Oral drug administration

oral administration

1. welcome Mr. Manikandan.T , RN ., RM., M.Sc (N)., D.C.A .,( Ph.D ) Assistant Professor, Dept. of Medical Surgical Nursing, VMCON, Puducherry .

2. 0ral drug administration: (Oral, sublinguaL , BUCCAL)

3. definition Oral adm is process by which drugs are delivered by mouth through alimentary tract. They can be either liquid or solid form. It is done sublingual and buccal .

4. precaution The nurse should check wether the pt has any known allergy Check the rights Check BF/AF Do not handle tab,cap,mix,syr unnecessarily to avoid contamination. Do not give water after adm sedatives Shake bottle well b4 taking syr. And mix Do not pour back medicine into bottle. Do not adm water after giving cough syr

5. contraindication Vomiting Reduced gi motility(after GAM bowel inflammation) s/y resection of portion GIT Inability to swallow Pts with gastric suction/aspiration Prior to certain test/surgery Unconscious/ confused pts Poor gag reflex

6. equipment Medication card Medication tray Small plastic cups/ paper cups/ ounce glass Glass of water Caliberated disposable cups/ ounce glass Mortar& pestle Scissor Kidney tray Paper towel/ tissue paper Teaspoon Dropper Cup with sterile water for drinking

7. procedure Explain procedure Assist pt in sitting position if possible Lateral position can be given unless contraindicated Spread the towel under chin across chest Wash hands Take medicine card verify physician order Take appropriate medicine from shelf compare with chart and read the entire label including exp date Calculate dose & double check

8. cont,., PREPARATION: For tablets & cap pour required nu into bottle cap 1 st and then into medicine cup. Take required number. Do not touch use gloved hand . If there is need to broken to adm half dose. Assess clients condition, if not able to swallow, ask physician to dissolve in liquid. To crush the medication use mortar and pestle.

9. Cont., PREPARE LIQUIDS Remove bottle cap from container and place cap upside down Pour liquids from opposite side of label hold measuring cup at eye level and place thumb nail at correct measurement and scale shuold be even with fluid level. If there is excessive medicine, discard in sink. Wipe the mouth of bottle& close it. Check exp date Replace medicine to the shelf and read label again.

10. Cont., Administering medication Identify right pt(comparing name and medicine card, calling pt name,asking pt to repeat his name) Explain purpose of each drug and its action Offer some water or juice to the patient thus prevent sticking of medication

11. Sublingual administration Pt should be placed in supine position The pt places medication under the tongue for atleast 10 minutes. Avoid opening mouth, eating, drinking, chewing during this time Shift the tab to a different position under the tongue if necessary Wait several minutes after dis solving the sublingual medication before drinking or rinsing the mouth.

12. Buccal administration The tablet should be placed b/w gum and the walls of cheek. With the mouth closed, the tablet should be held in this position for 5 – 10 minutes or until it has dissolved Do not adm fluids until medication dissolves. Powdered medicines are mixed at bed side Stay with pt until swallow and check the mouth for ensuring swallowing Wipe mouth and remove towel

13. Cont., Return with in 30 minutes to evaluate response Replace the articles Wash dry and replace Wash hands Recording and reporting

14. THANK YOU