Pharmacology Chapter 2 - Application of Pharmacology Flashcards Preview

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1

5 Right's of Drug Administration

Right Drug, Right Patient, Right Dose, Right Route, Right Time

2

Nurse must have knowledge of......

Patient history, what medications are appropriate and be aware of drug interactions, drug actions, etc....DO NOT BLINDLY follow Dr's orders.

3

Pr-Administration Assessment

Base-line data, identifying high risk patients, assessing patients capacity for self-care,

4

Drug and Dosage Administration - drugs and multiple indications.

Drugs may have more than one indication - like how Aspirin is given in low doses to relieve pain and at high doses to suppress inflammation. Drugs can also be given by different routes.

5

Evaluation and promoting therapeutic effects

Is the drug doing the right thing? If it isn't....give alternate therapy, etc.

6

Minimize Adverse Effects

For example, gastric erosion by aspirin. For this, know patient history too. Identify high risk patients, educate them, etc.

7

Minimize Adverse Interactions

Oral contraceptives to protect against pregnancy can be reduced by concurrent therapy with Phenobarbital (an anti-seizure drug.)

8

PRN Decisions

PRN - Pro Re Nata - as needed or as occasion arises.

9

Patient Education

It is the nurses responsibility to educate the patients. Must give the patient...
Drug Name and therapeutic category.
Dosage Size.
Dosage Schedule.
Route and technique of administration.
Expected therapeutic response and when it should develop.
Non drug measures to enhance therapeutic responses.

10

In review... The Process of Drug Therapy (5 Steps) (Aka Steps in the Nursing Process.)

1. Pre-administration Assessment
2. Analysis and Nursing Diagnoses
3. Planning
4. Implementation
5. Evaluation

11

Assessment

Collecting data about the patient to establish a foundation for subsequent steps in the process. (by interview, labs, etc.)

12

Analysis

Analyze the data to determine actual and potential health problems, and statement - example, "non-compliance (problem) related to inability to self-administer medication (cause.)"

13

Planning

Determine specific intervention directed at solving or preventing the problems identified in analysis. Tailor plans for patients,define goals, make plans, etc.

14

Implementation

Begins with carrying out the interventions identified during planning. Some are collaborative (requires physician's order).

15

Evaluation

Determination of the degree to which treatment has been successful.