WCJC ADN SN ATI Pharmacology Practice A
ATI Learning
❖ Safety and Infection Control
➢ Reporting of Incident/Event/Irregular Occurrence/Variance
▪ If error occurs when distributing medication, use the nursinf process to gather
pertinent information prior to making a decision regarding a plan of action.
▪ Evaluate client’s response to medications, document response, then report it.
▪ Identify adverse effects, if any, and document and report them.
▪ Notify the provider of all errors, and implement corrective measures immediately.
• Complete an incident report within the time frame the facility specifies, usually
24 hours. The report should include:
◆ Client’s identification
◆ Name and dose of medication
◆ Time and place of the incident
◆ Accurate and objective account of the event
◆ Who was notified
◆ What actions you took
◆ Your signature
• Do not reference or include the incident report in the client’s medical record
❖ Pharmacological and Parenteral Therapies
➢ Adverse Effects/Contraindications/Side Effects/Interactions
▪ Use knowledge of evidence-based practice to guide prioritization of care and
interventions
▪ Anaphylaxis is a rapid systemic reaction following an allergic response to an allergen
such as medications, yes, foods, and insect bites and stings.
• Manifestations can include GI cramping, generalized itching and hives, lung
crackles, wheezing, hoarseness, stridor, weak thread pulse, tachycardia, and
hypotension.
• Provide rapid intervention including epinephrine administration for severe
allergic reaction to prevent death.
• Administer epinephrine IM or IV.
• Notify the rapid response team if anaphylaxis is suspected.
▪ When administering metoclopramide for controls nausea and vomiting and
promotes upper GI motility, keep complications in mind.
• Complications include: Tardive dyskinesia, extrapyramidal symptoms, sedation,
and diarrhea.
ATI Learning
❖ Safety and Infection Control
➢ Reporting of Incident/Event/Irregular Occurrence/Variance
▪ If error occurs when distributing medication, use the nursinf process to gather
pertinent information prior to making a decision regarding a plan of action.
▪ Evaluate client’s response to medications, document response, then report it.
▪ Identify adverse effects, if any, and document and report them.
▪ Notify the provider of all errors, and implement corrective measures immediately.
• Complete an incident report within the time frame the facility specifies, usually
24 hours. The report should include:
◆ Client’s identification
◆ Name and dose of medication
◆ Time and place of the incident
◆ Accurate and objective account of the event
◆ Who was notified
◆ What actions you took
◆ Your signature
• Do not reference or include the incident report in the client’s medical record
❖ Pharmacological and Parenteral Therapies
➢ Adverse Effects/Contraindications/Side Effects/Interactions
▪ Use knowledge of evidence-based practice to guide prioritization of care and
interventions
▪ Anaphylaxis is a rapid systemic reaction following an allergic response to an allergen
such as medications, yes, foods, and insect bites and stings.
• Manifestations can include GI cramping, generalized itching and hives, lung
crackles, wheezing, hoarseness, stridor, weak thread pulse, tachycardia, and
hypotension.
• Provide rapid intervention including epinephrine administration for severe
allergic reaction to prevent death.
• Administer epinephrine IM or IV.
• Notify the rapid response team if anaphylaxis is suspected.
▪ When administering metoclopramide for controls nausea and vomiting and
promotes upper GI motility, keep complications in mind.
• Complications include: Tardive dyskinesia, extrapyramidal symptoms, sedation,
and diarrhea.
