Question

Miss Shireen, a student of the University of energy and natural resources was rushed to your ward with the history of abdominal pains, fever( temperature above 38 degrees Celsius), vomiting,diarrhea and headache. The doctor upon of laboratory investigation diagnosed her of having severe malaria with anaemia.
The doctor therefore prescribed the following medications for Miss Shireen; IV 5% Dextrose saline, 1L /48hrs, IV Artesunate 420mg start the 240mg be for 24hrs( to be reconstituted) IM phenergan( promethazine)10mg PRN, Tab Artersunate 240mg Bd for 3days, Tab paracetamol 1g tid for 5days and Tab multivite 1tab qid for 5days.

(1). describe how you will administer the above medications to Miss Shireen indicating the route of administration and the procedure.

(2). Mention and explain at least 7rights that needs to be observed when administering the medication to Miss Shireen citing practical examples to buttress your point.

Answer 1

1,

Doctor prescribed 5% dextrose 1l for 48 hours which means in 24 hrs we need to administer 500ml . So take 500ml of dextrose and mix artesunate injection 240mg into it .

IM phenergan should be administered in gluttiyal muscle.

Tab artesunate administered 2 times a day and tab paracetamol administered 3 times a day. Then multi vitamin should be adninistered 4 times a day

2,

Rights of medication administration include

Right person : identify the person. Before administration we should make sure that we approach the right person.

Right route: medication should be administered through right route.

Right dose: properly calculate and counter cgeckcthe dose of medication to be administered.

Right time: the drug should be given at proper time and time intervel.

Right medication ;: ,we should administer appropriate medicijemas per patients condition and health.

Right education : we should provide proper health education about the medicines action and side effects.

Right documentation: the nurse who administered the medication should be chart or record the procedure on patient file.