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Medication Administration Basic Principles. Nomenclature (Name) Chemical name Generic name Official name Trade Name. Preparation Classification. Drugs. Mechanics of drug action. Pharmacodynamics Pharmacokinetics Absorption Route of administration Drug solubility Distribution
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Nomenclature (Name) Chemical name Generic name Official name Trade Name Preparation Classification Drugs
Mechanics of drug action • Pharmacodynamics • Pharmacokinetics • Absorption • Route of administration • Drug solubility • Distribution • Metabolism • Excretion
Factors Affecting Drug Action • Developmental • Weight • Psychological • Pathology • Time of Administration
Adverse drug effects • Side effects • Adverse effects • Drug allergy • Drug tolerance • Cumulative effect • Interaction • antagonistic • synergistic
Medication Orders • Standing • PRN • Single • STAT
Patient name Date and time Drug name Drug dosage Route Frequency Signature Parts of the Order
Problems with Orders • Allergies • Steps • Drug book • Pharmacist • Physician • Supervisor
Medication Supply Systems • Stock • Unit dose
Drug Administration • 3 checks • obtaining the container • removing the med • replacing the container
5 Rights • Right drug • Right patient • Right dose • Right route • Right time
Avoiding Errors • Prepare drugs alone • Don’t leave drugs alone • Prepare and administer • Lock med cart • Supervise swallowing
3 checks 5 rights Assessment Patient position Fluids Keep meds in wrappers Offer separately Steps in Administration
Definition Record Patient name Amount Time Physician Nurse signature Waste/witness Count Discrepancies Administering Narcotics
Legal record When to record Information med name dosage route time nurse initials nurse signature site of injection other information Omitted drugs reason notify MD Refused drugs Documentation
Medication Errors • Reasons for occurrence • Steps if error takes place
Oral medications • Systemic and local actions • Forms • solids • enteric coated • liquids
Sublingual • Systemic effects • Under tongue • Buccal • cheek and gum
Topical • Systemic and local effects • Skin • technique • Eye instillation • drops • lower conjunctival sac • ointments
Topical • Ear instillations • straighten canal • Nasal instillations • position • Vaginal applications • technique • Rectal instillations • technique
Inhalation • Types of drugs • Technique