ADMINISTRATION OF

MEDICATIONSNon-parenteral Routes – Part 1

N228 Clinical Pharmacology Prepared by Linda Walters RN, MSN

PREPARATION FOR NON PARENTERAL PART 1 Objectives: The learner will be able to identify generic, trade,

classification, usual adult dosage, usual form and rout of administration, and the usages of each given medication utilizing the drug book and / or the drug PDA or Phone Application with regards to the Nursing Practice Act drug administration guidelines.

The learner will be able to identify the six rights of medication administration utilizing the drug book and / or the drug PDA or Phone Application with regards to the Nursing Practice Act.

The learner will be able to simulate the proper process of drug administration with regards to the Food and Drug Administration’s laws and regulations utilizing the drug book and / or the drug PDA or the Phone Application.

The learner will be able to distinguish between other routes and the discussed route of non-parenteral medication administration using the drug book and / or drug PDA or Phone Application with regards to the Nursing Practice Act.

LEGAL ASPECTS FDA US Congress Nurse Practice Acts Institutional Policies Clients Rights Possible substance abuse

CASE STUDY You are a charge nurse working the

evening shift on a busy pediatric unit. For the third time in 3 weeks, the narcotic count is incorrect at the end of the shift. You suspect that one of your coworkers may be diverting narcotics based on the following information: he has always been working when the count has been short, he calls in sick frequently, he has mood swings, and he tends to blame others rather than accept responsibility for his errors. There is no objective evidence that he is diverting the narcotics, just suspicion.

PRELIMINARY CLIENT ASSESSMENT

Medical Record Diet and Fluid Orders Laboratory Data Physical Assessment

THE NURSING PROCESS & MEDICATION ADMINISTRATION Assessment Nursing Diagnosis Planning/Outcome criteria Implementation Evaluation

CASE STUDYMrs. Mann has a morning dose of Digoxinscheduled at 9am. You took the pulse

andfound it to be 60 and irregular and her

serum Kis 2.9 mEq. You know that her history is

postop fractured hip repair 2 days ago. Her

pulsehas been running in the 80’s and

according toher chart this is the first variance. Serum

khas been dropping but today’s result was

thelowest since admission. She also has a

historyof renal insufficiency.

CAN WE SAY IT ENOUGH

THE “6TH RIGHT”Documentation

MEDICATION LABELS Reading and Interpreting

Drug name Generic or Trade

Drug dosage and strengthDrug formDrug quantityDrug administrationDrug reconstitution or mixingDrug manufacturingDrug precautions

1. Drug name:Generic or Trade

2. Drug dosage and strength:3. Drug form:4. Drug quantity:5. Drug administration:6. Drug reconstitution or mixing:7. Drug manufacturing:8. Drug precautions:

1. Drug name:Generic or Trade

2. Drug dosage and strength:3. Drug form:4. Drug quantity:5. Drug administration:6. Drug reconstitution or mixing:7. Drug manufacturing:8. Drug precautions:

1. Drug name:Generic or Trade

2. Drug dosage and strength:3. Drug form:4. Drug quantity:5. Drug administration:6. Drug reconstitution or mixing:7. Drug manufacturing:8. Drug precautions:

1. Drug name:Generic or Trade

2. Drug dosage and strength:3. Drug form:4. Drug quantity:5. Drug administration:6. Drug reconstitution or mixing:7. Drug manufacturing:8. Drug precautions

YOUTUBE VIDEO WITH EXAMPLE ILLUSTRATIONS OF PHONE APPLICATIONS

HYPERLINK TO SCREEN CAST OF DOWNLOADING PHONE APPLICATION

http://www.screencast.com/t/NzdjYjQ0OWU