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Medication
Administration
Principles and Routes of
Medication Administration
Part 1
Part 1 Topics
Aseptic Technique
Medication Administration
Routes
Medication Package
Anatomy and Physiology
Related to Medication
Administration
Six Rights of Drug
Administration
Right person
Right drug
Right dose
Right time
Right route
Right documentation
Knowing all drug
administration protocols
is essential.
Always take appropriate body
substance isolation measures to
reduce your risk of exposure
during medication
administration.
Body substance isolation equipment.
Medical Asepsis
It is important to keep the
ambulance and all the
equipment clean.
Sterile—free of all forms of life
Medically clean—involves
careful handling to prevent
contamination
Treat all blood and body fluids as
potentially infectious.
Needle Handling Precautions
Minimize the tasks performed in
a moving ambulance.
Immediately dispose of used
sharps in a sharps container.
Recap needles only as a last
resort.
Medication Administration and
Documentation
Record all information concerning
the patient and medication
including:
▪
▪
▪
Indication for drug administration.
Dosage and route delivered.
Patient response to the
medication—both positive and
negative.
Percutaneous drug administration is
drugs applied to and absorbed
through the skin or mucous
membranes.
Transdermal
Absorbed through the skin at a slow,
steady rate.
Method:
1. BSI.
2. Clean administration site.
3. Apply medication.
4. Leave medication in place for required time.
Monitor the patient for desirable or adverse
effects.
Mucous Membranes
Absorbed through the mucous
membranes at a moderate to
rapid rate.
Sublingual Medication
Administration
Place the pill or direct spray between the underside of
the tongue and the floor of the oral cavity.
Buccal Medication
Administration
Place the medication between the
patient’s cheek and gum.
Eye Drop
Administration
Use a medication dropper to place the prescribed dosage
on the conjunctival sac.
Nasal medication administration
Aural Medication
Administration
Manually open the ear canal and administer the
appropriate dose.
Pulmonary Drug
Administration
Medications are administered
into the pulmonary system
via inhalation or injection.
Small volume nebulizer
Nebulizer
with
attached
face mask,
bag-valve
mask, and
endotracheal
tube.
Metered dose inhaler
Endotracheal Tube
Several medications can be
administered through an
endotracheal tube:
▪ Lidocaine
▪ Epinephrine
▪ Atropine
▪ Naloxone
Enteral Drug Administration
The delivery of any medication
that is absorbed through the
gastrointestinal tract.
Gastrointestinal tract
Oral Drug Administration
Any medication taken by mouth
and swallowed into the GI tract.
Be sure the patient has
an adequate level of
consciousness to
prevent aspiration.
Oral Drug Forms
Capsules
Tablets
Pills
Enteric coated/
time release
capsules and
tablets
Elixirs
Emulsions
Lozenges
Suspensions
Syrups
Equipment for Oral Administration
Soufflé cup
Medicine cup
Medicine
dropper
Teaspoon
Oral syringe
Nipple
Gastric Tube Administration
Gastric tubes provide access
directly to the GI system.
Confirm proper tube placement.
Withdraw the plunger while observing for
the presence of gastric fluid or contents.
Instill the medication into the gastric tube.
Gently inject the saline.
Clamp off the distal tube.
Rectal Administration
The rectum’s extreme
vascularity promotes rapid drug
absorption.
Medications do not travel
through the liver, and are not
subject to hepatic alteration.
Catheter placement on needleless syringe
Syringe attached to endotracheal tube
Prepackaged enema container
Parenteral Drug Administration
Drug administration outside of the
gastrointestinal tract.
Syringes and Needles
Syringe. Hypodermic needle.
Kinds of Parenteral Drug Containers
Glass ampules
Single and multidose vials
Nonconstituted syringes
Prefilled syringes
Intravenous medication fluids
Ampules. Vials.
Ampules and Vials
Information On Drug Labels
Name of medication
Expiration date
Total dose and concentration
Hold the ampule upright and tap its top to
dislodge any trapped solution.
Place gauze around the thin neck…
…and snap it off with your thumb.
Draw up the medication.
Confirm the vial label.
Prepare the syringe and hypodermic needle.
Cleanse the vial’s rubber top.
Insert the hypodermic needle into the rubber top
and inject the air from the syringe into the vial.
The nonconstituted
drug vial actually
consists of two vials,
one containing a
powdered medication
and one containing a
liquid mixing
solution.
Nonconstituted drugs come in
separate vials. Confirm the labels.
Remove all solution from the vial
containing the mixing solution.
Cleanse the top of the vial containing the
powdered drug and inject the solution.
Agitate or shake the vial to ensure
complete mixture.
Prepare a new syringe and
hypodermic needle.
Withdraw the appropriate volume of
medication.
In the Mix-O-Vial system, the vials are
joined at the neck. Confirm the labels.
Squeeze the vials together to break the
seal. Agitate or shake to mix completely.
Withdraw the appropriate volume of
medication.
Parenteral Routes
Intradermal injection
Subcutaneous injection
Intramuscular injection
Intravenous access
Intraosseous infusion
Intradermal
Injection
Assemble and prepare the needed
equipment.
Check the medication.
Draw up the medication.
Prepare the administration site.
Pull the patient’s skin taut.
Insert the needle, bevel up at a
10–15 angle.
Remove the needle and cover the
puncture site with an adhesive bandage.
Monitor the patient.
Subcutaneous Injection
45º
Subcutaneous Injection Sites
Prepare the equipment.
Check the medication.
Draw up the medication.
Prep the site.
Insert the needle at a 45 angle.
Remove the needle and cover the
puncture site.
Monitor the patient.
Intramuscular Injection Sites
Deltoid
Dorsal gluteal
Vastus lateralis
Rectus femoris
Intramuscular Injection
90º
Intramuscular Injection Sites
Prepare the equipment.
Check the medication.
Draw up the medication.
Prepare the site.
Insert the needle at a 90 angle.
Remove the needle and cover the
puncture site.
Monitor the patient.
Part 1 Summary
Aseptic technique
Medication administration
routes
Medication package
Anatomy and physiology
related to medication
administration

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