NUR 2407 Pharm Exam 1 Review Guide

NUR 2407 Pharm Exam 1 Review Guide Guide your studies by knowing the drug classification and what it is used for with all meds included below; drugs in the same classifications have many similar side effects, nursing considerations, nursing interventions, and patient teaching. 10 Rights of Medication Administration – know what they are and what they mean (examples of each) - Right patient- use 2 identifiers name and date of birth - Right drug- check medication 3 times with order - Right dose- check dose 3 times with order - Right route- how the drug is administered - Right time- is it being given in the right time window 30 mintutes before or after scheduled time with a meal - Right assessment- pain temp blood pressure behavior - Right documentation- nurse initials time, route ,dose, date - Right to education - make sure the patient knows why they are taking the medication - Right evaluation- follow up temp pain level bp - Right to refuse- a patient has the right to refuse Illegible RX – nursing action (what to do?) - Don’t guess call the provider to have it clarified. Nursing considerations with regard to lack of medication compliance - Why is the patient noncompliant, can they afford their medication, have they been educated of the importance, are they competent enough to be able to medicate themselves. Half-life – what does it explain? - Time it takes for half of the drug to leave the body Tolerance – what is it? - A person’s diminished response to a drug. It takes a larger dose to achieve the same therapeutic effects that a previous dose was once able to give Know the considerations with crushing medications – what can/can’t be crushed - Not all medications can be crushed. Contin, XL, SR, EC, XR, Patient teaching for transdermal therapy - Make sure to remove previous patch, cleanse area prior to putting patch on, rotate site of patch. Some patches must go in a specific place on the body. Symptoms of allergic response and what to do - Anaphylactic shock, lips swelling, unable to breath, throat closing. Stop medication immediately notify provider follow orders. Know the responses that the body has to adrenergics, cholinergics, adrenergic blockers, anticholinergics, sympathomimetics, sympatholytics. Review the handout on ANS from class and compare it to the charts in purple boxes in Kee text that review what response each classification of these drugs causes – you will review that some classifications cause similar responses, yet responses may be more prominent in a specific classification – this takes critical thinking with regards to the medications primary purpose/effect Adrenergic beta blocker – atenolol – use, side effects Anticholinergics: side effects/nursing considerations (Cogentin) benztropine – use, side effects, patient teaching Atropine – use, side effects, nursing interventions and considerations with use and after dose