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Fundamentals of Nursing _NUR 101_ - King Saud University

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					Fundamentals of Nursing (NUR 101)

           Prepared by

   Nabeel Al-Mawajdeh RN.Mcs.

 King Saud University- Aflaj College




                                       1
Chapter 16
Administering Medication




                           2
      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 .

                                                     3
        Routes of Administration

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




                                                   4
             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.

                                                                  5
               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.
                                                   6
        Seven Rights of Medication
             Administration

1.   Right   drug.
2.   Right   dose.
3.   Right   patient.
4.   Right   route.
5.   Right   time.
6.   Right   information.
7.   Right   documentation.




                                     7
                  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.




                                                  8
                   Right Dose

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




                                           9
                  Right Patient

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




                                                      10
                   Right Route

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


                                 11
        Right Time
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)



                                 12
     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.



                                                   13
      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 .




                                                     14
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


                                      15
             Medicines Measurements

             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



                                                                               16
     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 .

                                                    17
      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.




                                                   18
    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.




                                                   19
The End




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