THE GOAL OF THIS VIDEO IS TO ASSIST STUDENTS WITH#MEDICATION TEACHING#
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
PHARMACOLOGY, SAFETY, FIVE RIGHTS, ALLERGIES, CONTRAINDICATIONS NURSING RN By NURSE PAULINE. RN