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Medication Administration Competency Detailed Questions And Expert Answers
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Medication Administration Competency Detailed Questions And Expert Answers
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Medication Administration Competency DetailedQuestions And Expert Answers
11 expectations as stated in syllabus
1. Checks physician's orders
2. Identifies and researches unfamiliar drugs
3. Reviews client chart and verbalizes allergies, lab data, any contraindications
4. Uses hand hygiene
5. Demonstrates medication rights (right client, right time, right route, right
medication, right dose, right documentation, right reason for giving medication)
6. Checks for expiration date
7. Performs needed calculations
8. Prepares medication as indicated
9. Selects correct supplies for administration
10. Provides pertinent data for medication administration, verbalizes where to find
information
11. Uses nursing judgement and critical thinking at all times
Oral Meds: things to consider
safe dosage range, expiration date, lab values of patient
Tube Medications
Can the med be crushed?
start with 30 mL flush
only one medication at a time.
10mL between each med
30mL to finish the flush
want patient in high fowlers during and after
,need to consider tube feed compatibility, tube feed should be paused during
medication administration
Do Not use syringe to push medications into PEG tube
IM injections needle size
22-25 gauge, 5/8-1.5" depending on body size of patient
Subcutaneous injections
25-30 gauge, 3/8-1"
Gauge:
larger gauge=smaller needle (diameter)
some notes about needles
.Always remove cap by pulling straight off
.If needle must be recapped after withdrawing medication, use one-hand scoop
technique
.Never recap after administering medication
.Never place an uncapped needle on a work surface
.If you stick yourself while withdrawing medication, discard needle
factors when selecting a syringe
_Quantity of medication
_Type of medication
_Insulin syringe for insulin only (u-500 has a different type of syringe than the
typical u-100)
Removing medication from a vial
Gather appropriate syringe and needle/blunt cannula
Remove metal/plastic cap
Scrub stopper top with alcohol and allow to dry
, Draw air into syringe equal to amount of medication to be withdrawn
Place vial on flat surface
Pierce center of stopper top with needle
Inject air into space above solution, not into solution itself
Invert vial
Keep tip of needle/blunt cannula below level of fluid
Hold vial with one hand while withdrawing medication with the other
Keep syringe vertical and at eye level
Draw up appropriate amount of medication
Tap barrel of syringe to remove air bubbles and move needle tip above solution to
reinject air bubbles into vial
Return needle tip to solution and ensure ordered dose is withdrawn
Change needle if necessary
If multidose vial, label with date/time opened and date to be discarded
Reconstituting medications
Medication in vial as a powder
Diluent must be added to form a solution
Follow instructions on vial label regarding amount/type of diluent
Draw up appropriate amount of diluent
Inject into vial containing powder
Agitate gently
May take a few minutes to fully dissolve
Rapid acting insulins
Insulin aspart (NovoLog)
Insulin lispro (Humalog)
Insulin glulisine (Apidra)
Administer 15 minutes before/immediately after a meal
Used in combination with longer acting insulin/insulin infusion pump
Onset within 15 minutes
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