Fundamentals of Nursing NUR 101

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Fundamentals of Nursing (NUR 101)

• Prepared by Nabeel Al-Mawajdeh RN.Mcs.King
  Saud University- Aflaj College

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Chapter 16

• Administering Medication

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Administration of Medications

• The safe and accurate administration of
  medication is one of the major responsibility of
  a nurse. The nurse should understand drug action,
  its side effects, and administer drugs safely .
• A drug or medication is a substance used for
  diagnosis, treatment, cure or prevention of
  disease .
• Every drug has got a chemical name or
  pharmacological name and trade name , or
  different trade names by different companies .

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Routes of Administration

• The route of a drug depends on its properties,
  desired effect, and the patients physical and
  mental condition.

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Routes of Administration

• Oral routes
• a. Oral administration.
• b. Sublingual administration.
• Parenteral routes
• a. Subcutaneous.
• b. intradermal.
• c. Intramuscularly.
• d. intravenous.
• Topical administration in this , drugs are
  applied to the skin and mucous membrane .
• Inhalation.
• Rectal route- suppositories.
• Vaginal route- suppositories.

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Medication Order

• The drug order, written by the physician, it has
  7 essential parts for administration of drugs
  safely. the nurse should know how to read a drug
  order.
• It should have the following components
• 1- Patients full name.
• 2- Date.
• 3- Drug name.
• 4- Dosage.
• 5- Route of administration.
• 6- Time and frequency of administration.
• 7- Signature of physician.

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Seven Rights of Medication Administration

• Right drug.
• Right dose.
• Right patient.
• Right route.
• Right time.
• Right information.
• Right documentation.

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Right Drug

• When the drug are first ordered , the nurse
  compare the prepared medication card with the
  physician written orders.
• When administering drug , the nurse should
  compare the label of the drug three times .
• The nurse should never prepare medication from
  unlabelled containers.
• Do not accept verbal orders.
• Be sure about the changing of orders.

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Right Dose

• Carefully read physicians order.
• Check age and weight of the patient.
• Calculate the dose correctly.
• Do not spill medication.

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Right Patient

• Medication should be given to the right patient
  after identifying him .
• Call the patient by his name .

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Right Route

• Orally.
• Rectally.
• Vaginally.
• Intravenous( I.V)
• Intramuscular ( I.M)
• Intradermal ( I.D)
• Sublingual ( S.L)
• Subcutaneous (SC)
• Application.
• Inhalation.

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Right Time
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THE ROLE OF THE NURSE IN THE PHARMACEUTICAL
SERVICES

• Provide the drug.
• Make sure there is enough stock of the drugs in
  the drug cabin.
• Check the expiry dates of the drugs.
• Supply with the dangerous drugs.
• Drug storage .
• Drug preparation .
• Has to know the units and subunits of drugs.

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Contraindications for Oral Drug Administration

• In case of nausea and vomiting.
• Unconscious patient.
• In case of orally surgery.
• When the drugs are destroyed in the stomach by
  the action of digestive juice. e.g insulin,
  adrenalin .

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Common Abbreviations Used in Drug Administration

• AM
  morning
• PM
  afternoon
• OD daily
• Qh every
  hour
• BID twice
  a day
• PRN when
  required
• Stat at
  once
• TID three
  times daily
• Comp compound
  
• FL fluid
  
• Liq
  liquid
• Syr syrup
• Tap
  tablets
• Cap capsule

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Medicines Measurements
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NURSING ROLE WHEN DEALING WITH DRUGS

• RIGHT DRUG make sure that you are giving the
  right drug which is prescribed by the doctor by
  double checking from the pts file.
• RIGHT DOSE make sure that you are giving the
  right dose by making correct calculation for the
  dose prescribed by the doctor.
• RIGHT PATIENT make sure of patients name by
  asking him about his name and compare it to the
  name on medication sheet.
• RIGHT ROUT make sure you will give the drug in
  the right way , rout of administering drugs .

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NURSING ROLE TOWARD THE PATIENT WHEN GIVING THE
DRUG

• Make sure that patient took the medication .
• Watch for drug side effects.
• Make sure that nurse has no infectious diseases.
• Pharmaceutical education to himself.

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THE ROLE OF THE NURSE TOWARD HIMSELF WHEN DEALING
WITH MEDICATION

• Use the protective measurements when preparing
  some dangerous drugs.
• Take care when giving injections.
• Follow the safety measures when dealing with
  patients with infectious diseases.

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• The End