NRSG 2030 ATI PROCTORED EXAM REMEDIATION PHARMACOLOGY 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