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Hello welcome to my channel my name is nurse  pauline rn i hope you’re all keeping well i hope   you’re doing great in your studies today i’ll be  talking about medications all these answers will   final exam and in your nclex examination   for medications we will not forget to check your  patient’s id bracelets and allergy

Bracelets   before you administer your medications you’ll  do the five rights the right patient the right   right frequencies and root the students or   nursing students should always have a registered  nurse when they are administering medications   document all your medications immediately after  you give it to the

Patient you document your pre   and post pain assessments if patient is unable to  swallow communicate to the doctor while you’re not   patient is unable to swallow oral medication   the patient is unable to swallow we will  educate your patients about the side effects  of the medications and contraindications your  

Patients have a right to know the side effects  all about the medications and have their questions   answered appropriately before you’re administering  medications for example blood pressure medications   please check your blood pressure if your blood  pressure is too old too low if you have to   hold it let the doctor know why

You’re holding  the medication some medications like digoxin   you cannot administer that medication if the heart  rate is below 60 you have to check the heart rate   please if you think is incorrect  if there’s a medication error please assess your  patients do your vitals assess for decreased loss   of consciousness if patience

Is symptomatic we’ll  call the meds team if there’s a medication error   notify your doctor complete the incidence report  incidence reports are not in the nurse’s notes   we complete our incidents report in the computer  patients who refuse medications they have a right   to refuse please use therapeutic communication  with

Your patients use open-ended communication   we need our patients to be compliant when it comes  to taking their medications in the hospital or at   home we need to know why the patient is refusing  the medic medication sometimes after explaining   it to them they will take the medications for some  reason some patients thinks the

Nurse is the one   that’s ordering the medication but if you tell  them the doctor is the one who administered this   will take the medication remember when you are   remember to rotate the site of your medications   i am intracellular root that’s around the spinal  cord we have sublingual meds we have rectal meds  

Sprays we have tropical ointments  you’re administering eye drops wait five  minutes after before administering your   eye ointment in the lower conjunctival sac inert  outer canthus for inhalation therapist that’s   done by the respiratory therapist that’s your  neb treatment your inhalers also for patients   with asthma

Or copd stat orders mean now right now  stat single doses orders are one-time order which   is then discontinued after you administer the  medication standing orders are carried out   medication prn desire as needed medication   maybe patient is agitated those are prn orders  occurs when the body interprets medications as 

Foreign so make sure your patients are using their   patients symptomatic you call the  allergy anaphylactic reaction is  life-threatening some people are bee stings   respiratory distress bradycardia bronchospasms   of anaphylactic reaction some people will show  anaphylactic reactions during blood transfusion  

Defects in embryos or fetus mess should be  given read your instructions with food before   eating some medications will tell you after eating  but giving medications with foods decrease gastric   irritation we are documenting our medications  we are documenting the name of the medications   medication the name of the nurse who

Administered   the medication did your patient refuse medications  you are documenting that also we are documenting   medication errors we have wrong patient wrong  dose failure to give it at the prescribed time   those are your medication errors know about your  medication know about the usual dose the adverse   effects

Know about the routes and the actions  know about incorrect preparation of your meds   read your labels or to prepare your medications  giving medication that has deteriorated   date especially on those insulin bottles   remember the word r n r before n you’ll draw up  your r first then you draw up your n that’s r n  

Deltoid do not give more than 2 ml that will   cause irritation to the arm and excessive pain  scored tablets you’ll break in half enteric coated   patient has a right to be informed about the   medication given the purpose of the medication the  action potential side effect before administered   patient has the right to

Refuse assess history  of allergy when you’re giving medication in an   ngt tube and that’s a gastric to you make sure  you flush the tube with water before and after   they are unable to give the medications especially  on the weekends when there’s not enough help   we need these medications to be clear because  if we mess

Up the ng tube the g tube the gi tube   the g-tube i’m talking about sometimes the patient  next we have patches nicotine patches  paint patches lidocaine patches that’s your   practice techniques before and after  administration of your medicines doctors order medications nurses are the ones  that give the medications in a court

Of law   question any order you think is incorrect call  the doctor before giving it to the patient   some we would have to have a second nurse be   your weakness before we give it to the patient  both nurses will be signing off on this   labeled check expiration date never leave   are in the bathroom if your

Patients are   praying religious rights exit the room come back  maybe half an hour give it to the patient if the   without watching the patient swallow that pill   you cannot check it off as being given when you  did not witness the patient swirling some of the   elderlies they cheat their medications and they do  not

Swallow if your patient is having difficulty   swallowing crush their meds if it’s crushable  in apple sauce if they’re not able to swallow it   that way the patients will have to have a speech  some medications are one-time medications  having a pre- op or having a procedure  the medication before sending for the  patient .oral

Medications are the easiest   is the most desirable way to administer   and it’s the most convenient medication the oral  never crushed enteric coated medications  never crush sustained release. medications ear   children ear dropss a child you put down and back   medicines your antacids are for your stomach your  

Controls temperature for example your aspirin your  tranquilizers decrease anxiety most medication and   metabolizes in the kidney medication adjustment   check with your doctor please nurse should   never increase your iv right if you are behind  do not play catch up communicate with your doctor   orders talking about side

Effect  of medication most frequent   side effects of medication decrease blood pressure  or increase blood pressure or increase glucose   check contract indications of  medication before administering   sometimes when the patient gets to the fourth   will ask us to draw a throat level the lab will   come and

Enjoy that throughout level is a blood  drawing the nurse should not administer the fourth   dose until when you check the result of the trough  level sometimes they say if the dose is greater   than 20 do not administer but just go according to  your doctor’s orders some facilities are careful   about the use of abbreviations

On medications  when a patient is discharged sometimes the  doctors fax medications to the pharmacy   sometimes we deliver prescriptions in their hands   let them demonstrate back let  for medication reconciliation that is completed on  admission if patients have additional medications   medication reconciliations on your

Admission   please document on your medication reconciliation  if your patients are taking medications if they   over the counter medications remember ampules   or you can use maybe two alcohol  pads wipes hold it around the   top of the ampoule or you can hold the ample   and snap it away from your backwards in

Order to  open the ampule okay that’s all i have for you on   medication please hit the like button please hit  the subscribe button please share my video and   have a blessed blessed day thanks for your time  hope you’re doing well with your exams thank you

Transcribed from video