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PHARMA Chapter 3

PHARMA Chapter 3PHARMA Chapter 3PHARMA Chapter 3PHARMA Chapter 3PHARMA Chapter 3PHARMA Chapter 3PHARMA Chapter 3PHARMA Chapter 3PHARMA Chapter 3PHARMA Chapter 3PHARMA Chapter 3PHARMA Chapter 3PHARMA Chapter 3PHARMA Chapter 3PHARMA Chapter 3PHARMA Chapter 3PHARMA Chapter 3PHARMA Chapter 3PHARMA Chapter 3PHARMA Chapter 3PHARMA Chapter 3PHARMA Chapter 3

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71 views

PHARMA Chapter 3

PHARMA Chapter 3PHARMA Chapter 3PHARMA Chapter 3PHARMA Chapter 3PHARMA Chapter 3PHARMA Chapter 3PHARMA Chapter 3PHARMA Chapter 3PHARMA Chapter 3PHARMA Chapter 3PHARMA Chapter 3PHARMA Chapter 3PHARMA Chapter 3PHARMA Chapter 3PHARMA Chapter 3PHARMA Chapter 3PHARMA Chapter 3PHARMA Chapter 3PHARMA Chapter 3PHARMA Chapter 3PHARMA Chapter 3PHARMA Chapter 3

Uploaded by

Liam Dalilis
Copyright
© © All Rights Reserved
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CHAPTER 3

INTERPRETING DRUG
ORDERS
KEVERNE JHAY COLAS

INTERPRETING DRUG
ORDERS
THE PRESCRIPTION OR MEDICATION
ORDER SUGGESTS THE THERAPEUTIC
DRUG PLAN FOR THE PATIENT.

Usually physicians or dentists


write a medication order.
List the drug name and
directions for its administration.

INTERPRETING DRUG ORDERS


IT IS THE RESPONSIBILITY OF THE NURSE TO;
1.INTERPRET THE ORDER
2.PREPARE THE CORRECT DOSAGE OF THE DRUG
3.IDENTIFY THE PATIENT
4.ADMINISTER THE CORRECT DOSAGE AT THE
PRESCRIBED TIME
5. RECORD THE ADMINISTRATION
6.MONITOR THE PATIENTS RESPONSE AND
ADVERSE EFFECTS

COMPONENTS OF A MEDICATION
ORDER
THE DRUG ORDER CONSISTS OF SEVEN
PARTS:
1. NAME OF THE PATIENT
2. NAME OF THE DRUG TO BE ADMINISTERED
3. DOSAGE STRENGTH AND FORM OF THE
DRUG
4. ROUTE BY WHICH THE DRUG IS TO BE
ADMINISTERED

COMPONENTS OF A MEDICATION
ORDER
THE DRUG ORDER CONSISTS OF SEVEN PARTS:
5. FREQUENCY, TIME, AND SPECIAL
INSTRUCTIONS RELATED TO ADMINISTRATION
6. DATE AND TIME THE ORDER WAS WRITTEN
7. SIGNATURE OF THE PERSON WRITING THE
ORDER.

COMPONENTS OF A MEDICATION
ORDER
CHUCK BARTOWSKI

AMOXICILLIN 500 MG P.O. T.I.D.


ARCOXIA 250 MG P.O. P.C.
PARACETAMOL 300 MG IV PRN
FOR FEVER > 37.8 C

DR. DEVON AWESOME


12/6/2011-0900

Abbreviation

WORDS IN MEDICATION
ORDERS
meaning

Abbreviation

meaning

noc
GT/GTT

night
gastrostomy
tube

SR
SA

sustained release
sustained action

MDI

metered dose
inhaler

LA

Long acting

NJ
NG/T

nasojejunal
nasogastric
tube

DS
a

Double strength
before

p
QOD
CR

after
every other day
controlled release

Sp
spirit
OINT,UNG
ointment
EC
enteric coated

TYPES OF MEDICATION
ORDERS
1. STANDING ORDER
IS CARRIED OUT UNTIL AN ORDER
IS WRITTEN TO CANCEL IT.
IS CARRIED OUT FOR A SPECIFIED
NUMBER OF DAYS.

2. Stat Order
Medication is to be given
immediately and only once.

TYPES OF MEDICATION
ORDERS
3. SINGLE ORDER OR ONE-TIME
ORDER
MEDICATION IS TO BE GIVEN
ONCE AT A SPECIFIED TIME.

4. PRN order or as needed


order
Permits the nurse to give a
medication, when in the
nurses judgment, the client

TYPES OF MEDICATION
ORDERS
INSERT IVF OF D5LRS 1LX 12 .
TYLENOL (ACETAMINOPHEN)
650 MG PO Q4H FOR TEMPERATURE OF 101 F OR
HIGHER.
2. ADMINISTER PLASIL (METOCLOPRAMIDE) 1 AMP IV NOW.
3. GIVE CLINDAMYCIN 100MG IV STAT.
4. GIVE CODEINE 30 MG PO Q4H PRN FOR MILDMODERATE
PAIN. ######BRKTHRU######
5. SECONAL 100 MG PO HS BEFORE SURGERY.
6. GIVE MORPHINE 10 MG IM X 1 AT 0800

MEDICATION ADMINISTRATION
RECORD
MAR IS THE FORM THAT THE
NURSE USES TO DOCUMENT
ADMINISTRATION OF DRUGS.
PERMANENT PART OF THE
PATIENTS MEDICAL RECORD.

Either be hand written or


computer generated.
each institution has own policies
on the documentation and usage

MEDICATION ADMINISTRATION
RECORD
COMPONENTS OF THE MAR

Patient information
Date
Medication information
Time of administration
Initials
Special instructions

MEDICATION
LABELS AND
PACKAGING
SYSTEMS

READING DRUG LABELS

READING DRUG LABELS


1. GENERIC NAME: APPEARS
DIRECTLY ABOVE OR UNDER THE
BRAND NAME; PLACED INSIDE A
BOX OR TRANSPARENCIES

READING DRUG LABELS


2. Brand Name: propriety name,
manufacturers name of a drug
Most prominent word
Large type and boldly visible to
pronounce the product

READING DRUG LABELS


3. DOSAGE STRENGTH/DOSAGE: DOSAGE
WEIGHT OR THE AMOUNT OF DRUG PROVIDED
IN A SPECIFIC UNIT OF MEASUREMENT

READING DRUG LABELS


SUPPLY DOSAGE: 156.25 MG/5 ML
DOSAGE STRENGTH PLUS FORM

READING DRUG LABELS

4. Medication Form: structure


and composition of drug

READING DRUG LABELS

5.Medication Quantity/ Total Volume:


full quantity contained in a package,
bottle or vial

READING DRUG LABELS

6. Administration Route: Site


for body or method of delivery
of drug to patient

READING DRUG LABELS

7. Expiration Date

READING DRUG LABELS


8. LOT CONTROL
NUMBER

9. National
Drug Code
(NDC)
Number
10. Storage
11.
Manufacture
rs Name

PHARMACEUTICAL INDUSTRIES

READING DRUG LABELS


12. DIRECTIONS
FOR MIXING

13. Label Alert:


Warnings
medication safety
-ADD 24 ML OF
DISTILLED
effectiveness
WATER TO MAKE administration
50 ML OF
-keep refrigerated
SOLUTION
-causes drowsiness
14. INSTRUCTIONS
(do not drive/operate
FOR STORAGE
machineries)

MEDICATION PACKAGING
UNIT-DOSE PACKAGING
LABELING AND PACKAGING
OF INDIVIDUAL DOSAGE OF
MEDICATION
MULTI-DOSE PACKAGING
packaging in containers that

contain more than one


dosage of the medication

PREPARING
EQUIPMENT AND
DRUGS FOR
ADMINISTRATION

EQUIPMENT FOR LIQUID ORAL


MEDICATION
MEDICATION CUP
CALIBRATED SYRINGES
CALIBRATED DROPPERS
OTHER SPECIAL DEVICES

Make sure that the meniscus is at


level with the line on the device.
Read at eye level.

EQUIPMENT FOR LIQUID


ORAL MEDICATION

MEDICINE CUP
USED TO MEASURE MOST ORAL
MEDICATION
DISPOSABLE PLASTIC CUP
30 ML (ONE OUNCE)
METRIC, APOTHECARY, AND
HOUSEHOLD MEASUREMENT SYSTEM.
NOTE: ALWAYS USE PEDIATRIC MEASURING
DEVICE WHEN MEASURING SMALL
AMOUNTS OF MEDICATION FOR
INFANTS AND CHILDREN.

EQUIPMENT FOR LIQUID


ORAL MEDICATION

SPOON
ALWAYS USE PEDIATRIC
MEASURING DEVICE WHEN
MEASURING SMALL AMOUNTS
OF MEDICATION FOR INFANTS
AND CHILDREN.
TEASPOON AND TABLESPOON
VARY IN SIZE. EX.
1 TSP=5 ML AND 1 TBSP= 15
ML

EQUIPMENT FOR LIQUID ORAL


MEDICATION

CALIBRATED MEDICAL
SPOON

EQUIPMENT FOR LIQUID


ORAL MEDICATION
CALIBRATED MEDICATION
DROPPER
MEASURE AND ADMINISTER
SMALL DOSAGES ACCURATELY.
DO NOT INTERCHANGE
DROPPERS BETWEEN
DIFFERENT TYPES OF
MEDICATIONS; CAN LEAD TO
SERIOUS MEDICATION ERROR.

EQUIPMENT FOR LIQUID


ORAL MEDICATION

CALIBRATED MEDICATION
SYRINGE

EQUIPMENT FOR LIQUID


PARENTERAL MEDICATION
SYRINGES
USE TO ACCURATELY
MEASURE AND ADMINISTER
PRESCRIBED AMOUNTS OF
PARENTERAL MEDICATIONS.
1 ML,2 ML, 3 ML, 5 ML, 10
ML, 20 ML, 50 ML AND 60
ML.
TUBERCULIN SYRINGE AND
INSULIN SYRINGES
100 UNITS/ ML AND 50
UNITS/ 0.5 ML

EQUIPMENT FOR LIQUID


PARENTERAL MEDICATION

EQUIPMENT FOR LIQUID


PARENTERAL MEDICATION

EQUIPMENT FOR LIQUID


PARENTERAL MEDICATION
INSULIN SYRINGE
SYRINGE THAT IS CALIBRATED TO
CORRESPOND WITH THE 100- UNIT
INSULIN.
AVAILABLE IN 40- UNITS, 100- UNITS.
100- UNIT BOTTLE AND 100- UNIT
SYRINGE =COLOR
CODED ORANGE;
40- UNITS BOTTLE AND 40 UNITS
SYRINGE
= COLOR CODED RED.

EQUIPMENT FOR LIQUID


PARENTERAL MEDICATION
INSULIN IS ADMINISTERED SUBCUTANEOUSLY
AT A 45, 60(THIN), 90(OBESE) DEGREES
ANGLE.
**SUBCUTANEOUS ABSORPTION RATE IS
SLOWER BECAUSE THERE ARE FEWER BLOOD
VESSELS IN THE FATTY TISSUE THAN IN THE
MUSCULAR TISSUE.

AVOID USING TUBERCULIN


SYRINGE IN ADMINISTERING
INSULIN.

WARNING:

EQUIPMENT FOR LIQUID


PARENTERAL MEDICATION

EQUIPMENT FOR LIQUID


PARENTERAL MEDICATION
1 ML TUBERCULIN SYRINGE- USED FOR
MEDICATIONS LESSER THAN 1 ML OR 1 ML.
THIS IS ALSO USED FOR INTRADERMAL
INJECTIONS.
MARKINGS ON THE SYRINGE ARE IN HUNDREDTHS
OF MILLILITER(0.1)

EQUIPMENT FOR LIQUID


PARENTERAL MEDICATION
THE APOTHECARY MARKINGS OF MINIMS ON THE
OTHER SIDE WHICH IS 0.01 ML ALLOW VERY
PRECISE MEASUREMENT OF MEDICATIONS.
CALCULATED OF 0.427 OF DRUG SHOULD BE
ROUNDED TO THE HUNDREDTHS NOT TO THE
NEAREST TENTHS SUCH AS 0.43 ML.

READING
CALIBRATED
SYRINGES
TUBERCULLI
N
SYRINGE

READING
CALIBRATED
SYRINGES

3 ML
SYRINGE

READING
CALIBRATED
SYRINGES

5,6,10,12
ML
SYRINGES

READING
CALIBRATED
SYRINGES

20 ML
SYRINGE

READING
CALIBRATE
D SYRINGES

PREFILLED
SYRINGES

MEASURING DOSAGES
IN A SYRINGE
TO MEASURE A DOSAGE
IN A SYRINGE, WE MUST
LINE UP THETOPOF
THE BLACK RUBBER
PLUNGER EXACTLY WITH
THE LINE THAT MARKS
THE DOSAGE WE WANT
TO ADMINISTER.

END

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