MEDICATION-ncm 109 Skill

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Catherine Alteran Prado BSN II-B

MEDICATION

Definition of Terms:

 Medication – a substance administered for dx, cure, treatment, relief or prevention of dse. (also called drug)
 Prescription Name – name given to a drug before it becomes official
 Official name – name after which the drug is listed in one of the official publications.
 Chemical Name – the name which describes the constituents of drugs precisely
 Brand Name – name given to drug by the manufacturer (also called trademark)
 Pharmacology – study of the effects of drugs on living organisms
 Posology – study of dosage or amount of drugs given in the tx of dose.

TYPES OF DOCTORS ORDER

 STANDING ORDER – it is carried out until the specified period of time or until it is discontinued by another order.
 SINGLE ORDER – it is carried out at one time only
 STAT (statum-immediately) – it is carried out once or immediately
 PRN ORDER – as needed

PARTS OF LEGAL DOCTOR’S ORDER

1. Name of patient
2. Date and Time
3. Name of Drug
4. Dose of Drug
5. Route of Administration
6. Time/Frequency
7. Signature of the Physician

PRINCIPLES IN ADMINISTERING MEDICATION

1. Observe the 10 R’s or Rights of drug administration


a. Right Medication – read the label 3x
b. Right Dose – check the medication sheet, doctor’s order, be aware the difference of adult/pediatric
dose
c. Right Patient – ask the name of the client, check his/her ID band before giving the meds
d. Right Route – check the order (oral, SQ, IM, etc.)
e. Right Time/Frequency – check when it would be given or when was the last time it was given
f. Right Documentation – make sure to write the time and any remarks on the chart correctly
g. Right hx and assessment – secure the copy of the client’s hx to drug interactions and allergies
h. Right drug - drug interaction – review any meds previously given or the diet of the patient that can yield
to a bad interaction to the drug to be given (check the expiration date)
2. Practice asepsis – wash hands before and post preparation
3. Nurses who administer meds are responsible for their own actions
4. Be knowledgeable about the meds that you administer
5. Keep narcotics in a locked place
6. Use only meds that are clearly labeled containers
7. Return liquid that are cloudy in color to the pharmacy
8. Before administering the medication, identify the client correctly
9. Do not leave the meds at the bedside. Stay with the client until he/she actually takes the meds

1 Care of Mother and Child (NCM 109 LAB)


Catherine Alteran Prado BSN II-B
10. The nurse who prepares the drug administers it. (Only the nurse who prepared the drug knows what the drug is,
do not accept endorsement of meds.)
11. If the client vomits after taking the meds, report it to the nurse in charge/md
12. Pre-operative meds are usually discontinued during the post-operative period unless ordered to be continued
13. When the meds is omitted for any reason, record the fact together with the reason
14. When a medication error is made, report it immediately to the nurse in charge/md. (To implement necessary
measures immediately to prevent adverse effect of the drug)

TYPES OF DRUG PREPARATION

1. Capsule – powder gel form of an active drug enclosed in a gelatinous container


- also called liquigel
2. Elixir – medication in clear liquid containing water, alcohol, sweeteners, and flavor
3. Liniment – a medication mixed with alcohol, oil, or
soapy emollient and applied to the skin
4. Lotion - a medication in a liquid suspension
applied to the skin
5. Caplet – a solid form, shaped like a capsule, coated and easily swallowed
6. Lozenge – small, oval, round, or oblong preparation containing a drug on a flavored or sweetened base, which
dissolves in the mouth and releases this medication.
7. Ointment – semisolid preparation containing a drug to be applied externally.
8. Pill – mixture of powdered drug with a cohesive material
9. Powder – single or mixture finely ground drugs
10. Solution – a drug dissolved in another substances (in an aqueous solution)
11. Suppository – an early melted medication preparation in a firm base such as gelatin that is inserted into the
body
12. Suspension – finely divided, undissolved particles in a liquid medium
13. Syrup – medication combined in a water and sugar solution
14. Tablet – small, solid dose of medication, compressed or molded; may be any color, size or shape
15. Transdermal Patch – unit dose of medication applied directly to the skin for diffusion through skin and
absorption into the bloodstream
16. Aerosol Spray or Foam – a liquid powder or foam deposited in a thin layer on the skin by air pressure
17. Cream – a non-greasy semi solid preparation used on the skin
18. Extract – a concentrated form of a drug made from vegetables or animals
19. Jelly or Gel – a clear or translucent semi solid that liquifies when applied on the skin
20. Paste – a preparation like an ointment but thicker and stiff, that penetrates the skin less than an ointment
21. Tincture – an alcoholic or water and alcohol solution prepared from drugs derived from plants.

2 Care of Mother and Child (NCM 109 LAB)

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