Medication Administration Case Study
Mrs.ElizabethLowery DOB:03/27/1926 PAGE 1 of1
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
Medication Administration Case Study
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
0.2 mg/hr to
skin daily
0900
Nitro-Dur patch
REMOVED at
HS
2100
Novolog 70/30
24 units
Subqdaily ac
breakfast
0730
site
Novolog 70/30
12 units Subq
daily ac dinner
1630
site
Lanoxin
0.25 mg
daily at1700
1700
AP
rate
Caltrate 500 mg
with Vitamin D
TID
0900
1500
2100
Coumadin 3 mg
daily at 1700
1700
Donepezil 5 mg
daily HS
2100
Combivent 2
puffs QID
with MDI
0900
1300
1700
2100
Actonel 5 mg
daily
0900
Timoptic 1 drop
to both eyes
BID
0900
2100
Lyrica 50 mg
TID
0900
1500
2100
Cyanocobalamin
200 mcg IM
monthly
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
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
2
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)
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)
3. For each of the medications listed on the MAR:
a. What equipment will you need to prepare and administer the medications?
b. What key physical assessments and/or lab data are needed prior to administering
these medications?(15 points)
Medication Route Equipment Patient/ Lab Data
Nitro-Dur Patch
NovoLog
Lanoxin
Caltrate
3
Coumadin
Lyrica
Actonel
Timoptic
Combivent
Cyanocobalamin
4. Describe the “Rights of Medication” and the “Three Checks.” How do these facilitate culture
of safety in medication administration?(10 points)
Rights Key Points
4
Drug
Patient
Dose
Route
Time
Documentation
Reason
To Know
To Refuse
5. Describe the medication ‘three checks’ process(10 points)
5
6. Mrs.Lowerytellsyou,“Iamnottakingallthosenineo’clockpills. I can’t swallow them— they get
stuck in my throat.”
a. Whatinformationdoyouneedabouttheorderedmedicationstoaddressthisproblem? (5 points)
b. Whatalternativesareavailabletohelpwiththisswallowingissue?(5 points)
Medication Usual Dosage
Form
Can It Be
Crushed?
Alternatives
Caltrate with
vitamin D
Lyrica
7. The medication Lyrica is not available in the resident’s routine medication
drawer. What could be some possible causes of this problem and how will you
obtain the medication when needed?(5 points)
6
8. You go to place the Nitro-Dur patch on Mrs. Lowery and note that the patch from
yesterday is still applied to her chest. The MAR indicates that it was removed the
previous evening as ordered. What should be your first action? How will you
address this occurrence?(10 points)
9. Mrs. Lowery prefers to insert her own eye drops. As you observe her doing so,
what key aspects of the administration procedure should she be doing to ensure
correct technique?(5 points)
10. Mrs. Lowery refuses the extender or spacer for her Combivent inhaler, telling
you, “It’stoomuchtrouble.”Howwouldyouexplainthebenefitsofitsusetoher?(10
points)
11. Thecyanocobalaminsolutionisprovidedinavialwithaconcentrationof1mg/1mL.(15
points)
a. Calculatethecorrectvolumefortheordereddose.(6 points)
7
b. What type of syringe and needle gauge will you use for administration?
Explain.(3 points)
c. Wherewillyouadministerthisinjection?Give a rationale for your choice.
(3 points)
d. HowcanyouminimizethediscomfortoftheinjectionforMrs.Lowery?(3
points)
Medication Administration Case Study Related Posts:
- What is required of the RN in administering medication in relation to knowledge, skills and medication administration policies?
- Case Study Analysis, Medication Administration Error And Failure To Monitor
- Choose a medication type from the following list, note why the medication is used, and consider adverse effects. Invent a scenario where giving this medication could result in an ethical or legally charged situation
- Choose a medication type from the following list, note why the medication is used, and consider adverse effects. Invent a scenario where giving this medication could result in an ethical or legally charged situation
- Reflection essay (case study)Undertake a thorough history, including medication history and current medication (including over-the-counter, alternative and complementary health therapies) to inform diagnosis
- ELECTRONIC MEDICATION ADMINISTRATION WITH BARCODING
- Ten Rights of Medication Administration
- This is a DBA in Business Administration course named Qualitative and Case Study Research for Business Analysis.
- Nursing Ethical and Legal Case Study Case Study : The Case of Muna
- Medical Office Nursing Scenarios
- The Ethics and Legalities of Medication Error Disclosure
