Fundamentals of Nursing (NUR 101)
Nabeel Al-Mawajdeh RN.Mcs.
King Saud University- Aflaj College
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
A drug or medication is a substance used for
diagnosis, treatment, cure or prevention of
Every drug has got a chemical name or
pharmacological name and trade name , or
different trade names by different companies .
Routes of Administration
The route of a drug depends on its properties,
desired effect, and the patients physical and
Routes of Administration
a. Oral administration.
b. Sublingual administration.
Topical administration: in this , drugs are applied to the
skin and mucous membrane .
Rectal route- suppositories.
Vaginal route- suppositories.
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.
3- Drug name.
5- Route of administration.
6- Time and frequency of administration.
7- Signature of physician.
Seven Rights of Medication
1. Right drug.
2. Right dose.
3. Right patient.
4. Right route.
5. Right time.
6. Right information.
7. Right documentation.
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.
Carefully read physicians order.
Check age and weight of the patient.
Calculate the dose correctly.
Do not spill medication.
Medication should be given to the right patient
after identifying him .
Call the patient by his name .
Intramuscular ( I.M)
Intradermal ( I.D)
Sublingual ( S.L)
BID (twice daily)
TID (three times a day)
QID (four times a day)
E.O.D ( every other day)
Stat ( once and stop )
PRN (when necessary)
ABT (at bed time)
AM (at morning)
P.M (at night)
THE ROLE OF THE NURSE IN THE
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.
Contraindications for Oral Drug
In case of nausea and vomiting.
In case of orally surgery.
When the drugs are destroyed in the stomach
by the action of digestive juice. e.g insulin,
Common Abbreviations Used in Drug
Qh every hour
BID twice a day
PRN when required
Stat at once
TID three times daily
Volume unit Weight unit
Equivalent Code Unit Equivalent Code Unit
L 0.001 MI Milliliter 0.000001g Mcg Microgram
L 0.01 CI Centiliter 0.001g Mg Milligram
L 0.1 DL Deciliter 1g G Gram
L1 L Liter g1000 Kg Kilogram
NURSING ROLE WHEN DEALING
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
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
Pharmaceutical education to himself.
THE ROLE OF THE NURSE TOWARD
HIMSELF WHEN DEALING WITH
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.