5 Rights of Drug Administration
Right Patient |
Right Drug |
Right Dose |
Right Route |
Right Time |
6 P's
Pain |
Parathesia |
Pallor |
Pulselessness |
Poikilothermia |
Paralysis |
Metformin (Antidiabetic)
MOA |
Decreases liver glucose production and small intestine glucose absorption |
Indication |
DM 2 |
Nursing Considerations |
Monitor BG levels, given with food, hold contrast if GFR low |
Side Effects |
GI symptoms (bloating, N/V, cramping, diarrhea) |
Oxycodone (Opioid analgesic)
MOA |
Binds to opioid receptors and decreases excitability (blocks pain) |
Indication |
Moderate to severe pain |
Nursing Considerations |
MONITOR FOR RESPIRATORY DEPRESSION, decreased GI motility, urinary retention, hypotension, and seizures |
Side Effects |
Nausea, constipation, respiratory depression, hypotension, allergic reaction, CNS depression |
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3 Checks
Check the medication unit dose label when removing the unit dose package or multi-dose container from its storage drawer |
Check the medication unit dose label with the MAR after retrieval from its drawer or immediately before removing it from a multi-dose container |
Check the medication unit dose immediately before giving it to the patient, or when replacing a multi-dose container in the drawer |
Levothyroxine (Thyroid Hormone Replacement)
MOA |
Replaces thyroid hormone which is responsible for metabolism and growth |
Indication |
Hypothyroidism |
Nursing Considerations |
Take first thing in the morning by itself, take on empty stomach, follow up with thyroid labs PRN (TSH + T4) |
Side Effects |
Tachycardia, anxiety, weight loss |
Warfarin (Anticoagulant)
MOA |
Blocks Vit K responsible for coag factors |
Indication |
Clot disorders/DVT prophylaxis |
Nursing Considerations |
Watch for blood in stool and gums and brusing, watch INR (2-3) |
Side Effects |
Bleeding, lethargy, muscle pain, purple toes, skin necrosis |
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