NUR 2407 Pharmacology ATI Pharmacology Proctored Exam Remediation Form

NUR 2407 Pharmacology ATI Pharmacology Proctored Exam Remediation Form Individual Performance in Major Content Areas: • Safety and Infection Control _66.7 % • Psychosocial Integrity _0_% • Pharmacological and Parenteral Therapies _75.5_% For each area where you scored less than 73%, you must show evidence or remediation. • Using this form, you must note 8 things that you learned in remediating those sections. • Use either one of these strategies to remediate: --Option 1: Go to the chapters cited on your results page, read the recommended text. --Option 2: Create a focused review by tapping the “create” link next to your results icon • Show your remediation by summarizing what you learned from the cited readings. • Credit the page number you found the information on. DO NOT COPY AND PASTE. Safety and Infection Control (optional if score was above 73%) chapter 5 and 44 1. Nephrotoxicity may occur with a number of medications but primarily with certain antimicrobials and NSAIDs. Damage to the kidneys may interfere with medication excretion, leading to accumulation and adverse effects. Aminoglycosides injure cells in the renal tubules of the kidney. Serum creatinine and BUN should be monitored. 2. Anticholinergic effects are due to muscarinic receptor blockade so most effects are seen in the eyes, smooth muscle, exocrine glands and the heart. 3. Vancomyocin adverse effects can included ototoxicity and renal toxicity. When vancomyocin is being used, I and O and kidney function tests need to be monitored. 4. Adverse effects of penicillins include hyperkalemia/dysrhythmias (high doses of penicillin G potassium) and hypernatremia (IV ticarcillin) 5. Penicillins are contraindicated in patients with renal impairment 6. Cephalosporins are more likely to reach spinal fluid – indicated for use with meningitis 7. Bleeding tendencies exist with the use of cefotetan and ceftriaxone, admin with Vit. K, but avoid using in patients who have known bleeding disorders or are on anticoags. 8. EPS may occur w/in a few hours or can take months to develop. Most often associated with meds affecting the CNS used to treat mental health disorders. Psychosocial integrity (optional if score was above 73%) chapter 7 1. Sedative hypnotic anxiolytic benzodiazepines: enhance the inhibitory effects of GABA in the CNS which gives relief rapidly after administration. 2. In the case of oral toxicity of benzos, use gastric lavage followed by activated charcoal or saline cathartics. 3. Buspirone (BuSpar) – Binds to serotonin and dopamine receptors. Dependency is much less likely than with other anxiolytics, and does not result in sedation or potentiate the effects of other CNS depressants. Used in panic, social anxiety, and OCD. 4. Paxil should be taken with food. 5. Paxil and BuSpar should be used cautiously in patients with liver and renal dysfunction. Paxil is contraindicated in patients with seizure disorder. 6. BuSpar should not be taken with erythromycin, ketoconazole, St. John’s wort and grapefruit juice as it will increase the effects of buspirone. 7. Other uses for benzos: seizure disorder, insomnia, muscle spasm, alcohol withdrawal, induction of anesthesias, amnesic prior to surgery/procedures 8. When d/c use of benzos, should be tapered to prevent withdrawal symptoms. Pharmacological / Parenteral Therapies (optional if score was above 73%) 1. 2. 3. 4. 5. 6. 7. 8. Grading rubric Criteria is not addressed (0%) Completed criteria (100%) Total Overall score on ATI Proctored Pharmacology Exam --Level 3 = 12 points --Level 2 = 10 points --Level 1 = 8 points --Level 0 = 0 points Level 0 = 0 points Level 3 = 12 points Level 2 = 10 points Level 1 = 8 points Remediation- Safety and Infection Control Earned less than 73% in this category, but didn’t remediate – 0 points Earned greater than 73% in this category or completed remediation for this – 3 points Remediation- Psychosocial integrity Earned less than 73% in this category, but didn’t remediate – 0 points Earned greater than 73% in this category or completed remediation for this – 3 points Remediation- Pharmacological and Parenteral Therapies Earned less than 73% in this category, but didn’t remediate – 0 points Earned greater than 73% in this category or completed remediation for this – 7 points