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Week_3_Drug_administration,roles_&Rights[1].pptx - DRUG...

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DRUG ADMINISTRATION, ROLES &RIGHTS
KEY CONCEPTSAdminister only medications you prepare, andnever leave prepared medications unattended.Document medications immediately afteradministration.Use clinical judgment in determining the best timeto administer PRN medications.When preparing medications, check themedication container label against the medicationadministration record (MAR) three times.
MAINTAINING PATIENTS RIGHTSTo be properly advised about experimentalnature of medicationTo receive labeled medications safelyTo receive appropriate supportive therapyNot receive unnecessary medicationsTo be informed if medications are part of aresearch study
The Rights of Drug Administration and Role Ofthe Nurse.The nurse is also responsible for ensuring thatthey have the knowledge to ensure thecorrect administration of drugs.This includes pharmacology, anatomy andphysiology, and legal issues.Every registered nurse is legally responsiblefor the correct administration of drugs. Thisincludes the seven“rights” of administration:
Drug Administration Rights1)Right drug2)Right dose3)Right time4)Right route5)Right patient6)Right documentation7)Right patientEducation
RIGHT DOSECheck the drug dose ordered against the range ofspecified in the reference books available at thenurse's station.check the dose, read the container label,calculate the dose & check with a RN if necessaryuse proper measuring devices for liquids, do notcrush tablets or open capsules unless directed toby the pharmacist. (do not crush enteric coatedtablets).
CONSIDERAbnormal Hepatic or Renal FunctionDepending on the rate of drug metabolism androute of excretion from the body, certain drugsrequire a reduction in dose to prevent toxicity.Conversely, patients being dialyzed may requirehigher than normal doses.Whenever a dose is outside the normal range forthat drug, it should be verifiedbeforeadministration.
Pediatric and Geriatric PatientsThe nurse should question any order outside the normalrangebeforeadministration.For pediatric patients, the most reliable method is byproportional amount of body surface area or body weight.Nausea and VomitingIf a patient is vomiting, oral medications should bewithheld, and the prescriber should contacted for alternatemedication ordersconsideration should be given to rescheduling the oralmedication.
Accurate Dose FormsDo not break a tablet unless it is scored.Accurate CalculationsSafety should always be maintained when calculating adrug dose.Correct Measuring DevicesAccurate measurement of the volume of medicationprescribe is essential.Fractional doses require the use of a tuberculin syringe,E.g insulin is generally measured in an insulin syringe thatcorresponds to the number of units in 1 ml

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Term
Fall
Professor
NoProfessor
Tags
Pharmacology, Rights of Drug Administration, Education For Medication Administration

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