ATI PHARMACOLOGY PROCTORED EXAM – RN PHARMACOLOGY STUDY NOTES AND
MEDICATION REVIEW GUIDE FOR NURSING STUDENTS
1. Safe Medication Administration and Error Reduction: Identify a Situation
Requiring an Incident Report (Active Learning Template - Basic Concept, RM
Pharm RN 7.0 Chp 2): - Wrong medication or IV fluid
- Incorrect dose or IV rate
- Wrong client, route, or time
- Administration of an allergy-inducing medication
- Omission of a dose or administration of extra doses
- Incorrect discontinuation of a medication or IV fluid
- Inaccurate prescribing
- Inadvertently giving a medication that has a similar name
2. Treatment of Malignant Hyperthermia-Ch.15: - Stop succinylcholine and other anesthetics.
-Administer oxygen at 100%.
-Initiate cooling measures including administration of iced 0.9% sodium chloride, applying a cooling blanket, and
placing ice bags in groin and other areas.
-Administer dantrolene to decrease metabolic activity of skeletal muscle.
3. Substance Use Disorders: Treatment for Cocaine Toxicity
(Active Learning Template - System Disorder, RM Pharm RN 7.0 Chp 12): Benzo-
diazephone (lorazepam, diazepam, chlordiazepoxide, oxazepam)
naloxone
watch glucose
4. Adverse Effects, Interactions, and Contraindications: Using an Epinephrine
Auto-Injector
(RN QSEN - Patient-centered Care, Active Learning Template - Medication, RM
Pharm RN 7.0 Chp 5): for anaphylactic shock
tachycardia
arrythmias (v. fib)
, ATI PHARMACOLOGY PROCTORED EXAM – RN PHARMACOLOGY STUDY NOTES AND
MEDICATION REVIEW GUIDE FOR NURSING STUDENTS
can inject through clothes if necessary
5. Antibiotics Affecting Protein Synthesis: Aminoglycosides and Adverse Ef-
fects
(RN QSEN - Teamwork and Collaboration, Active Learning Template - Medica-
tion, RM Pharm RN 7.0 Chp 45): "Mycin"
ototoxicity - hearing/balance loss
nephrotoxicity - look @ bun, creatinine, i/o
neuromuscular blockade- weakness, resp. depression
hypersensitivity
streptomycin = neurological disorder - optic nerve, tingling/numb, peripherial neuritis
6. Airflow Disorders: Teaching About Theophylline
(RN QSEN - Patient-centered Care, Active Learning Template - Medication, RM
Pharm RN 7.0 Chp 17): Xanthines
bronchodilator
avoid catteine
missed dose doesnt mean doubling
swallow whole
will need levels monitores
prriodic glucose monitoeing
report toxicity - nausea, diarrhea, restlessness
7. Individual Considerations of Medication Administration: Client Medication
Interactions
(RN QSEN - Safety , Active Learning Template - Medication, RM Pharm RN 7.0
, ATI PHARMACOLOGY PROCTORED EXAM – RN PHARMACOLOGY STUDY NOTES AND
MEDICATION REVIEW GUIDE FOR NURSING STUDENTS
Chp 45: erythomycin shouldnt mix with
-antihistamines
-warfarin
-digoxin
-thophylline
-HIV protease inhibitors
-verapamil
-diltiazem
(bc toxicity)
penicillin and aminoglycosides cant mix inIV
aminoglycosides and loop diuretics increase hearing/balance issues
8. Antibiotics Affecting Protein Synthesis: Planning Care for a Client Prescribed
Erythromycin Lactobionate
(RN QSEN - Safety , Active Learning Template - Medication, RM Pharm RN 7.0
Chp 45: used if pt. has penicillin allergy
IV if severe
watch liver function if longterm
administer with meals
watch for hearing/balance issues
9. Medications Affecting Coagulation: Over-The-Counter Products That Inter-
act With Warfarin
(RN QSEN - Safety , Active Learning Template - Medication, RM Pharm RN 7.0
Chp 25): aspirin, acetaminophen, glucocorticoids
- increase ettects of warfarin
- increases bleeding
10. Medications Affecting Labor and Delivery: Priority Findings for a Client Who
Received Dinoprostone
MEDICATION REVIEW GUIDE FOR NURSING STUDENTS
1. Safe Medication Administration and Error Reduction: Identify a Situation
Requiring an Incident Report (Active Learning Template - Basic Concept, RM
Pharm RN 7.0 Chp 2): - Wrong medication or IV fluid
- Incorrect dose or IV rate
- Wrong client, route, or time
- Administration of an allergy-inducing medication
- Omission of a dose or administration of extra doses
- Incorrect discontinuation of a medication or IV fluid
- Inaccurate prescribing
- Inadvertently giving a medication that has a similar name
2. Treatment of Malignant Hyperthermia-Ch.15: - Stop succinylcholine and other anesthetics.
-Administer oxygen at 100%.
-Initiate cooling measures including administration of iced 0.9% sodium chloride, applying a cooling blanket, and
placing ice bags in groin and other areas.
-Administer dantrolene to decrease metabolic activity of skeletal muscle.
3. Substance Use Disorders: Treatment for Cocaine Toxicity
(Active Learning Template - System Disorder, RM Pharm RN 7.0 Chp 12): Benzo-
diazephone (lorazepam, diazepam, chlordiazepoxide, oxazepam)
naloxone
watch glucose
4. Adverse Effects, Interactions, and Contraindications: Using an Epinephrine
Auto-Injector
(RN QSEN - Patient-centered Care, Active Learning Template - Medication, RM
Pharm RN 7.0 Chp 5): for anaphylactic shock
tachycardia
arrythmias (v. fib)
, ATI PHARMACOLOGY PROCTORED EXAM – RN PHARMACOLOGY STUDY NOTES AND
MEDICATION REVIEW GUIDE FOR NURSING STUDENTS
can inject through clothes if necessary
5. Antibiotics Affecting Protein Synthesis: Aminoglycosides and Adverse Ef-
fects
(RN QSEN - Teamwork and Collaboration, Active Learning Template - Medica-
tion, RM Pharm RN 7.0 Chp 45): "Mycin"
ototoxicity - hearing/balance loss
nephrotoxicity - look @ bun, creatinine, i/o
neuromuscular blockade- weakness, resp. depression
hypersensitivity
streptomycin = neurological disorder - optic nerve, tingling/numb, peripherial neuritis
6. Airflow Disorders: Teaching About Theophylline
(RN QSEN - Patient-centered Care, Active Learning Template - Medication, RM
Pharm RN 7.0 Chp 17): Xanthines
bronchodilator
avoid catteine
missed dose doesnt mean doubling
swallow whole
will need levels monitores
prriodic glucose monitoeing
report toxicity - nausea, diarrhea, restlessness
7. Individual Considerations of Medication Administration: Client Medication
Interactions
(RN QSEN - Safety , Active Learning Template - Medication, RM Pharm RN 7.0
, ATI PHARMACOLOGY PROCTORED EXAM – RN PHARMACOLOGY STUDY NOTES AND
MEDICATION REVIEW GUIDE FOR NURSING STUDENTS
Chp 45: erythomycin shouldnt mix with
-antihistamines
-warfarin
-digoxin
-thophylline
-HIV protease inhibitors
-verapamil
-diltiazem
(bc toxicity)
penicillin and aminoglycosides cant mix inIV
aminoglycosides and loop diuretics increase hearing/balance issues
8. Antibiotics Affecting Protein Synthesis: Planning Care for a Client Prescribed
Erythromycin Lactobionate
(RN QSEN - Safety , Active Learning Template - Medication, RM Pharm RN 7.0
Chp 45: used if pt. has penicillin allergy
IV if severe
watch liver function if longterm
administer with meals
watch for hearing/balance issues
9. Medications Affecting Coagulation: Over-The-Counter Products That Inter-
act With Warfarin
(RN QSEN - Safety , Active Learning Template - Medication, RM Pharm RN 7.0
Chp 25): aspirin, acetaminophen, glucocorticoids
- increase ettects of warfarin
- increases bleeding
10. Medications Affecting Labor and Delivery: Priority Findings for a Client Who
Received Dinoprostone
