Medication
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Transcript of Medication
PDR & Medication Administration
MED PREPJANET J. NELSON RN,CMA
“A Little White Pill”
Your patient brings in this tablet but has forgotten the name. What is it?
PDR Physician Desk Reference Old vs. New
Online with fee App with fee Brand and generic are combined Additional pages for US Food and Drug
contacts;poison control info. and herb and drug interactions
VARIOUS TYPES OF PDRs Herbal Dental Diagnostic Oncology Ophthalmology
PDR SECTIONS WHITE-Manufactures Index PINK-Brand and generic Index BLUE/GRAY-Product Category Color Photos-Product Identification
Category WHITE-Product Information
PRODUCT INFORMATION CATEGORY
Black Boxes Description Clinical Pharmacology Indications & Usage Administration Contraindications Warnings Precautions Dosage and Administration Overdose Adverse Reaction How Supplied Reference
Agencies/standards
FDA:DEA:Pure Food & Drug Act:Drug Standards:
OHIO laws allow for medication to be administered by:
RN DentistLPN PodiatristCMA Physcian AssistantPhysician (DO or MD)
Doctor’s Order Include:
*name of patient*date and time the order is written*name of medication*dosage to administer*route of administration*time & frequency of administration*signature of doctor
VO or PO must be signed within 24 hours
Medication FormsLIQUIDS: AqueousSuspensionSyrupTinctureElixir
SOLIDS: CapsulePillTabletTrocheEnteric Coated
SEMI SOLIDS:OintmentPasteSuppositoryCream
Routes Of Administration
Topical:Transdermal VaginalRectalSublingualBuccal InnunctionInstillationIrrigation
Oral:
Parenteral:IMIDSQIV
Inhalation:
Doctors can administer medication by other routes
Categories of Drugs•There are hundreds of drug categories.
•Note the blue pages of the PDR, entitled “Drug Classification or Category Index”
Categories of DrugsAnalgesic AnesthesiaAntiacidAnti-arthritic (NSAIDS)AntibioticAntifungalAntiviralAnticholinergicAnticoagulantAnticonvulsantAntidiarrhealAntidiabeticAntihistamine
AntihelminthicAntineoplasticAntiemeticAntiparasiticAntiparkinsonismAntipyreticPsychiatric-antidepressants
antipsychotictranquilizerhypnotic
Cerebral SimulantsCorticosteroids (SAIDS)Contraceptive
Categories of Drugs, Cont.
AntitussiveEmeticLaxativeMuscle RelaxantVitaminsPlacebo
Synergist
Immunization as recommended by CDC and AAP
http://www.cdc.gov/nip/recs/child-schedule-color-press.pdf
DosageABBREVIATIONS
m = minimgr = grainGm, gm or G = grammL = milliliter (new approved)gtt = droptbsp = tablespoontsp = teaspoonmg = milligram
= dram= ounce
EquivalentsWeight:
60 mg = 1 gr60 gr = 1 dram8 drams = 1 ounce
Volume15 gtts = 1 mL (cc)5 mL(cc) = 1 tsp4 mL(cc) = 1 dram30 mL (cc) = 1 ounce24OmL (cc) = 1 cup500 mL (cc) = 1 pint1000 mL (cc) = 1 quart
ROMAN NUMERALS
ARABIC ROMAN1 I2 II3 III4 IV5 V6 VI7 VII8 VIII9 IX10 X20 XX30 XXX40 XL50 L100 C500 D1000 M
SIX RIGHTS
Right MedicationRight Dose or amountRight patientRight timeRight method or route of administrationRight documentation
Right of rational patient to refuse
Follow other safety rules:
Topical Application
Topical: InnunctionTransdermal
Eye Instillation:
Ear Instillation:
Nose Instillation:
Vaginal Application:
Rectal:
Orally:
Inhalation:
Parenteral:
Parts of a Syringe
The parts of a syringe that must remain sterile are:
Inside of barrelPlungerNeedle
Injection Technique
IM Injection Sites
IM Injection Sites
IM/SQ Injection Site
Intramuscular Technique
Never inject more than 5 cc/injectionSites: Dorsogluteal
Ventrogluteal Deltoid Vastus Lateralis
Syringe: 3-5 mL with 21-23 gauge needle Fill with “bubble”
Skin: Held tautInject: 90o angle and Aspirate
May massage after injection
Subcutaneous Technique
Never inject more than 2 cc/injection
Site: DeltoidAnterior thighAbdominal tissueSubscapular
Syringe: 3 cc syringe with 25-27 gauge needleSkin: “Pinch” up skin
Injection: 45o angle with bevel upward AspirateMay massage
Intradermal TechniqueNever inject more than 0.1-0.2 mL (cc)
Skin: Hold taut
Sites: anterior forearm
Syringe:1 mL (cc) with 25-27 guage needle
Inject: 15o angle (almost parallel with skin) Aspirate “Wheal” will develop Never massage
Intradermal injection
Additional Modes of Injection
Insulin Pump:Continuous Subcutaneous Insulin Infusion Sytem