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Administer mark request

all right this is medication administration I'm going to start by entering the medication room and performing hand hygiene then I am going to open the electronic medical record I'm going to access my assigned patients ma R or e ma are my patient is Skyler Hansen with the date of birth of 311 19 X X and I look at the chart and see if she has any allergies and she is allergic to iodine I am going to give the gate and 9 a.m. medications when I look at the MIR I can see that she is due to get atenolol 25 milligrams at 8 o'clock so I'm going to pull that out of the juror and then I also see that she is due for hydrochlorothiazide at nine o'clock and so I'm going to take that out of the dirt as well and I am going to begin by doing first an assessment of the medications and are they appropriate for this patient so atenolol I know is a beta blocker and I know it is given for hypertension it's also given to people who had a heart attack or they can also sometimes be given for heart failure so I look and I see that Skyler has pneumonia angina pectoris and hypertension so the beta blocker atenolol would be appropriate for this patient I also need to do an assessment before I give this medicine I need to check the blood pressure and the heart rate I did that before I started my medication administration the blood pressure was 128 over 82 and the heart rate was 76 so it is to give this medicine now I look and see the next medicine is hydrochlorothiazide that's a diuretic or a water pill it's given for heart failure or for hypertension and so I see that Skylar has hypertension so this is an appropriate medicine for Skylar I need to do an assessment for this medicine as well I need to check the blood pressure which we said was 128 over 82 for 72 I believe and then also we need to check the potassium the serum potassium I looked in the turn I saw that the serum potassium was 4.0 and so the blood pressure on the potassium I went the normal image it's safe to give this medicine then I'm going to begin my first check of the medicines I start always with the patient name Skylar Hanson the name of the drug atenolol the dosage 25 milligrams throughout its oral it's given daily at 8 a.m. and I'm looking at my package and at the mark at the same time and I also look at the package expiration date and make sure that the packages they protect as well and I see the expiration date is not till 2020 then I start with my next medicine and again I have to start with the patient name each time Skylar Hanson hydrochlorothiazide it comes in 25 milligram tablets the dose that's ordered is 50 milligrams I have to give - 25 milligram tablets so I see the name of the medication on here and I see the dose is 25 on each tablet which is appropriate it's given whorl which this is the pill daily at 9 a.m. I checked the expiration date which is not until 2020 and I see the package is intact so now I have completed my first check now I'm going to leave the med room and I'm going to go outside the patients world room with my rolling of cart here once I am outside the patient's room I'm gonna start my second check I already did all my checks of the assessments and the appropriateness of the medication so I just need to check the rights of medication administration I always start with a patient named Skyler Hansen a title all on the Mar and on the drug package 25 milligrams oral today at 8 a.m. then I move on to my next minister I start with the patient's name again Skyler Hansen hydrochlorothiazide 50 milligrams of oral today at 9 a.m. and I check on the chart as I checked earlier the date of birth and I checked the allergies on the chart it says the patient's allergic to iodine I know that these medicines too so now I'm going to enter the patient's room and come in hi Skyler how are you today well I'm doing okay alright I am doing hand hygiene as I enter your room Tyler I'm here to give you your medications I have your 8 a.m. and your 90 and medicines because it's about e30 right now is that okay yes it is all right so first I'm going to start by asking you to talk in your name and your date of birth my name is Skyler Hansen my date of birth is eleven nineteen xx all right that's what it says here on your armband and I'm scanning him and I'm also looking at the Mar here and I see it's a Skyler Hansen 11:19 X X so it matches and I'm also asking Skyler are you allergic to anything yes I'm allergic to iodine okay and that's what your charts us as well so that matches and I'm not going to give you anything containing iodine today okay so now I'm going to continue checking your medicines before I give them to you so I start my check again with the patient named Skyler Hansen a town along 25 milligrams oral at 8:00 a.m. and I must and the package feet and now I check my next medicine remember starting with the patient name I have skyler Hanson hydrochlorothiazide and their 25 milligram tablet so I'm going to give two of them equal 50 milligrams oral and 9:00 a.m. and now with this I have to scan each pill and then if beats again so you see I have two in each one right and so I'm ready then to give those my last step though is Skylar I heat up your a ten wall in your hydrochlorothiazide are you familiar with those medicines oh I think I take those both at home is that my water pill it is your water pill and then you're at analog that being a black Hertz or your hypertension and your engine oh yes yes I know those okay and the hydrochlorothiazide then say water films that I make you go to the bathroom a lot all right right okay I'm going to put your head up 12 your pills they win that's good all right so here's there's three fills in total do you want you can want it to what at the time are together all together all right so here are the pills and here's some water thank you and did you swallow that okay yes I did okay complete medication administration by completing my documentation the documentation started when I scanned the medicines and now it's completed when I completed here on the computer alright Skylar I'm going to come back and check on you within the hour is there anything that you need right now I don't think so alright your call light is right here if you need me please call how would you like your head back down sure just a little bit all right say lens right there all right so we're all done now that completes medication administration