Ch. 2 - Application of Pharmacology in Nursing Practice Flashcards Preview

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Flashcards in Ch. 2 - Application of Pharmacology in Nursing Practice Deck (20)
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1

Five Rights of Medication Administration ?

- Right drug
- Right patient
- Right dose
- Right route
- Right time

2

What are various other Rights of Medication Administration ?

- Right assessment
- Right documentation
- Right evaluation
- Rights to education (the patients)

3

Who is the last line of defense against medication errors ?

The Nurse !

4

All drug therapy begins with what ?

An assessment of the patient

5

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

6

Why is Collecting Baseline Data important ?

Without the data, there would be no way of deterring the effectiveness of the drug

7

What are 3 principle tools used to identify high-risk patients ?

1. The patient history
2. Physical exam
3. Laboratory data

8

Certain drugs have more than one __________ ?

indication

* Dosing may differ depending on which indication the drug is used for

9

Many drugs can be administered by more than one ______ ?

Route

* Dosage may differ depending upon the route selected

10

Drug therapy can often be enhanced by ______________________ ?

Nonpharmacologic measures

11

Oral contraceptives to protect against pregnancy can be reduced by concurrent therapy with _____________ ?

Carbamazepine (an antiseizure drug)

12

The risk of thromboembolism from oral contraceptives can be increased by __________________________ ?

Smoking Cigarettes

13

PRN orders are common for drugs that promote __________, __________________, ______________ ?

- promote sleep
- relieve pain
- reduce anxiety

14

Nifedipine is a drug given for both ______________ and __________________ ?

Hypertension and angina pectoris

15

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)
- Dosage
- 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

16

The patient should know the ______________________ he or she is taking

name of the medication

17

If a drug has been prescribed by brand name, the patient should be given its ___________ name too

Generic

18

With PRN medications, the schedule of administration is not __________ ?

fixed

19

If three or more doses of a medication are missed, what should happen?

A new cycle of administration must be initiated

20

In what types of medications , may beneficial effects take several weeks to become maximal ?

Medications used to treat depression and schizophrenia