medication
DESCRIPTION
TRANSCRIPT
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PDR & Medication Administration
MED PREPJANET J. NELSON RN,CMA
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“A Little White Pill”
Your patient brings in this tablet but has forgotten the name. What is it?
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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
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VARIOUS TYPES OF PDRs Herbal Dental Diagnostic Oncology Ophthalmology
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PDR SECTIONS WHITE-Manufactures Index PINK-Brand and generic Index BLUE/GRAY-Product Category Color Photos-Product Identification
Category WHITE-Product Information
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PRODUCT INFORMATION CATEGORY
Black Boxes Description Clinical Pharmacology Indications & Usage Administration Contraindications Warnings Precautions Dosage and Administration Overdose Adverse Reaction How Supplied Reference
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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)
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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
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Medication FormsLIQUIDS: AqueousSuspensionSyrupTinctureElixir
SOLIDS: CapsulePillTabletTrocheEnteric Coated
SEMI SOLIDS:OintmentPasteSuppositoryCream
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Routes Of Administration
Topical:Transdermal VaginalRectalSublingualBuccal InnunctionInstillationIrrigation
Oral:
Parenteral:IMIDSQIV
Inhalation:
Doctors can administer medication by other routes
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Categories of Drugs•There are hundreds of drug categories.
•Note the blue pages of the PDR, entitled “Drug Classification or Category Index”
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Categories of DrugsAnalgesic AnesthesiaAntiacidAnti-arthritic (NSAIDS)AntibioticAntifungalAntiviralAnticholinergicAnticoagulantAnticonvulsantAntidiarrhealAntidiabeticAntihistamine
AntihelminthicAntineoplasticAntiemeticAntiparasiticAntiparkinsonismAntipyreticPsychiatric-antidepressants
antipsychotictranquilizerhypnotic
Cerebral SimulantsCorticosteroids (SAIDS)Contraceptive
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Categories of Drugs, Cont.
AntitussiveEmeticLaxativeMuscle RelaxantVitaminsPlacebo
Synergist
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Immunization as recommended by CDC and AAP
http://www.cdc.gov/nip/recs/child-schedule-color-press.pdf
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DosageABBREVIATIONS
m = minimgr = grainGm, gm or G = grammL = milliliter (new approved)gtt = droptbsp = tablespoontsp = teaspoonmg = milligram
= dram= ounce
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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
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ROMAN NUMERALS
ARABIC ROMAN1 I2 II3 III4 IV5 V6 VI7 VII8 VIII9 IX10 X20 XX30 XXX40 XL50 L100 C500 D1000 M
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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:
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Topical Application
Topical: InnunctionTransdermal
Eye Instillation:
Ear Instillation:
Nose Instillation:
Vaginal Application:
Rectal:
Orally:
Inhalation:
Parenteral:
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Parts of a Syringe
The parts of a syringe that must remain sterile are:
Inside of barrelPlungerNeedle
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Injection Technique
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IM Injection Sites
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IM Injection Sites
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IM/SQ Injection Site
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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
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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
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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
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Intradermal injection
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Additional Modes of Injection
Insulin Pump:Continuous Subcutaneous Insulin Infusion Sytem