RN VATI PHARMACOLOGY ASSESSMENT REMEDIATION

RN VATI PHARMACOLOGY ASSESSMENT REMEDIATION
 Safety and Infection Control
 Accident/Error/Injury Prevention – (2)
 Chronic Neurologic Disorders: Contraindications for Pregabalin (Active Learning
Template – Medication, RM Pharm RN 7.0 Chp 13)
 Contraindications:
 Pregnancy:
Yourskeletal
 Birth defects: can cause text here
and1visceral malformations
 Pregnancy Risk Category C: Administer only if the benefits outweigh the
risks
 Interactions:
 Benzodiazepines, alcohol, and opioids intensify CNS effects
 Nursing considerations: Advise the client to avoid medications that affect
the CNS
 Medical and Surgical Asepsis: Reducing the Risk of an Allergic Reaction for a Client
Who Has a Latex Allergy (Active Learning Template – Basic Concept, RM FUND
9.0 Ch 10)
 Before beginning any task or procedure that requires aseptic technique, health
care team members must check for latex allergies. If the client or any member of
the team has a latex allergy, the team must use latex-free gloves, equipment, and
supplies.
 Pharmacological and Parenteral Therapies
 Adverse Effects/Contraindications/Side Effects/Interactions – (19)
 Airflow Disorders: Adverse Effects of Beta2-Adrenergic Agonists (Active Learning
Template – Medication, RM Pharm RN 7.0 Chp 17)
 Tachycardia, angina: Oral agents can cause tachycardia and angina due to
activation of alpha1 receptors in the heart
 Nursing considerations:
 Advise clients to observe for chest, jaw, or arm pain or palpitations and to
notify the provider if they occur
 Instruct clients to check pulse and to report an increase of greater than 20
to 30 beats/min
 Advise clients to avoid caffeine
 Dosage might need to be reduced
 Tremors: Caused by activations of beta2 receptors in skeletal muscle
 Nursing considerations:
 Tremors usually resolve with continued medication use
 Dosage might need to be reduced
 Airflow Disorders: Adverse Effects of Ipratropium (Active Learning Template –
Medication, RM Pharm RN 7.0 Chp 17)
 Local anticholinergic effects: Dry mouth, hoarseness
 Nursing considerations:
 Advise clients to sip fluids and suck on sugar-free hard candies to control
dry mouth
 Antilipemic Agents: Monitoring Laboratory Values (Active Learning Template –
Medication, RM Pharm RN 7.0 Chp 24)

,  HMG-CoA reductase inhibitors (statins); Cholesterol absorption inhibitor; Bile-
acid sequestrants; Nicotinic acids (niacin); Fibrates; Antisense oligonucleotide:
 Advise clients about the importance of obtaining baseline cholesterol, HDL,
LDL, and triglyceride levels, as well as liver and kidney function tests, and
monitoring periodically during treatment
 Statins, such as atorvastatin, can increase the risk of liver dysfunction and
myopathy
 Obtain baseline liver function tests and monitor periodically. Advise
clients to observe for indications of liver damage (anorexia, vomiting,
nausea). The provider should be notified, and the medication will most
likely be discontinued.
 For fibrates – with concurrent use, warfarin increases the risk of bleeding 
obtain baseline prothrombin time (PT) and INR, and perform periodic
monitoring
 Cardiac Glycosides and Heart Failure: Contraindications to the Administration of
Digoxin (Active Learning Template – Medication, RM Pharm RN 7.0 Chp 21)
 Pregnancy Risk Category C
 Contraindicated in clients who have disturbances in ventricular rhythm, including
ventricular fibrillation, ventricular tachycardia, and second- and third-degree heart
block
 Use cautiously in clients who have hypokalemia, partial AV block, advanced heart
failure, and impaired kidney function
 Chemotherapy Agents: Priority Assessment During Administration of Paclitaxel
(Active Learning Template – Medication, RM Pharm RN 7.0 Chp 42)
 Contraindications/Precautions:
 Pregnancy Risk Category D
 Contraindicated in clients who have a neutrophil count less than 1,500/mm3.
Use with caution in clients who have myelosuppression.
 Nursing Administration:
 Assess for indications of neuropathy, including weakness, numbness, tingling,
foot drop, ataxia, and paresthesia. Advise clients to use caution and report
manifestations
 Reduce dose for clients who have liver disease
 Assess breath sounds for bronchospasm
 Monitor for bleeding (bruising) or infection (fever, sore throat)
 Monitor CBC and liver enzymes
 Give an antiemetic for nausea and vomiting
 Advise clients to use good mouth care
 Stop chemotherapeutic medications if extravasation occurs
 Advise clients to use birth control during treatment
 Chemotherapy Agents: Treatment for Adverse Effects of Topotecan (Active Learning
Template – Medication, RM Pharm RN 7.0 Chp 42)
 Bone marrow suppression:
 Low WBC count or neutropenia, bleeding caused by thrombocytopenia or
low platelet count, and anemia or low RBCs
 Can occur 4 to 6 weeks after infusion