Transcript Routes for medication administration

Routes of Administration
Unit Three: Chapter 10
Mosby items and derived items © 2010 by Mosby, Inc., an affiliate of Elsevier Inc.
Routes of Administration




Oral (p.o.)
Sublingual (SL)
Buccal
Parenteral



(IV, IM, Subcut, ID)
Insertion—in cavities
Instillation—body cavity, eyes, ears, nose
Mosby items and derived items © 2010 by Mosby, Inc., an affiliate of Elsevier Inc.
2
Routes of Administration (cont’d)





Inhalation—metered-dose inhalers,
nebulizers, spacers
Intranasal
Topical—lotions, ointments, pastes
Percutaneous—on skin, on mucous
membranes
Transdermal—patches
Mosby items and derived items © 2010 by Mosby, Inc., an affiliate of Elsevier Inc.
3
Equipment for Med
Administration




Medicine cup (30 mL/1 oz)
Soufflé cup
Calibrated dropper—use only supplied
dropper
Nipple—adapted for some infant meds
Mosby items and derived items © 2010 by Mosby, Inc., an affiliate of Elsevier Inc.
4
Figure 10-2 Medicine cup. (Modified from Brown M, Mulholland JL: Drug calculations:
process and problems for clinical practice, ed. 8, St. Louis, 2008, Mosby.)
Figure 10-3 A, Plastic medicine cup. B, Soufflé cup. (Courtesy of
Chuck Dresner. From Clayton BD, Stock YN, Harroun RD: Basic
pharmacology for nurses, ed. 14, St. Louis, 2007, Mosby.)
Figure 10-4 Medicine dropper. (Modified
from Clayton BD, Stock YN Harroun RD:
Basic pharmacology for nurses, ed. 14,
St. Louis, 2007, Mosby.)
Mosby items and derived items © 2010 by Mosby, Inc., an affiliate of Elsevier Inc.
5
Figure 10-6 Oral syringes. (Courtesy of Chuck
Dresner. From Clayton BD, Stock YN, Harroun
RD: Basic pharmacology for nurses, ed. 14,
St. Louis, 2007, Mosby.)
Figure 10-5 Nipple. (From Clayton BD, Stock YN, Harroun RD:
Basic pharmacology for nurses, ed. 14, St. Louis, 2007, Mosby.)
Figure 10-7 Parts of a syringe. (From Potter PA, Perry AG:
Fundamentals of nursing, ed. 7, St. Louis, 2009, Mosby.)
Mosby items and derived items © 2010 by Mosby, Inc., an affiliate of Elsevier Inc.
6
Mosby items and derived items © 2010 by Mosby, Inc., an affiliate of Elsevier Inc.
7
Figure 10-9 A, Acceptable devices for measuring and administering oral medication to children
(clockwise): measuring spoon, plastic syringes, calibrated nipple, plastic medicine cup, calibrated
dropper, hollow-handled medicine spoon. B, Medibottle used to deliver oral medication via a
syringe. (A, From Hockenberry MJ, Wilson D: Wong’s nursing care of infants and children, ed. 8,
St Louis, 2007, Mosby. B, Courtesy Paul Vincent Kuntz, Texas Children’s Hospital, Houston.)
Mosby items and derived items © 2010 by Mosby, Inc., an affiliate of Elsevier Inc.
8
Six “Rights” of Medication
Administration (cont’d)

Right Route



Right Time


Check orders and drug guides
Special considerations with feeding tubes
Time of day and frequency
Right Documentation



Accuracy—no documentation leads to doubledosing
Avoid “Do Not Use” abbreviations
Outcomes of medications
Mosby items and derived items © 2010 by Mosby, Inc., an affiliate of Elsevier Inc.
9
Six “Rights” of Medication
Administration (cont’d)

Right Route



Right Time


Check orders and drug guides
Special considerations with feeding tubes
Time of day and frequency
Right Documentation



Accuracy—no documentation leads to doubledosing
Avoid “Do Not Use” abbreviations
Outcomes of medications
Mosby items and derived items © 2010 by Mosby, Inc., an affiliate of Elsevier Inc.
10