Medication tray

It is flat surfaced utensils for the conveyance of various objects or medication used for giving medication to the
clients..

Purposes of medication tray:

1. To keep all the medication for the patient
2. To keep patient folder safely
3. To arrange all the medication according to our convenience
4. It is used to n perform some medical procedure for theclient..

Articles needed for medication tray and purposes

S no Name of the articles purposes
1. Medication trolley To receive all the articles needed for drug administration
2. Traywith tray clot To collect all the drugs used for the patients
3. All forms of medications To give according to the client conditions.
4. Water jug To keep the drinking water
5. Sterile water For dissolving the powder form of medications
6. Straw, saucer, spoon, spatula To take the drug in easy way
7. Ounce glass To measure the liquid form of medication
8. Paper bag, kidney tray To receive the waste product
9. Face towel To clean the client mouth after giving medication
10. Treatment chart with patient To know physician order with patient condition
folder
11. Pen For documentation procedure

Precautions:
1. The nurse should check whether the patient has any allergic reactions.
2. Check the rights of medications.
3. Check whether it is AF / BF
4. Do not handle the capsule, tablet.
5. , syrup unnecessarily to avoid contamination
6. Do not give water after giving sedatives.
7. Shake the bottle before giving the syrup to the client.
8. Do not pour medication in to the container a back, donot water after giving cough mixture.

Contra indications:
I. In case of vomiting.
II. Reduced gastrointestinal mobility.
III. Inability toswallow, patient with gastric suction.
IV. Unconscious and confused patients.
V. If the patient having poor gag reflexes.

Procedure for giving the oral administration of drug:

s.no Implementation
1. Check the biodata of the client
2. Assess the contraindication of the patient
receiving oral preparation of medication.
E.g. patient with nausea and vomiting,
bowel disorders, recent gastro intestinal
surgeries.
3. Assess the patient medical history, history
of allergic conditions
4. Gather physical examination and laboratory
data.
5. And ability to follow the instructions also
assess the patients knowledge.
6. Assess patients preference for fluids.
7. Check the client name, medication, name,
dose, route of administration and indication
of medications.
8. Explain the procedure eto the patient.
9. Assist the client in sitting position, if
possible lateral position can be given unless
contraindicated.
10. Spread te e towel under the chin across the
chest
11. Wash the hands.
12. Take the medicine card, read it and
compare with physician orders.
13. Rake appropriate medicine from the shelf
compare with hat and read entire label
including the expiry date.
14. Calculate the medication dose a necessary,
double check calculations
15. Prepare medications
Shake the tablet and capsules a d pour
required number into bottle cap first and
then into the medicine cup. Do not touch
with the hand. Use gloving hand, if there is
need to broken to administer half dose.
Place packaged and capsules directly into
medicine cup.
Assesfor clients condition, if not able to
swallow, ask physician to dissolve in liquid.
To crush the medicine by mortar and
pestle.
Prepare the liquids:
(i) Remove the bottle cap from
container and palace cap
upside down.
(ii) Pour liquids from the opposite
site of the label holding
measuring cup at the eyelevel
and place the thumb nail at the
correct measurement and scale
should be even with fluid level.
Rationale
1. Help to confirm the client.
2. Alterations in gastrointestinal functions
interferes with medications, absorption,
distribution and excretions.
3. These factors cn influence the actions of
medicines.
4. These may contraindicate medications
administrations.
5. These helps to get cooperation of the
patient and to reduce medication related
problems. E.g. non compliance, abuse,
addiction or dependence.
6. The fluids ease swallowing and facilitate
absorption of the drug.
7. Order sheet is the most reliable source.
8. Helps to get cooperation of the patient.
9. In lying position the patient may get
aspiration during the swallowing the
mediations.
10. Prevents spoiling the patient cloth.
11. Prevent cross infections.
12. Ensure the safety lf the patient.
13. To prevent the medication errors.
14. Double checking will prevent the
medication errors.
15. Prevents he drugs coming in contact with
the hands.
Maintain the cleanliness of the medicines
and help to identify the name, dose,
manufacturing and expiry date.
Large
Prevent contamination of cap from inside.
Prevents contamination of the label and bottle
cap from sticking.
 If there is excess medicine,
discard it into the sink. Wipe
the mouth of the bottle and
lose it
Check the expiry date of medications.
Replace the medication to the shelf and
read label again.
16. Administering the medications:
(a) Identify the rights of client.
(i)Comparing name on the medicine
card.
(ii) calling patient by name.
(iii) Asking patient to repeat his
name.
(b) Explain the purposes of each drug
and its Acton to the patients.
(c) Offer some water or juice eto the
client.
Sublingual admidnistrtion
(d) The Ptient place medication
underntentongue and allow
thedrug to dissolve completely.
Buccal administration:
1.The patient place the medications in the
mouth against mucous membranes of the
cheek until dissolves.
2. the powdered medicines are mixed at
bed side and guve client to drink
3. stayn with the patient untio swallow
and check the mouth of the patient for
ensuring swallowing.
17. Wipe the mouth and remove the towel
18. Assist the clinet to returninf normal
position
19. Return with inn 30 minutes to evaluate
response of the patient to the drug
20 Take the articles to the utility room, wash
and dry and replace the articles for reuse.
21. Wash the hands
22. Record the drug names, dose, and route of
medications. Record the drugs with held
and place the nursing.
THANKS TO ALL
Preventsinactivation.
Third check of label reduces administration
of errors.
(a) Administer high medicine to the right
person.
(b) Patient has a right to be informed.
(c) Moistens the mouth prevents sticking of
medicines to the mucus membranes of
the mouth.
(e) Drugs absorbed therough the blood
vessels on the under surface of the
tongue.
1. the medication acts locally on mucous
membranes or systematically whn they are
swallowed by the salaiva.
2. prevents thickening and hardeningnof the
drug and helps swallowed easily.
3. nurse is responsible for administration of the
ordered dosage.
Maintain the good feeling of the patient
Maintain the patient safety.
Hlps to detect onset of side effects nad
the therapeutic effects of drugs.
Maintain clean environment of patient.
Safeguard yourseof and prevents cross
infections.
It is a legal document and prevents
chances of doubling.