I. Medication
Medication administration is a core
competency for all nurses in every clinical
setting. A key skill required to safely
dispense drugs is the ability to perform
accurate dosage calculations.
A medication is a substance administered
for the diagnosis, cure, treatment, or relief
of a symptom or for prevention of disease
Prescription-written direction for the
preparation and administration of a drug
by the United States Adopted Names
(USAN) Council and Generic name
assigned by the Uniter is used throughout
the drug's lifetime
Brand name the name given by the drug
manufacturer and identifies it as property TYPES OF DRUG PREPARATION
of that company
Pharmacology is the study of the effect of
drugs on living organisms
, PURPOSE OF MEDICATION constituents of the drug E.g.
Drugs can be administered for these N-(4-hydroxyphenyl)acetamide for
purposes: paracetamol
• Generic Name - is given by the
• DIAGNOSTIC PURPOSE: to identify any manufacturer who first develops the drug;
disease it is given before the drug becomes
• PROPHYLAXIS: to prevent the official. It is the name by which the drug
occurrence of disease. eg:- heparin to will be known throughout the world no
prevent thrombosis or antibiotics to matter how many companies manufacture
prevent infection. it. This name is usually agreed upon by
• THERAPEUTIC PURPOSE: to cure the the WHO. Often the generic name is
disease. derived from the chemical name.
E.g. acetaminophen
USES OF DRUGS
• PREVENTION- used as prophylaxis to LEGAL ASPECTS OF DRUG
prevent diseases e.g. vaccines; ADMINISTRATION
fluoride-prevents tooth decay. Under the law, nurses are responsible for
• DIAGNOSIS- establishing the patient's their own actions regardless of whether
disease or problem e.g. radio contrast there is a written order. If a primary care
dye; tuberculosis (Mantoux) testing. provider writes an incorrect order (e.g.,
• SUPPRESSION- suppresses the signs morphine 100 mg Instead of morphine 10
and symptoms and prevents the disease mg), a nurse who administers the written
process from progressing e.g. anticancer, incorrect dosage is responsible for the
antiviral drugs. error as well as the primary care provider.
•TREATMENT- alleviate the symptoms for Therefore, nurses should question any
patients with chronic disease e.g. Anti- order that appears unreasonable and
asthmatic drugs. refuse to give the medication until the
• CURE- complete eradication of diseases order is clarified.
e.g. anti-biotics, anti-helmintics.
• ENHANCEMENT ASPECTS OF Another aspect of nursing practice
HEALTH- achieve the best state of governed by law is the use of controlled
health e.g. vitamins, minerals substances. In hospitals, controlled
substances are kept in a locked drawer,
LEGAL ASPECTS OF MEDICATION cupboard, medication cort, or
• Preparation, dispensing and computer-controlled dispensing system.
administration of medications are all Agencies may have special inventory
covered by laws in every country. forms for recording the use of controlled
• The Comprehensive Dangerous Drugs substances.
Act of 2002, or R.A. No. 9165, is a
consolidation of Senate Bill No. 1858 and EFFECTS OF DRUG
House Bill No. 4433. It was enacted and Therapeutic effect is the primary effect
passed by the Senate of the Philippines intended, that is, the reason the drug is
and House of Representatives of the prescribed.
Philippines on May 30, 2002 and May 29,
2002 Side effect, or secondary effect, of a drug
is one that is unintended. Side effects are
• Chemical Name - any typical organic usually predictable and may be either
name; this precisely describes the harmless or potentially harmful.