Non-parenteral Routes – Part 1 N228 Clinical Pharmacology Prepared by Linda Walters RN, MSN

 Objectives:  The learner will be able to identify generic, trade, classification, usual adult dosage, usual form and rout of administration, and the usages of each given medication utilizing the drug book and / or the drug PDA or Phone Application with regards to the Nursing Practice Act drug administration guidelines.  The learner will be able to identify the six rights of medication administration utilizing the drug book and / or the drug PDA or Phone Application with regards to the Nursing Practice Act.  The learner will be able to simulate the proper process of drug administration with regards to the Food and Drug Administration’s laws and regulations utilizing the drug book and / or the drug PDA or the Phone Application.  The learner will be able to distinguish between other routes and the discussed route of non-parenteral medication administration using the drug book and / or drug PDA or Phone Application with regards to the Nursing Practice Act.

 FDA  US Congress  Nurse Practice Acts  Institutional Policies  Clients Rights  Possible substance abuse

 You are a charge nurse working the evening shift on a busy pediatric unit. For the third time in 3 weeks, the narcotic count is incorrect at the end of the shift. You suspect that one of your coworkers may be diverting narcotics based on the following information: he has always been working when the count has been short, he calls in sick frequently, he has mood swings, and he tends to blame others rather than accept responsibility for his errors. There is no objective evidence that he is diverting the narcotics, just suspicion.

 Medical Record  Diet and Fluid Orders  Laboratory Data  Physical Assessment

 Assessment  Nursing Diagnosis  Planning/Outcome criteria  Implementation  Evaluation

Mrs. Mann has a morning dose of Digoxin scheduled at 9am. You took the pulse and found it to be 60 and irregular and her serum K is 2.9 mEq. You know that her history is post op fractured hip repair 2 days ago. Her pulse has been running in the 80’s and according to her chart this is the first variance. Serum k has been dropping but today’s result was the lowest since admission. She also has a history of renal insufficiency.

Documentation

 Reading and Interpreting  Drug name Generic or Trade  Drug dosage and strength  Drug form  Drug quantity  Drug administration  Drug reconstitution or mixing  Drug manufacturing  Drug precautions

1. Drug name: Generic or Trade 2. Drug dosage and strength: 3. Drug form: 4. Drug quantity: 5. Drug administration: 6. Drug reconstitution or mixing: 7. Drug manufacturing: 8. Drug precautions:

1. Drug name: Generic or Trade 2. Drug dosage and strength: 3. Drug form: 4. Drug quantity: 5. Drug administration: 6. Drug reconstitution or mixing: 7. Drug manufacturing: 8. Drug precautions:

1. Drug name: Generic or Trade 2. Drug dosage and strength: 3. Drug form: 4. Drug quantity: 5. Drug administration: 6. Drug reconstitution or mixing: 7. Drug manufacturing: 8. Drug precautions:

1. Drug name: Generic or Trade 2. Drug dosage and strength: 3. Drug form: 4. Drug quantity: 5. Drug administration: 6. Drug reconstitution or mixing: 7. Drug manufacturing: 8. Drug precautions