ATI Remediation Pharm Final.
ATI PROCTORED EXAM
REMEDIATION CAIT BLACKFORD
PHARMACOLOGY II
DR. PHILLIPS
1. SAFETY AND INFECTION CONTROL
a. ACCIDENT/ERROR/INJURY PREVENTION
i. SAFE MEDICATION ADMINISTRATION AND ERROR
REDUCTION: ADMINISTERING PHENYTOIN
1. Undesirable interaction is giving omeprazole, a proton pump
inhibitor, concurrently with phenytoin, an anticonvulsant. This
can increase the serum level of phenytoin. Obtain a complete
medication history, and be knowledgeable of clinically significant
interactions. Be aware that medications can also interact
beneficially or harmfully with food and with herbal and dietary
supplements
ii. ANTIBIOTICS AFFECTING THE BACTERIAL CELL WALL:
PRIORITY FINDING AFTER A PENICILLIN INJECTION
1. Instruct clients to take penicillin V, amoxicillin, and
amoxicillin-clavulanate with meals. Tell them to take all
others
with 8 oz of water 1 hr before or 2 hr after meals. Instruct clients to
report any signs of an allergic response such as dyspnea, a skin
rash, itching, and hives. Give IM injections cautiously to avoid
injecting into a nerve or an artery. Advise clients to complete the
entire course of therapy, even if symptoms resolve. Advise client
to use an additional contraceptive method when taking penicillin’s.
iii. REPORTING OF INCIDENT/EVENT/IRREGULAR
OCCURRENCE/VARIANCE
1. SAFE MEDICATION ADMINISTRATION AND
ERROR REDUCTION: PRIORITY ACTION FOR
INCORRECT MEDICATION DOSAGE
a. Use a unit-dose system to decrease errors. If not available,
calculate the correct medication dose. Check a drug
reference to ensure the dose is within the usual range.
When performing medication calculations or conversions,
have another qualified nurse check the calculated dose.
Prepare medication dosages using standard measurement
devices, such as graduated cups or syringes. Some
medication dosages require a second verifier or witness,
such as some cytotoxic medications. Automated medication
dispensing systems use a machine to control the dispensing
of medications.
, ATI Remediation Pharm Final.
2. SAFE MEDICATION ADMINISTRATION AND ERROR
REDUCTION: INDENTIFY A SITUATION REQUIRING
AN INCIDENT REPORT
a. Report all errors, and implement corrective measures
immediately. Complete an incident report within the
time frame the facility specifies, usually 24 hr. This
report should include
■ Client’s identification
■ Name and dose of the medication
■ Time and place of the incident
■ Accurate and objective account of the event
■ Who you notified
■ What actions you took
■ Your signature (or that of the person who completed
the report)
Do not reference or include this report in the client’s
medical record. Medication errors relate to systems,
procedures, product design, or practice patterns. Report all
errors to help the facility’s risk managers determine how
errors occur and what changes to make to avoid similar
errors in the future.
3. MISCELLANEOUS CENTRAL NERVOUS SYSTEM
MEDICATIONS: TREATMENT FOR
MUSCARINIC POISONING
a. Extreme muscarinic stimulation can result in increased
gastric acid secretion, abdominal cramps, diarrhea,
sweating, tearing, urinary urgency, bradycardia
and hypotension; bronchoconstriction
b. NURSING CONSIDERATIONS ●Instruct clients to report
adverse effects if they occur. Monitor for bradycardia and
hypotension. ●Administer on an empty stomach to reduce
effects.
2. PSYCHOSOCIAL INTEGRITY
a. CHEMICAL AND OTHER DEPENDENCIES/SUBSTANCE USE DISORDER
i. SUBSTANCE USE DISORDERS: TREATMENT FOR
COCAINE TOXICITY
1.
3. PHARMACOLOGICAL AND PARENTERAL THERAPIES
i. ADVERSE EFFECTS/CONTRAINDICATIONS/SIDE
EFFECTS/INTERACTIONS
1. MYCOBACTERIAL, FUNGAL, AND PARASITIC
INFECTIONS: INTERPRETING SIDE EFFECTS OF RIFAMPIN
ATI PROCTORED EXAM
REMEDIATION CAIT BLACKFORD
PHARMACOLOGY II
DR. PHILLIPS
1. SAFETY AND INFECTION CONTROL
a. ACCIDENT/ERROR/INJURY PREVENTION
i. SAFE MEDICATION ADMINISTRATION AND ERROR
REDUCTION: ADMINISTERING PHENYTOIN
1. Undesirable interaction is giving omeprazole, a proton pump
inhibitor, concurrently with phenytoin, an anticonvulsant. This
can increase the serum level of phenytoin. Obtain a complete
medication history, and be knowledgeable of clinically significant
interactions. Be aware that medications can also interact
beneficially or harmfully with food and with herbal and dietary
supplements
ii. ANTIBIOTICS AFFECTING THE BACTERIAL CELL WALL:
PRIORITY FINDING AFTER A PENICILLIN INJECTION
1. Instruct clients to take penicillin V, amoxicillin, and
amoxicillin-clavulanate with meals. Tell them to take all
others
with 8 oz of water 1 hr before or 2 hr after meals. Instruct clients to
report any signs of an allergic response such as dyspnea, a skin
rash, itching, and hives. Give IM injections cautiously to avoid
injecting into a nerve or an artery. Advise clients to complete the
entire course of therapy, even if symptoms resolve. Advise client
to use an additional contraceptive method when taking penicillin’s.
iii. REPORTING OF INCIDENT/EVENT/IRREGULAR
OCCURRENCE/VARIANCE
1. SAFE MEDICATION ADMINISTRATION AND
ERROR REDUCTION: PRIORITY ACTION FOR
INCORRECT MEDICATION DOSAGE
a. Use a unit-dose system to decrease errors. If not available,
calculate the correct medication dose. Check a drug
reference to ensure the dose is within the usual range.
When performing medication calculations or conversions,
have another qualified nurse check the calculated dose.
Prepare medication dosages using standard measurement
devices, such as graduated cups or syringes. Some
medication dosages require a second verifier or witness,
such as some cytotoxic medications. Automated medication
dispensing systems use a machine to control the dispensing
of medications.
, ATI Remediation Pharm Final.
2. SAFE MEDICATION ADMINISTRATION AND ERROR
REDUCTION: INDENTIFY A SITUATION REQUIRING
AN INCIDENT REPORT
a. Report all errors, and implement corrective measures
immediately. Complete an incident report within the
time frame the facility specifies, usually 24 hr. This
report should include
■ Client’s identification
■ Name and dose of the medication
■ Time and place of the incident
■ Accurate and objective account of the event
■ Who you notified
■ What actions you took
■ Your signature (or that of the person who completed
the report)
Do not reference or include this report in the client’s
medical record. Medication errors relate to systems,
procedures, product design, or practice patterns. Report all
errors to help the facility’s risk managers determine how
errors occur and what changes to make to avoid similar
errors in the future.
3. MISCELLANEOUS CENTRAL NERVOUS SYSTEM
MEDICATIONS: TREATMENT FOR
MUSCARINIC POISONING
a. Extreme muscarinic stimulation can result in increased
gastric acid secretion, abdominal cramps, diarrhea,
sweating, tearing, urinary urgency, bradycardia
and hypotension; bronchoconstriction
b. NURSING CONSIDERATIONS ●Instruct clients to report
adverse effects if they occur. Monitor for bradycardia and
hypotension. ●Administer on an empty stomach to reduce
effects.
2. PSYCHOSOCIAL INTEGRITY
a. CHEMICAL AND OTHER DEPENDENCIES/SUBSTANCE USE DISORDER
i. SUBSTANCE USE DISORDERS: TREATMENT FOR
COCAINE TOXICITY
1.
3. PHARMACOLOGICAL AND PARENTERAL THERAPIES
i. ADVERSE EFFECTS/CONTRAINDICATIONS/SIDE
EFFECTS/INTERACTIONS
1. MYCOBACTERIAL, FUNGAL, AND PARASITIC
INFECTIONS: INTERPRETING SIDE EFFECTS OF RIFAMPIN
