6 Rights of Medication Administration

rapid infusion may cause “red-neck syndrome

A doctor’s order reads: Phenobarbital 100 mg elixir po Q day
On hand: Phenobarbital 20 mg/5 ml
How many ml(s) will you administer?

1 kilogram or 1000 grams

Must first disintegrate into smaller particles and dissolve in the gastric juices before being
absorbed.

Grapefruit juice should be avoided with many meds; Avoid antacids before antibiotics,
avoid NSADIS with blood thinners

Lipitor
Zocor

A medication comes in tablets of 150 mg.
The dose ordered is 375 mg. How many tablets are needed?

30 ml or 450 gtts

Must first dissolve to be absorbed through the mucosa.

tip head
forward for spray and backward for drops;

Heparin
Lovenox
Coumadin

Ordered: Zovirax 500 mg IV in 90 ml of D5W over 60 minutes.
The Drip Factor is 15 gtts/ml.
How many drops per minute should this drug infuse?

1ml = 1cc

This type of patient must be monitored closely for desired drug effects or toxicity.

use 25-27 gauge ½-5/8”needle. Administer at 45 degrees with average weight
patients; 90 degrees if obese or when gathering the skin of a thin patient.

Atenolol
Lopressor
Inderal (* increased risk for liver damage)

Lactated Ringers 1000 ml over eight hours.
The Drip Factor is 15 gtts/ml

1 tsp

This patient may need lower doses and maybe longer dosage intervals to avoid drug
toxicity.

administer while pt is in left lateral Sims position;

Adenosine
Atropine (* contraindicated with glaucoma)
Cardizem
Dobutrex
Dopamine

If you have a drip rate of 20 gtts/min and your IV set delivers 15 gtts/ml.
How many mls will the patient receive in 2 hours?

1 gr (grain)

The dose of a drug is distributed into a smaller volume so the dose must be decreased.