Medication Administration Case Study
2021
RESIDENT: Mrs. Elizabeth Lowery DOB: 03/27/1926 PAGE 1 of 1
Medical Hx: early onset dementia, atrial fibrillation COPD, IDDM, glaucoma, hx left hip fx w/ORIF, MI,
cardiac pacemaker, MRSA
Precautions: Falls, Aspiration ALLERGIES: Latex, Penicillin, Sulfa drugs
Codes for Injection Sites Initials Signature/Title
A: Left deltoid 1: Right deltoid
B: Left lateral arm 2: Right lateral arm
C: Left ventral arm 3: Right ventral arm
D: Left anterior thigh 4: Right anterior thigh
E: Left lateral thigh 5: Right lateral thigh
F: Left ventrogluteal 6: Right ventrogluteal
G: Left upper abdomen 7: Right upper abdomen
H: Left lower abdomen 8: Right lower abdomen
I: Left upper back 9: Right upper back
Medication Hour Day Of The Month
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
Nitro-Dur patch 0900
0.2 mg/hr to
skin daily
Nitro-Dur patch 2100
REMOVED at
HS
Novolog 70/30 0730
24 units Subq site
daily ac breakfast
Novolog 70/30 1630
12 units Subq
site
daily ac dinner
Lanoxin 1700
0.25 mg AP
daily at 1700 rate
Caltrate 500 mg 0900
with Vitamin D 1500
TID 2100
Coumadin 3 mg 1700
daily at 1700
Donepezil 5 mg 2100
daily HS
Combivent 2 0900
puffs QID 1300
with MDI 1700
2100
Actonel 5 mg 0900
daily
Timoptic 1 drop 0900
to both eyes
BID 2100
Lyrica 50 mg 0900
TID 1500
2100
Cyanocobalamin 0900 X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X
200 mcg IM
monthly site X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X
, Medication Administration: You have been assigned to be the medication nurse in a long-term
care facility to a group of 20 residents, of which 7 are there for short-term rehabilitation after
total hip replacement. It is the first time you have worked with this group and therefore are
unfamiliar with their medication routines and preferences.
1. The 1500-2330 shift nurse has completed his report and asks you if there are any
questions. What information regarding the residents themselves would be beneficial for
you to know in order to organize the administration of medications for this shift? (5
points)
It would be important to know each patient‟s drug allergies (if any). Since the patients are
post-operative after Total Hip replacement it is important to gather as much knowledge
regarding what medications the patients may be taking or may need to take. This is
inclusive of continuous spinal and epidural anesthesia with bupivacaine to aid in relieving
postoperative pain. NSAIDs such as Naproxen, Ibuprofen and celecoxib aid in relieving
the inflammation that contribute to the patients feeling pain. I would want to know if the
patients had any adverse reactions to any drugs or food, when it happened and if the
patient can take similar medications. It is also important to gain realistic expectations
about pain control after major surgeries like total hip replacement.
2. For medications you are unfamiliar with, what resources could you use to learn about
these medications prior to administration? Which one is the best source of nursing
implications? (5 points)
It is essential to always look up a drug before administering it, especially if one is
unfamiliar with it. A few resources that I may use when uncertain about a medicine
include a nursing drug handbook, checking the patients medication-administration
record to get clarification or contacting the pharmacist for more information. The
best source for looking up medications would be the Medication Administration
Record such as MAR or eMAR (electronic version) which is considered a drug chart
that is a legal record of the drugs administered to a patient at a facility by a health
care professional.
2021
RESIDENT: Mrs. Elizabeth Lowery DOB: 03/27/1926 PAGE 1 of 1
Medical Hx: early onset dementia, atrial fibrillation COPD, IDDM, glaucoma, hx left hip fx w/ORIF, MI,
cardiac pacemaker, MRSA
Precautions: Falls, Aspiration ALLERGIES: Latex, Penicillin, Sulfa drugs
Codes for Injection Sites Initials Signature/Title
A: Left deltoid 1: Right deltoid
B: Left lateral arm 2: Right lateral arm
C: Left ventral arm 3: Right ventral arm
D: Left anterior thigh 4: Right anterior thigh
E: Left lateral thigh 5: Right lateral thigh
F: Left ventrogluteal 6: Right ventrogluteal
G: Left upper abdomen 7: Right upper abdomen
H: Left lower abdomen 8: Right lower abdomen
I: Left upper back 9: Right upper back
Medication Hour Day Of The Month
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
Nitro-Dur patch 0900
0.2 mg/hr to
skin daily
Nitro-Dur patch 2100
REMOVED at
HS
Novolog 70/30 0730
24 units Subq site
daily ac breakfast
Novolog 70/30 1630
12 units Subq
site
daily ac dinner
Lanoxin 1700
0.25 mg AP
daily at 1700 rate
Caltrate 500 mg 0900
with Vitamin D 1500
TID 2100
Coumadin 3 mg 1700
daily at 1700
Donepezil 5 mg 2100
daily HS
Combivent 2 0900
puffs QID 1300
with MDI 1700
2100
Actonel 5 mg 0900
daily
Timoptic 1 drop 0900
to both eyes
BID 2100
Lyrica 50 mg 0900
TID 1500
2100
Cyanocobalamin 0900 X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X
200 mcg IM
monthly site X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X
, Medication Administration: You have been assigned to be the medication nurse in a long-term
care facility to a group of 20 residents, of which 7 are there for short-term rehabilitation after
total hip replacement. It is the first time you have worked with this group and therefore are
unfamiliar with their medication routines and preferences.
1. The 1500-2330 shift nurse has completed his report and asks you if there are any
questions. What information regarding the residents themselves would be beneficial for
you to know in order to organize the administration of medications for this shift? (5
points)
It would be important to know each patient‟s drug allergies (if any). Since the patients are
post-operative after Total Hip replacement it is important to gather as much knowledge
regarding what medications the patients may be taking or may need to take. This is
inclusive of continuous spinal and epidural anesthesia with bupivacaine to aid in relieving
postoperative pain. NSAIDs such as Naproxen, Ibuprofen and celecoxib aid in relieving
the inflammation that contribute to the patients feeling pain. I would want to know if the
patients had any adverse reactions to any drugs or food, when it happened and if the
patient can take similar medications. It is also important to gain realistic expectations
about pain control after major surgeries like total hip replacement.
2. For medications you are unfamiliar with, what resources could you use to learn about
these medications prior to administration? Which one is the best source of nursing
implications? (5 points)
It is essential to always look up a drug before administering it, especially if one is
unfamiliar with it. A few resources that I may use when uncertain about a medicine
include a nursing drug handbook, checking the patients medication-administration
record to get clarification or contacting the pharmacist for more information. The
best source for looking up medications would be the Medication Administration
Record such as MAR or eMAR (electronic version) which is considered a drug chart
that is a legal record of the drugs administered to a patient at a facility by a health
care professional.
