Administration of Drugs

National Patient Safety Goals

The medication Orders

Drug Dispensing systems

Computerized dispensing system (PXIS)

Unit Dose System

Barcode scanners

Knowledge of each drug given

Check current approved references for all drug information

patient considerations

patient allergy history

previous adverse reactions

patient comments

change in patient's condition

reason for use

general action

common adverse reactions

special precautions in administration

normal dose range

check written order an compare to drug label

wash hands

never crush or open capsules or administer drugs prepare by someone else

be aware of drugs with similar names

return drugs requiring special storage

remove wrappings when the drug reaches the patient

chart immediately after administering the drug

Verify the drug

ID the patient

Assess

Keep h2o readily available

instruct

never leave drug at patients bedside

Medication should be warm

Pull pina down and back

Medication should be warm

Pull Pina up and back

Give medication as directed

over dose can cause rebound congestion

Remove cap from container

do not touch drug

transfer med from cap to medicine cup

recap container

Shake liquid

do not touch cap

palm label

eye level w/ thumbnail

no contact btwn bottle & measuring device

measure at lowest level of meniscus

cleanse bottle of gets soiled

crush in a wrapper

mix well with small amount of food

inform the patient that drug is in food

Subq

IM

IV Intra-dermal, Intra-lesional, Intra-Arterial, Inta-cardiac, Intra- Articular

draw up the amt of air = to the amt of medication planned to withdraw

cleanse rubber stopper potion of vial

inject air

keep needle immersed in solution & fill with ordered amt of med

inject to see if any meds are trapped in the stem

tap stem gently to cause trapped med to return to base

break off ambule stem

draw amt required

1 mL - 3 mL

22 gauge 1 1/2 inch needle

Forearm & upper back

1 mL syringe w/ 25-27 gauge 1/4 to 5/8 inches long

volume of 0.1 ml or less

15 degree angle of insertion with the bevel up

Wheal should form

( no aspiration or massage)

assessment

diagnosis

planning

Implementation

Evaluation

Preparation of the drug

patient teaching

how patient is responding to interventions

chart response to all drugs