check if your patient: 1. has any known drug allergies 2. has had any previous adverse drug reaction 09/28/18 16
  • 17. Another responsibility of the nurse is to monitor the effect of the drugs that are administered to a client, i.e. - whether the drug had the required effect - little or no effect or - if any adverse reactions occurred. 09/28/18 17
  • 18.  Adverse Reactions - unwanted and/or unintended(accidental) effects of the administration of a drug. 09/28/18 18
  • 19. ANAPHYLAXIS A life-threatening immediate reaction is called anaphylaxis. There is respiratory distress, sudden severe bronchospasm, and cardiovascular collapse. It may result in death if not treated immediately. 09/28/18 19
  • 20.  MANE  MIDI  NOCTE  BD  TDS  QID  STAT  PRN  morning  midday  Night  twice a day  three times a day  four times a day  give immediately  when required when necessary 09/28/18 20
  • 21.  ac  pc  q.h.or 1/24  q2h or 2/24  q4h or 4/24  before meals  after meals  every hour  every two hours  every four hours 09/28/18 21
  • 22.  BUC  O/P.O  S/L  ID  IM  SC  inside cheek  oral/per oral  sublingal (under the tongue)  intradermal  Intramuscular  subcutaneous 09/28/18 22
  • 23.  IV  NEB  PR  TOP 09/28/18 23  intravenous  nebuliser  per rectum  topical/skin