NSG 336 -MS1 Medicating Patients Assignment

NSG 336 -MS1 Medicating Patients Assignment

NSG 336 -MS1 Medicating Patients Assignment

Objectives

• Identify concepts r/t safe & effective med administration
• Explain importance of assessments for a client who is receiving medication therapy
• Plan appropriate interventions and expected outcomes for a client taking medications
• Verbalize the correct procedure for administering meds by the oral, enteral and parenteral routes

Medication Names

Generic Name

Assigned when a med is first manufactured

Official Name

Assigned by FDA. Often the same as the generic name

  i.e. Acetylsalicylic Acid

Name by which a med is listed in United States Pharmacopeia (USP) & National Formulary (NF)

Trade Name or Brand Name

Copyrighted name given by manufacturer.  Med may have several trade names (Ecotrin, Bayer Aspirin)

Controlled Substances 

• Schedule I: High potential for abuse & no acceptable medical use (heroin, LSD, ecstasy)
• Schedule II: High potential for abuse, acceptable medical use, high risk for dependence (Morphine, Vicodin, OxyContin, cocaine)
• Schedule III: May cause dependency but less prone to abuse than other schedules. (Tylenol w/ Codeine –less than 90 mg of codeine, testosterone)
• Schedule IV: May cause mild physical or psychological dependence. (Xanax, Soma, Valium, Ambien, Tramadol)
• Schedule V: Limited potential for mild physical/psychological dependence. (Mixtures w/ small amounts of Codeine-less than 200 mg per 100 ml of solution, Lomotil, Lyrica)
• Double locked storage area (locked or coded door, locked or coded med cabinet or Pyxis)
• Narcotics are counted to verify accuracy and report any discrepancies. Pyxis count is usually every 24 hours. Some facilities may still complete at end of every shift.
• Report count discrepancies (facility protocol)
• Note in controlled substance inventory when a medication is removed (some facilities use computerized storage system). Note the date, time, client, drug, and dose needed

What affects medication absorption?

• 1.
• 2.
• 3.Effects of pH and Ionization
• 4.

Distribution of the drug

• Defined as:

–Local blood flow

–

–Membrane permeability

–

–Protein binding capacity

Excretion of drugs from the body

• 1.
• 2.
• 3.
• 4. Exocrine glands

Factors to consider in medication administration:

• 1.
• 2.
• 3.
• 4. Pregnancy
• 5. Environment
• 6. Route of ___________
• 7. Food or absence of food
• 8. Fluids
• 9. Pathological state
• 10. Genetic factors
• 11. Psychological factors

Medication Action

Mechanism of action:

-targeted or systemic

Therapeutic effect/primary effect:

Side effects:

Adverse effects:

-Toxic effects

-Allergic responses

-Idiosyncratic reaction

Adverse reactions (See risk factors p.758)

• Allergic Responses–due to the drug, the preservative, or the metabolite
• Mild-hypersensitivity reaction- sxs of __Urticaria_, ____pruritus_______, ___edema_____________.

If severe, anaphylaxis—life threatening due to massive vasodilatation and bronchial constriction

Symptoms:

***Treated with epinephrine, antihistamines, bronchodilators, & corticosteroids

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