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Module 4: Medication Administration

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MOD 4 Medication AdministrationOctober1310812 PMThe CNO identifies eight rights of medication administration Identify the eight rights and the rationale for each1Right Clientgive medication to the right clientRight Medicationgive the correct medication ordered by the doctorNPRight Dosedosage is appropriate for the client childadultRight Timemedication is given for maximum effectRight Method of applicationensure medication is administered correctlyRight Documentationensure effects of medication is therapeuticRight Reasonensure medication is used for correct diagnosis Right Frequencyensure medication is used correctly Name the various routes of medication administration2Oral ophthalmic ototic intramuscular subcutaneous intradermal intravenous sublingual topical rectal vaginal nasal inhalation transdermalOral RoutesoGiven by mouth and swallowed with fluid oSublingual Medication placed under the tongue to dissolve no fluid required eg nitroglycerineoBuccal placing medication in the mouth and against the mucous membranes of the cheek until medication dissolves Parenteral RoutesoInvolves injecting a medication into body tissues oIntradermal ID injection into the dermis just under the epidermis oSubcutaneous SubQ Injection into tissues just below the dermis of the skin oIntramuscular IM Injection into a muscle oIntravenous IV Injection into a vein SkinoTopical applied onto skin eg creams InhaledoDeeper passages of the respiratory trat provide a larger surface area for medication absorption oDrug is changed from solid to a liquid to gas eg inhalers for asthma or lung problems VaginalRectal oDrugs inserted into the cavity as a suppository eg enemas creams douchesoRectal preferred is pt at risk for vomiting Define the common terms used in pharmacology3AbsorptionoRefers to passage of medication molecules into he blood from is site of administration Its influenced by route or administration ability of the medication to dissovlve blood flow to the site of administration body surface area and lipid solubility of medication OnsetoTime it takes after a medication is administered for it to produce a response DurationoTime during which the medication is present in concentration great enough to produce a responsePeak effectoTime it take for a medication to reach its highest effective concentration ExcretionoAfter medications are metabolized they exit the body through the kidneys liver bowel lungs and exocrine glandsNSE22 Page 1
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