University:
College
Course:
College Nursing
Academic year:

2023
Views:

19

Pages:

3
Author:

Rosa Castaneda

Dosage Calculation and Safe Medication Administration 3.0 Module: Oral Medications Electric Medical Records (EMRs) Computerized Provider order entry (CPOE) Medication Administration Record (MAR) Always ask you patient permission to give them their medication. 1. 2. 3. 4. 5. 6. 7. Client’s identifying information Current date Date provider writes prescription Scheduled medications PRN medications IV fluids and medications Time of medication administration with separate columns for 8-hr or 12-hr segment 8. Nurse’s signature Medication Dispensing Unit-dose system  Medication packaged separately  Bar code Forms of Medications Tablet Enteric-coated tablet: does not dissolve until medication passes stomach Troche (lozenge): dissolves in mouth Capsule Caplet Routes of Administration Sublingual: place under tongue until medication fully dissolves. Buccal: inside cheek to allow to dissolve. Liquid Medication Elixir contains water, alcohol, sweetener, and medication  Hydrocodone Acetaminophen Syrup contains water, concentrated sugar, and medication  Valproic acid Suspension contains small, fine particles of medication that do not dissolve completely in water.  Shake or stir before administration  Ex. Ampicillin/ antibiotics Solution contains medication dissolved in water or 0.9% sodium chloride  Ex. Furosemide Dosage Calculation and Safe Medication Administration 3.0 Module: Powdered Medications Reconstitution  Some medications are unstable in liquid form  Mix powder with diluent Labels Each manufacturer designs the labels of the 1. medications it produces. Therefore, the information printed on the medication label varies among manufacturers and medications. If the needed information is not printed on the label of the medication, you will find it on the manufacturers insert that is included with all medications requiring reconstitution. 1. Need to add 26 mL sterile water 2. 1 g of ceftazidime per 5 mL solution 3. Medication is stable for 12 hrs. at room temp and 3 days under refrigeration 4. Total qty of vial is 6 g Solutions There are other solutions that you can use for some medications. You can find these listed on the label or the insert of the medication. Diluents     0.9% sodium chloride 5% dextrose in water Sterile water Bacteriostatic water