Presentation on theme: "ELA1 pre clinical Introduction to medicine administration"— Presentation transcript:
1 ELA1 pre clinical Introduction to medicine administration Prepared by Dr Cath Hall
2 Session plan Back to basics Review of oral medication formula Practice in oral medication calculationsIntroduction to NPC medication chartsIntroduction and instruction to 8 Right’s of medicine administrationMedications calculation instruction
3 Back to basicsThere are many components to medicine assessment and administration.assessment of the client,reading the medication order,decision making regarding administration,preparation for administration including knowledge of actions,side effects of different medicines,calculating the correct dose,preparing the correct medication according to the route prescribed,checking a client’s allergies,identifying the correct client against the medication order,administering the correct medication to the client,documenting the administration,and then evaluating the effect of the client.
4 Back to basics: routes, types or oral meds, orders, parts of orders Different routes of medicine administration – oral, injectable (includes SC, IM, IV), per vagina, per rectum, ear, eye, sublingualTypes of oral medicines – eg. scored tablets, hard gelatine capsules, soft gelatine capsules sustained release capsules, liquid suspensionTypes of orders – standing orders, prn orders, single dose orders, stat ordersParts of orders – client's name, Identification number, medication name, dosage, route, frequency, prescriber’s signature, date and time.
5 Dosage explanationsThe amount and strength of a medication to be administered must be carefully prepared.We must make sure the correct dosage is administered.You must administer the dosage ordered with the correct medication from the stock availableDepending on the type of medication the amount will be expressed in different ways
6 Dosage explanations continued ml (millilitres) eg 5mlmg (milligrams) eg 7mgmcg (micrograms) eg 12micrograms
7 Frequency abbreviations in the order Here are some examplesbd = twice a daytds = three times a dayqid = 4 times a dayprn = as necessaryStat = immediately
8 So what next?So we need to read the order, see what we have in stock for that medication, then work out how much to administer to the client.
9 Review of oral medication formula This is the formula to use:What you want (Ordered dose) volume (always 1 for pills, capsules etc)_______________ X __________ = required doseWhat you’ve got (Stock available )Eg – order: 500 mg paracetamol orally 4 hourly prnStock: 500 mg paracetamol tablets available500 mg_______ X ______ = 1 tablet
10 Practice in oral medication dosage calculations Order: 750 mg Amoxycillin orally tds Stock: 250 mg Amoxycillin tablets available 750 mg 1 3 _______ X ______ = _____ = 3 tablets 250 mg 1 1
11 Another dosage calculation example Order: 1000mg Paracetamol orally 4 hourly prn Stock: 500 mg Paracetamol tablets available 1000 mg 1 2 _______ X ______ = _____ = 2 tablets 500 mg 1 1
12 Practice oral medication dosage calculations 1. Order: 150 mg soluble aspirin orally daily Stock: 300 mg Soluble Aspirin tablets available 2. Order: 125 mg Frusemide orally Mane Stock: 20mg, 40mg and 500 mg Frusemide tablets available 3. Order: 750 mg Tinidazole stat Stock: 500 mg Tinidazole tablets available
13 Further practice examples 4. Order: 3 mg Ventolin syrupStock: Salbutamol 2 mg in 5 available5. Order: 12 mg Diazepam syrupStock: Diazepam syrup 2mg in 5 ml6. Order: 2gTinidazole statStock: 500 mg Tinidazole tablets available
14 Introduction to national prescribing chart (NPC) Please see attached files – or paper handoutsIdentify on the NPC the following:Name of client, identification number,Name of medicine to be administeredRoute of administration,Frequency of administration.Dosage to be administered,Prescriber’s signatureType of order, eg stat, standing,Allergy recordStock of medication on hand
15 Introduction to the ‘8 Rights’ of medicine administration Right TimeRight PatientRight MedicineRight DoseRight RouteRight DocumentationRight EffectRight EducationNow look at each of these via the SAM website