Transcript Oral Medication Administration

Oral Medication Administration
Where do we find drug information
in the hospital?
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Textbooks
American Hospital Formulary
Physician Desk Reference (PDR)
Drug Handbooks
Facts and Comparisons
Medication package inserts and labels
Pharmacists
Administering Medications
 Physician’s Role
 Four most common type of medication orders:
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Standing
PRN
Single or one time only
Stat
 Pharmacist’s Role
Administering Medications
 Distribution Systems
 Stock Supply
 Individual Client Supply
 Unit Dose System
 Nurse’s role
Oral Drug Administration
 Types of medication actions
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Therapeutic effects
Side effects
Adverse effects
Toxic effects
Idiosyncratic reactions
Allergic reactions
 Medication allergy
 Anaphylactic reaction
Oral Drug Administration
 Routes of Administration
 Oral Routes
 Parenteral Routes
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Injections, Epidural, Intrathecal, Intraosseous, Intraperitoneal,
Intrapleural, Intraarterial
 Topical Administration
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Applying to skin/ mucous membranes
Transdermal
Instillation
 Inhalation Route
 Intraocular Route
Oral Drug Administration
 Administration through a nasogastric tube:
 Check for placement of NG tube and stomach content’s
residual amount
 Crush meds and mix with water to instill into tube
 Draw crush med/ water into a cather-tipped syringe
 Instill into NG tube
 After instilling meds, follow up with water to clear NG of
medications
 If NG is connected to suction then allow 20 minutes for
meds to be absorb, then reconnect to suction.
 If NG is being used for feeding, then enteral feeding
may begin after medication administration.
Standards for Medication
Administration
 6 rights of administration
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Right medication
Right dose
Right client
Right route
Right time
Right documentation