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Chapter 32: Oral Medications.

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Presentation on theme: "Chapter 32: Oral Medications."— Presentation transcript:

1 Chapter 32: Oral Medications

2 Medication Orders Lists the drug name and directions for its administration Written on client’s medical records Written by medical personnel, physician’s assistant, or advanced practice nurse

3 Medication Orders (cont’d)
Components of medication orders Drug name: trade name Drug dose: the amount of drug to administer, prescribed using the relevant system of measurement

4 Medication Orders (cont’d)
Route of administration: how the drug is given Oral, topical, inhalant, or parenteral route Frequency of administration: how often and how regularly the medication is to be given Signature of prescribing agent

5 Oral Route Solid Scored tablet Enteric-coated tablets
Sustained release

6 Oral Route cont. Liquid Calibrated cups Droppers Syringes Dosing spoon

7 Medication Orders (cont’d)
Verbal orders: instructions for client care that are given during face-to-face conversations Telephone orders: obtained from a physician during a telephone conversation Documented in the medication administration record

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9 Methods of Supplying Medications
Storing medications: medications remain locked until the drugs are administered Accounting for opioids: federal laws regulate their possession and administration; nurses are responsible for an accurate account of their use and must keep a record of each narcotic used from the stock supply

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11 Methods of Supplying Medications (cont’d)
Ways to supply drugs: Individual supply Unit dose supply Stock supply

12 Medication Administration
Applying the 5 rights safeguards against medication errors Calculating dosages is one of the 5 rights Oral medications are prepared and taken to the client’s bedside in a paper or plastic cup for administration Action taken when medication error occurs

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14 Medication Administration (cont’d)
Oral medications are administered by enteral tube if client cannot swallow them Documentation is required on medication administration record Nurses are ethically and legally responsible for reporting medication errors Client education appropriate medication use

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17 Enteral Tube Process of giving oral medications by enteral tube
Circumstances under which oral medication can be given using an enteral tube

18 Question Is the following statement true or false?
An advanced practice nurse can write a medication order.

19 Answer True. An advanced practice nurse can write a medication order if legally designated to do so by state statutes.

20 Question The standard abbreviation for writing twice a day is? a. q.d.
b. q.o.d. c. b.i.d. d. t.i.d.

21 Answer c. b.i.d. The standard abbreviation for writing twice a day is b.i.d.; q.d. stands for everyday, q.o.d. for every other day, and t.i.d. for three times a day.

22 Question Which of the following is the most common route to administer medication? a. Oral b. Topical c. Inhalant d. Parenteral

23 Answer a. Oral The oral route is the most common route to administer medication. The topical route is used for skin application, inhalant for aerosol, and parenteral for injection.


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