Transcript Medication Administration

Medication Administration
By: Carolyn McCune RN, BSN,
MSN, CRNP
Percutaneous Administration
 Medications
application to the skin or
mucus membranes
Ointments, creams, powders, lotions,
solutions into the mouth, eye, ear, nose, or
vagina. Medications inhaled into the lungs
 Reduced incidence of side effects but can
be messy.
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Creams, lotions and ointments
 Creams
 Lotions
 Ointments
 Patient
teaching-Very important if
patient or family administering
 Always review the 6 patient rights for
drug administration.
Dressings
Medicated dressings to treat wounds
Some protect
Patch Testing for Allergens
 To
identify sensitivity to allergens
 The antigens are placed in direct
contact with the skin and read in 3 and
7 days.
 May vary with testing
 A redness or swelling will occur if
positive
Nitroglycerin Ointment
 Used
for relief of anginal pain
 Appying:
Always wear gloves
 Measure appriopriate amount
 Rotate application site
 Cover with plastic wrap and tape in place
 Wash hands after applying
 Education and teaching
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Transdermal Delivery
Systems
 Transdermal
disk-controlled release of
medication.
 Applying the disk
 Education to patient
Medications to Mucous
Membranes
 Buccal
tablets/Sublingual meds
 Technique and Education
 Eye Drops and ointments
 Techniques and Education
 Nose drops
 Techniques and Education
Mucous Membranes
Continued
 Ear
drops:
Infants-pull earlobe down and back under 3
years of age
 Adults and over 3 years-pull up and back
 Education
 Nose drops and sprays
 Technique and Education
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Medications by Inhalation
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Nebulae-sprayed into throat by nebulizer
Aerosols-use a flow of air or oxygen uder
pressure to get medications into the
respiratory tract. May be done by respiratory
therapy.
Education
Vaginal medications(applicators,
suppositories, and douches.
Technique and education
Starts Chapter 9
Enteral meds-drugs enter directly into
the GI tract
Oral, tube, rectal
Administering Meds
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Unit dose(single dose)
Souffle cup
Medicine cup
dropper
Teaspoon
Oral syringe
Nipple
Enteral Administration
 Enteral-into
the GI tract by oral, rectal or
nasograstic. Safest and most
conventient
 Slowest and least dependable
 NG method-if unable to swallow
 Rectal route: bypassing the digestive
system and avoids stomach irritation.
Oral administration
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Dose forms:
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Capsules
Time released
Lozenges
Pills
Tablets
Emulsions
Suspensions
Syrups
Medications by
Nasogastric,Gastrostomy, or
JejunostomyTube
 Liquid
form of drug if available
 Tablet form
 Always flush with water
Rectal Suppositories and
Enemas
Technique
Education
Review: Always use 6 medication right
Must know how to education the patient
and family regarding administration of
meds
Start Chapter 10
Parenteral administration-
Parenteral administration
 Route
other than the enteral or GI tract
 Subcutaneous
 Intramuscular or
 Intravenous
 Onset more rapid, less dosage
Administration of medications
by route other than GI tract
This will be covered in lab
You must know sites for SC and IM
injections-please review prior to lab
Intradermal Route
 Injected
to produce a Wheal
 Absorption is slow
 Technique and education