Principles of medication administration(nursing foundation)
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principles of medication administration and three checks of medication , ten rights of drug administration
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Intravenous (IV) therapy delivers liquid substances directly into a vein. IV injections are the fastest way to deliver medications and fluids throughout the body. IV injection involves introducing a small amount of drug directly into the bloodstream via a vein. It allows for fast drug action in emergencies and delivers medications that may be irritating or ineffective through other routes. Potential complications include infiltration, hematoma, air embolism, phlebitis, and allergic reactions. Nurses are responsible for verifying medications, maintaining sterile technique, and monitoring for adverse reactions.
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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.
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Inhalation
Inhalation therapy delivers medications directly to the lungs through various methods such as steam inhalation, dry powder inhalers, and nebulizers to treat respiratory conditions like asthma and bronchitis. It has advantages of less systemic toxicity and more rapid onset of medication effects compared to oral medications. Common inhalation drugs include bronchodilators, steroids, and antimicrobials to treat respiratory infections and inflammation.
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Intravenous Injection ppt
Intravenous (IV) therapy delivers liquid substances directly into a vein. IV injections are the fastest way to deliver medications and fluids throughout the body. IV injection involves introducing a small amount of drug directly into the bloodstream via a vein. It allows for fast drug action in emergencies and delivers medications that may be irritating or ineffective through other routes. Potential complications include infiltration, hematoma, air embolism, phlebitis, and allergic reactions. Nurses are responsible for verifying medications, maintaining sterile technique, and monitoring for adverse reactions.
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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.
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This document provides information on administering medication through the intravenous route. It discusses the purposes of intravenous administration, types including bolus and continuous infusion, common sites for venipuncture, and procedures for intravenous bolus administration and starting an intravenous line. Complications from intravenous therapy like infiltration, thrombophlebitis, and air embolism are also covered. The document aims to outline best practices for safe and effective intravenous medication administration.
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The document discusses the care of dying patients. It defines caring for dying patients as promoting physical comfort and psychological peace in the final stage of life. It outlines signs of approaching death including changes in various body systems. It discusses symptomatic management of common issues like breathing difficulties, eating/drinking problems, and loss of senses. Care includes keeping the patient clean and comfortable, managing pain and other symptoms, and allowing for rest. The document also covers signs of clinical death and the nurse's role in assessing and caring for the dying patient.
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This document discusses elimination and the nursing care related to normal and altered elimination. It begins by defining elimination as the removal of waste from the body through organs like the kidneys, intestines, lungs and skin. It then covers topics like the characteristics of normal urine and feces, factors that affect elimination, and common alterations seen in urinary and bowel elimination like constipation and diarrhea. The document concludes by outlining the nursing responsibilities regarding promotion of normal elimination and management of issues like incontinence, retention, and ostomies.
Inhalation
Inhalation therapy delivers medications directly to the lungs through various methods such as steam inhalation, dry powder inhalers, and nebulizers to treat respiratory conditions like asthma and bronchitis. It has advantages of less systemic toxicity and more rapid onset of medication effects compared to oral medications. Common inhalation drugs include bronchodilators, steroids, and antimicrobials to treat respiratory infections and inflammation.
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This document provides guidance on the care of various items used in hospitals, including linens, rubber goods, and glassware. It outlines the proper cleaning, disinfection, and storage procedures for items like mackintoshes, hot water bags, gloves, test tubes, and thermometers. Maintaining cleanliness and proper care is important to prevent infection spread, remove stains, and prolong the life of these items. Key steps include washing with soap and water, drying completely, and disinfecting or sterilizing depending on the item.
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.
Urinary elimination
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IV Infusion
This document discusses intravenous (IV) infusion, which involves administering fluids, medications, blood or blood products directly into a vein. It defines IV as administering a solution into a vein and infusion as a slow injection into a vein or tissue. The document lists indications for IV like dehydration or shock, contraindications like liver disease or congestive heart failure, equipment needed, nurse preparation steps, patient preparation, environmental preparation, and potential local and systemic complications.
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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.
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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.
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The intramuscular injection is most common type of drug administration. Because of a single mistake we can do harm to our patient. So, we should know about the right way to administer IM injection. Here, in this slides we discuss details about the topic. It will increase your skill proficiently.
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1. It defines nasogastric tube feeding as administering food directly into the stomach through a tube inserted through the nose or mouth.
2. It lists indications for nasogastric tube feeding such as head/neck injuries, coma, obstruction of the esophagus or oropharynx, and increased metabolic needs from burns or cancer.
3. It describes the procedure for nasogastric tube feeding including assessing the patient, placing the feeding tube, administering the feeding slowly by gravity, and monitoring the patient after feeding.
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Oxygen administration is used to treat conditions causing hypoxia by delivering higher than normal levels of oxygen. It aims to relieve shortness of breath, reduce low blood oxygen levels, and alleviate struggling to breathe. Oxygen can be provided from wall outlets or oxygen cylinders through nasal cannulas, simple face masks, or nasal catheters. When administering oxygen, nurses must carefully follow the prescribed flow rate and concentration and educate patients on safety issues like avoiding smoking around oxygen.
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This document discusses the importance of proper drug administration in nursing practice. It outlines the traditional five rights of drug administration - right client, right drug, right dose, right time, right route - as well as five additional rights including right assessment, right documentation, patient's right to education, right evaluation, and patient's right to refuse. It emphasizes that nurses are accountable for safely administering medications by verifying orders, understanding each drug's effects and interactions, and ensuring patients provide informed consent before treatment.
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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.
Urinary elimination
Urinary elimination involves the removal of waste from the body through the urinary system. Urine is produced in the kidneys and stored in the bladder, and the desire to void occurs when the bladder reaches a certain capacity. Normal urine production is influenced by many developmental, physiological, pathological, dietary, and lifestyle factors. Abnormalities in urinary elimination can include increased/decreased urine output, pain/difficulty urinating, or incontinence. Nursing care focuses on regular voiding schedules, bladder training, skin care, and addressing any underlying causes.
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Role of nursing officer in drug administration by Ms. Nisha Mecwan, Sister In...Shri Vinoba Bhave College of Nursing, Silvassa, Dadra & Nagar Haveli
Role and responsibilities of Nursing Officers in Drug administration. This PPT explains about 10 rights of drug administration and different routes of Drug administration Rights of administration of medication
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.
IV Infusion
This document discusses intravenous (IV) infusion, which involves administering fluids, medications, blood or blood products directly into a vein. It defines IV as administering a solution into a vein and infusion as a slow injection into a vein or tissue. The document lists indications for IV like dehydration or shock, contraindications like liver disease or congestive heart failure, equipment needed, nurse preparation steps, patient preparation, environmental preparation, and potential local and systemic complications.
Bed Bath Procedure
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.
Role of nurse in medical surgical setting
The document discusses the role and responsibilities of nurses in various medical-surgical settings. Nurses in outpatient departments provide direct care to patients, educate patients and families, and screen patients for admission. In inpatient departments, nurses are responsible for providing quality medical care, managing patient files, and coordinating care. Intensive care unit nurses closely monitor patients' conditions, assist physicians with procedures, and care for pre- and post-operative patients. Nurses in home health care and community settings provide care outside of hospitals through services like health education, wound care, and disease prevention programs.
admission procedure in nursing
This document discusses hospital admission and discharge procedures. It covers the admission process including preparing the unit, admission types (emergency vs routine), admission procedures, and the nurse's role. Discharge topics include types (planned, LAMA, transfers), planning, procedures, considerations, and post-discharge unit care. Admission involves allowing a patient to stay for treatment/care. The nurse's responsibilities are to receive patients courteously, assess their condition, orient them to hospital policies and equipment, and coordinate initial care orders with physicians.
Iv injection- intravenous injection
This presentation is about Iv injection which is used by all health professionals to the patients. This presentation includes definition, purpose, types, equipment with procedure and role of nurse all are included.. this is very helpful demonstration for health care settings.
Oxygen administration
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.
10 rights of medication administration
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.
Machinery , equipments and linen -gihs
The document discusses various types of materials, equipment, and linen used in hospitals and their care and maintenance. It covers the different categories of equipment including reusable and disposable items. It provides details on the proper cleaning, disinfection, and sterilization techniques for different materials like linen, rubber goods, steel instruments, glass, and plastic items. The document also discusses the care and maintenance of other items like furniture and machinery equipment. It emphasizes the importance of maintaining proper inventory and indent records for materials and ensuring their optimal availability.
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The document discusses equipment, linen, and medical supplies used in hospitals. It defines equipment as fixed or portable items used for diagnosis, treatment, and patient care. Linen refers to clothing items like cotton used in hospitals. Medical supplies include consumable and disposable items used for patient treatment. The document outlines the maintenance, cleaning, and sterilization processes for various equipment, linen, glassware, and other supplies to prevent infection and ensure proper functioning.
Dead body care
The document discusses death and the physiological changes that occur after death, including rigor mortis, algor mortis, and livor mortis. It also outlines the proper procedures for caring for a dead body, which includes cleaning and preparing the body, closing orifices, applying identification tags, allowing family to view the body, and documenting details of the death and body release. The goal of dead body care is to prepare the body for the morgue and prevent discoloration or deformity while protecting the body from post-mortem discharge.
Health Assessment ...
A health assessment is a plan of care that identifies the specific needs of a person and how those needs will be addressed by the healthcare system or skilled nursing facility. Health assessment is the evaluation of the health status by performing a physical exam after taking a health history.
Administration of medications
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.
Intramuscular Injection(IM) injection
The intramuscular injection is most common type of drug administration. Because of a single mistake we can do harm to our patient. So, we should know about the right way to administer IM injection. Here, in this slides we discuss details about the topic. It will increase your skill proficiently.
Thanks
Nasogastric tube feeding
This document provides information on nasogastric tube feeding including:
1. It defines nasogastric tube feeding as administering food directly into the stomach through a tube inserted through the nose or mouth.
2. It lists indications for nasogastric tube feeding such as head/neck injuries, coma, obstruction of the esophagus or oropharynx, and increased metabolic needs from burns or cancer.
3. It describes the procedure for nasogastric tube feeding including assessing the patient, placing the feeding tube, administering the feeding slowly by gravity, and monitoring the patient after feeding.
oxygen administration procedure
Oxygen administration is used to treat conditions causing hypoxia by delivering higher than normal levels of oxygen. It aims to relieve shortness of breath, reduce low blood oxygen levels, and alleviate struggling to breathe. Oxygen can be provided from wall outlets or oxygen cylinders through nasal cannulas, simple face masks, or nasal catheters. When administering oxygen, nurses must carefully follow the prescribed flow rate and concentration and educate patients on safety issues like avoiding smoking around oxygen.
Enema
An enema is a procedure that introduces liquids into the rectum and colon through the anus to be flushed out through the bowels. It is used as a treatment in Ayurveda and naturopathy for various medical conditions like constipation and digestive disorders. The standard procedure involves lying down with the buttocks raised, inserting a rubber catheter attached to an enema bag suspended 3 feet above, and allowing the liquid to flow in and be evacuated after 10 minutes of walking. Enemas vary based on size, temperature, and ingredients used. Coffee enemas have caused deaths and there are precautions to take as well as indications and contraindications for their use.
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Role of nursing officer in drug administration by Ms. Nisha Mecwan, Sister In...
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This document discusses the importance of proper drug administration in nursing practice. It outlines the traditional five rights of drug administration - right client, right drug, right dose, right time, right route - as well as five additional rights including right assessment, right documentation, patient's right to education, right evaluation, and patient's right to refuse. It emphasizes that nurses are accountable for safely administering medications by verifying orders, understanding each drug's effects and interactions, and ensuring patients provide informed consent before treatment.
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Medications are substances used to treat diseases, symptoms, and prevent illnesses. They are administered according to prescriptions under legal guidelines. Medications can be used for diagnostic, prophylactic, or therapeutic purposes. Nurses must follow principles of safe administration including checking the "3 rights" and "10 rights" to ensure the correct patient receives the right drug by the proper route and dose at the correct time. Medication orders contain essential information and abbreviations are used to indicate timing of doses. Proper storage and documentation are also important aspects of medication administration.
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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:
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The document discusses medication administration procedures including the six rights of medication administration (right patient, medication, dose, route, time, and documentation), forms of drugs, principles of administration, patient rights related to medication, preparation and aftercare procedures, and indicators for measuring medication errors. Key aspects are ensuring the right patient receives the right medication via the right route and dose at the right time with the proper documentation. Nurses must also have the necessary knowledge, follow proper aseptic techniques, and report any errors or adverse drug reactions.
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4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
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Principles of medication administration(nursing foundation)
- 1. ( THREE CHECKS OF DRUGS AND TEN RIGHTS OF DRUGS OF ADMINIDRATION)
- 2. Three checks - - Check when obtaining the container of medicine. - Check when removing the medicine from the container . - –Check when replacing the container.
- 3. RIGHTS OF MEDICATION ADMINISTRATIO - Medication error can be detrimental to Patients . To prevent these error ,guidelines are –The rights are used in drug administration .
- 4. 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 folder and medication /treatment chart for confirmation.
- 5. 2- Right medication- Beware of same and similar first and surnames to prevent the error of administering one persons medication to another and vice versa. –Before administering any medicine compare name 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 chart with patients name tag .
- 6. 3- Right time- Drug timing is very especially with some drugs like antibiotics, antimalaria drugs etc. to achieve cure and prevents resistence. 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.
- 7. Continue…. 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 than prescribed might increase blood concentration to a dangerous level that can harm the patient.
- 8. 4- Right dose- This becomes very important when medication at hand are in a larger volume or when the prescribed order given or when the unit of measurement in the order is different from that supplied from the pharmacy. Careful and corrent calculation is important to prevent over or under dosage of the medication.
- 9. 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 consulting the prescriber.
- 10. 6-Right to client 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 .
- 11. 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.
- 12. 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 assessment to br done prior to medication.
- 13. 9-Right Documentation- Documentation should be done after medication and not before.
- 14. 10- Right Evaluation - Conduct assessment to ascertain drug action ,both desired an side effect.
- 15. Thank you….