FSCJ Nursing (Term 1) Techniques Unit 3

Local Effects
adverse effects that take place at point or area of contact. (skin, mucous membrane, eyes, respiratory tract, GI)

Systemic Effects
adverse effects that take place at a location distant from the body’s initial point of contact (often have target organs)

Aqueous Solution
a solution in water

RN is responsible for
1. Administering meds
2. Evaluating effects
3. Teaching patient & family about meds
4. Teaching patient & family how to administer meds

To safely administer drugs…
1. Assess patient’s med history and allergies
2. Know action & effects of meds
3. Know pharmacokinetics of meds
4. Perform accurate dosage calculations
5. Consider growth and development factors
6. Recognize nutrition impact

how drug enters body fluid and tissue

how drug moves to sites of action

chemical reaction to break down drug to be inactive

elimination of drug (KIDNEYS, respiration, sweat, and bowel)

Onset of action
time of ingestion to first effect

Peak Action
time to reach highest effective concentration

time of ingestion to no further effect

many meds to treat the same disorder, or similar drugs treating many disorders causes an increase in drug interaction

OTC medicines, herbs, folk medicine

Misuse of drugs
overuse,underuse, erratic use, and contraindicated use.

misuse of meds sometimes bc of unpleasant side effects or finances

Geriatric patients w/difficulty swallowing large pills….
sit upright, full glass of water and head forward

Geriatric patients should have what monitored when administering meds
liver and renal impairment

When administering meds to children…
dosage calculations are often necessary and should be double checked by another nurse

Medicate for pain
1. As soon as it occurs
2. Before it increases in severity
3. Before pain producing procedures or activities
4. Routinely, around the clock, or on a scheduled basis

Drug Distribution Systems
Unit dose- 24 hour supply for each patient (a locked cart)

Automated Medication Dispensing Systems (AMDs)
Each med has its own drawer. Each nurse is given a security code.

Medication orders must include
name of med, dosage, frequency, route of administration, reason to give and physician or Nurse Practitioner’s signature

Medication orders can be…
written, verbal, electronic or telephoned (must be read back)

Five common medication orders
1. Standing order
2. PRN (as needed)
3. Single (one time) order
4. Stat (immediately) order
5. Now order (within the hour)

Time frame when medications need to be given
Within 30 mins before or after scheduled time (follow policy orders)

Six rights of Medication Administration
1. Right Drug
2. Right Dose
3. Right Patient
4. Right Route
5. Right Time
6. Right Documentation

Administering Six Nonparenterals
1. oral – by mouth
2. topical – on skin
3. Sublingual – mucos membrane
4. Inhalation – into the lungs
5. Rectal- into the rectum
6. Vaginal – into the vagina

A nurse researcher interviews parents of children who have diabetes and asks them to describe how they deal with their child’s illness. The analysis of the interviews yields common themes and stories describing the parents’ coping strategies. This is an …

What does ADEs stand for? adverse drug events What does BSA stand for? body surface area WE WILL WRITE A CUSTOM ESSAY SAMPLE ON ANY TOPIC SPECIFICALLY FOR YOU FOR ONLY $13.90/PAGE Write my sample What does CMS stand for? …

“Unit dose distribution system” a drug distribution system that is in a pharmacy outlet, hospital, or other healthcare facility and uses unit dose packages, or unit of issue packages, labeled in accordance with 20:51:21:05, and preserves the identity of the …

Professional Standards of Practice protect the public provide consistency of care varies from state to state common areas of negligence Ethical Considerations Autonomy: right to make decisions without coercion. Maleficence: right to be free from harm Beneficence: right to receive …

Seven rights of medication administration: Right patient Right time Right drug Right dose Right documentation Right route Right reason (3 d’s, 2 r’s, pt) Right patient Check the room number, check bed number, ask the client to state their name …

Oral Diabetic Medications 1.) Sulfonylureas 2.) Biguanides 3.) Alpha glucose inhibitors 4.) Aspirin Sulfonylureas stimulates pancreatic cells to secrete more insulin and increases sensitivity of peripheral tissues to insulin. WE WILL WRITE A CUSTOM ESSAY SAMPLE ON ANY TOPIC SPECIFICALLY …

David from Healtheappointments:

Hi there, would you like to get such a paper? How about receiving a customized one? Check it out https://goo.gl/chNgQy