ATI Pharmacology Remediation
Psychosocial Integrity: substance use and Other Disorders and Dependencies
1. Opioid Agonists and Antagonist: Interventions for Heroin Toxicity
a. Respiratory Depression: Monitor Respiratory rate prior and following admiration
of opioids. Initial treatment of Respiratory depression and sedation is generally a
reduction in opioid dose. If necessary, administer naloxone to reverse opioid
effects
b. An antidote, naloxone, available for IV use to relieve effects of toxicity
c. Naloxone, and opioid antagonist, should be readily available for reversal of
opioid- included respiratory depression
d. Administer naloxone and opioid antagonist that reverse respiratory
depression and other manifestations of toxicity
Pharmacological and Parenteral Therapies: Adverse effects/ contraindication, side effects,
interactions, Expected actions/ outcomes, medication administration
1. Eye and Ear disorders: anticipating adverse Effects of anti-glaucoma medication
a. Central nervous system disturbances
i. Paresthesia of extremities, fatigue, sleepiness, rarely seizures
2. Emergency intervention following Cefazolin Administration
a. Use current data to make informed clinical decisions to provide the best
practice. Best practice is determined by current search collected from several
sources that have desirable outcomes
b. Use knowledge of evidence-based practice to guide prioritization of care
and interventions; responding to clients experiencing wound dehiscence or
crisis. For example, initiating CPR in the proper steps for a client
experiencing cardiac arrest
c. Methods to promote evidence-based practice
i. Use a variety of sources of research
, ii. Keep current on new research by reading professional journals and
collaborating with other nurses and professionals in other disciplines
iii. Change traditional nursing practice with new research-based practices
d. Provide rapid intervention including epinephrine administration for severe
allergic reaction to prevent death. Notify the rapid response team if
anaphylaxis is suspected
e. Treat with epinephrine IM or IV to constrict blood vessels, improve cardiac
contraction, and promote bronchodilation of the pulmonary system, every 5 to 15
minutes as needed
3. Adverse Effects of heparin
a. Hemorrhage can occur if medication administration leads to high activated
partial thromboplastin time. Other risk factors include client history of
bleeding disorder or taking antiplatelet medications concurrently
b. Nursing actions
i. Monitor VS
ii. Advise clients to observe for bleeding, increased heart rate, decreased
blood pressure, bruising, petechial, hematomas, black tarry stools
iii. Monitor activated partial thromboplastin time keep value at 1.5 to 2
times the baseline
Psychosocial Integrity: substance use and Other Disorders and Dependencies
1. Opioid Agonists and Antagonist: Interventions for Heroin Toxicity
a. Respiratory Depression: Monitor Respiratory rate prior and following admiration
of opioids. Initial treatment of Respiratory depression and sedation is generally a
reduction in opioid dose. If necessary, administer naloxone to reverse opioid
effects
b. An antidote, naloxone, available for IV use to relieve effects of toxicity
c. Naloxone, and opioid antagonist, should be readily available for reversal of
opioid- included respiratory depression
d. Administer naloxone and opioid antagonist that reverse respiratory
depression and other manifestations of toxicity
Pharmacological and Parenteral Therapies: Adverse effects/ contraindication, side effects,
interactions, Expected actions/ outcomes, medication administration
1. Eye and Ear disorders: anticipating adverse Effects of anti-glaucoma medication
a. Central nervous system disturbances
i. Paresthesia of extremities, fatigue, sleepiness, rarely seizures
2. Emergency intervention following Cefazolin Administration
a. Use current data to make informed clinical decisions to provide the best
practice. Best practice is determined by current search collected from several
sources that have desirable outcomes
b. Use knowledge of evidence-based practice to guide prioritization of care
and interventions; responding to clients experiencing wound dehiscence or
crisis. For example, initiating CPR in the proper steps for a client
experiencing cardiac arrest
c. Methods to promote evidence-based practice
i. Use a variety of sources of research
, ii. Keep current on new research by reading professional journals and
collaborating with other nurses and professionals in other disciplines
iii. Change traditional nursing practice with new research-based practices
d. Provide rapid intervention including epinephrine administration for severe
allergic reaction to prevent death. Notify the rapid response team if
anaphylaxis is suspected
e. Treat with epinephrine IM or IV to constrict blood vessels, improve cardiac
contraction, and promote bronchodilation of the pulmonary system, every 5 to 15
minutes as needed
3. Adverse Effects of heparin
a. Hemorrhage can occur if medication administration leads to high activated
partial thromboplastin time. Other risk factors include client history of
bleeding disorder or taking antiplatelet medications concurrently
b. Nursing actions
i. Monitor VS
ii. Advise clients to observe for bleeding, increased heart rate, decreased
blood pressure, bruising, petechial, hematomas, black tarry stools
iii. Monitor activated partial thromboplastin time keep value at 1.5 to 2
times the baseline
