Flashcards in Ch. 2 - Application of Pharmacology in Nursing Practice Deck (20)
Five Rights of Medication Administration ?
- Right drug
- Right patient
- Right dose
- Right route
- Right time
What are various other Rights of Medication Administration ?
- Right assessment
- Right documentation
- Right evaluation
- Rights to education (the patients)
Who is the last line of defense against medication errors ?
The Nurse !
All drug therapy begins with what ?
An assessment of the patient
What are the 3 basic goals of the Assessment ?
1. Collecting baseline data needed to evaluate therapeutic and adverse responses
2. Identifying high-risk patients
3. Assessing the patients capacity for self-care
Why is Collecting Baseline Data important ?
Without the data, there would be no way of deterring the effectiveness of the drug
What are 3 principle tools used to identify high-risk patients ?
1. The patient history
2. Physical exam
3. Laboratory data
Certain drugs have more than one __________ ?
* Dosing may differ depending on which indication the drug is used for
Many drugs can be administered by more than one ______ ?
* Dosage may differ depending upon the route selected
Drug therapy can often be enhanced by ______________________ ?
Oral contraceptives to protect against pregnancy can be reduced by concurrent therapy with _____________ ?
Carbamazepine (an antiseizure drug)
The risk of thromboembolism from oral contraceptives can be increased by __________________________ ?
PRN orders are common for drugs that promote __________, __________________, ______________ ?
- promote sleep
- relieve pain
- reduce anxiety
Nifedipine is a drug given for both ______________ and __________________ ?
Hypertension and angina pectoris
As a nurse & and educator , it is our responsibility to give the patient the following information about their medications ( *11 bullet point)
- Drug name & therapeutic category (ex: penicillin: antibiotic)
- Dosing schedule
- Route & technique of administration
- Expected therapeutic response & when it should occur
- Nondrug measures to enhance therapeutic responses
- Duration of treatment
- Method of drug storage
- Symptoms of major adverse effects & measures to minimize discomfort and harm
- Major drug-drug and drug-food interactions
- Whom to contact in the event of therapeutic failure, severe adverse reactions, or severe adverse interactions
The patient should know the ______________________ he or she is taking
name of the medication
If a drug has been prescribed by brand name, the patient should be given its ___________ name too
With PRN medications, the schedule of administration is not __________ ?
If three or more doses of a medication are missed, what should happen?
A new cycle of administration must be initiated