Diagnosis phase of medication administration - ANS ✓- health problems
(disturbed body image related to chemo)
- risk states (risk for aspiration related to impaired swallowing)
- readiness for health promotion (deficient knowledge related to interactions
between herbal remedies and prescribed meds)
Planning phase of medication administration - ANS ✓- expected therapeutic
effects will be demonstrated within specific time frame
- expected change in symptoms
- maintenance of therapeutic blood levels of medication
- patient will demonstrate knowledge regarding medications
Implementation phase of medication administration - ANS ✓- remain with
the patient
- offer medications 1 at a time
- never leave medications at bedside
- record medication administration while or immediately after patient takes the
medication
Evaluation phase of medication administration - ANS ✓- assess effectiveness
of medication by observation and subjective data collection
- assess for adverse effects
- measure drug levels in body fluids
NSG 122
, 2
NSG
Enteral medication administration - ANS ✓- use liquid medications when
possible
- dilute thick suspensions as recommended
- certain solid meds can be crushed, grind medication to a fine powder and mix
with 15-30mL of water
- certain capsules may be opened and emptied into liquid
- ensure liquid is room temperature (cold liquid causes discomfort)
- elevate head of bed
- remove clamp and verify tube placement
- use a 30-60mL syringe
- flush tube with 15-30mL of water (5-10mL for children) before and
immediately after giving medication
- crush EACH MED SEPARATELY and mix with 15-30mL water
- flush with 5mL of water between meds
- check compatibility of meds
- do NOT mix meds in enteral feeding solution
- if hooked to suction, disconnect suction for 20-30 min after medication
administration
- document water and liquid medication given on I&O record
sublingual administration - ANS ✓under the tongue
buccal administration - ANS ✓between the cheek and gum
topical administration - ANS ✓directly on the skin or mucous membranes
(eyes, ears, nose, rectal, vaginal)
ear instillation - ANS ✓- instill eardrops at room temperature
- use sterile solutions
- check for eardrum rupture
NSG 122
, 3
NSG
- adult - pull pinna out and up
- child - pull pinna out and down
nasal drop instillation - ANS ✓- have patient blow their nose
- have patient sit up with head tilted back
- hold tip of nose and place dropper just inside the naris (do not touch the naris)
- instill medication
nasal spray instillation - ANS ✓- have patient blow their nose
- have patient sit up with head tilted back
- shake the bottle gently if required for medication
- insert tip of bottle into one nostril
- close the opposite nostril with a finger
- instruct patient to inhale gently (if required for medication) and compress the
bottle as they inhale
- remove bottle from nostril while still compressed then release compression
after removed from nostril
- have patient hold their breath for a few seconds, then breathe out slowly
through the mouth
- repeat with other nostril, then wipe tip of bottle with a clean cloth/tissue
- have patient avoid blowing their nose for 5-10 minutes
A nurse who is administering medications to patients in an acute care setting
studies the pharmacokinetics of the drugs being administered. Which statements
accurately describe these mechanisms of action? (Select all that apply)
a. Distribution occurs after a drug has been absorbed into the bloodstream and is
made available to body fluids and tissues.
b. Metabolism is the process by which a drug is transferred from its site of entry
into the body to the bloodstream.
NSG 122
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