What are the precautions for IN drug administration?
What are the steps to administer IN drugs?
Prepare pt - reassure, position (ideally in semi-recumberent position)
Check drug - contras, presentation, expiry, fluid content & discolouration
Prepare drug - Attach drawing up needle to luer-lok syringe, draw up, remove needle and place in sharps, attach MAD.
Administer drug - confirm dose & volume, suggest pt refrain form inhaling or exhaling, place MAD inside nostril, consider administering half in one nostril, dispose of MAD in sharps or medical waste, use new MAD for subsequent doses.
Monitor pt - document & observe for side effects.
How do you prepare pt for IN admin?
Reassure & explain
Position (ideally in semi-recumberant position)
What steps do you take to check drug?
Check for contraindications
Ensure appropriate drug presentation
Check expiry date
Check fluid content
Check for discolouration
How do you prepare drug for administration?
Remove Luer-lok from package
Attach drawing up needle
Draw up drug
Ensure 0.1ml drug volume in calcs to allow for atomiser dead space
Remove drawing up needle and place in sharps
How do you administer IN drug?
Confirm drug dose with partner
Ensure pt is well positioned
Suggest pt refrain from inhalation or expiration during admin