PHARMACOLOGY EXAM 1

Intro to Pharmacology Dosage Forms: Means by which drugs are delivered to the sites of action within the body. Classified by:  Route and dosage form impact absorption  Modified release and enteric coated CANNOT be cut  IM form NOT always suitable for IV admin  Avoid IM during anticoagulation therapy (IM hemorrhage)  Suspensions settle. SHAKE WELL (eye and ear drops also)  Patches CANNOT be cut  Dry powder inhalers require inspiration abilities  ODT can be split just prior to admin  Colloidon is FLAMMABLE  Not all parenteral meds given IV. Check ISMP.org Medication Types: CAM OTC Rx “this product is not intended to diagnose, treat, cure, or prevent any disease” Safe until proven hazardous NOT all CAMs undergo quality certification Serious DDIs with some CAMs HARMFUL: Comfrey, Kava, Ma Huang  Provide symptomatic relief (not tx)  FDA regulated {must be safe and effective, no harmful side effects with proper use, no professional expertise required}  Prescription required  Controlled substances require: record keeping, prescribing, labeling, schedules  Schedules: 1= most restrictive, 5= least Nursing Process and Pharmacology Assessment Baseline data (vitals, labs, system assessment), medical hx, allergies, documentation (orders), diet orders, IV access Planning Some drugs cannot be given at the same time. DON’T give just because HER says so. Consider 5 rights. Oral meds affected by FIRST PASS. [IV dose much smaller] Implementation Give med and document. Document if not given and reason why Evaluation Know when the intended effect will happen. Reasses and look for adverse effects Patient education: patient and families need to know intended effects, adverse effects, diet restrictions, interactions, when to speak to provider or pharmacist