Ch.2 application of pharmacology in nursing practice

Question 1

6 rights to meds

Answer 1

1. drug
2. patient
3. dose
4. route
5. time
6. documentation

Question 2

nurses roles:

Answer 2

observe drug responses: ** need to know what the drugs do and their side effects to anticipate responses

mistakes- allergies, drug interactions, contraindications, appropriate dose/route

Question 3

ethical points:

Answer 3

• it is ethically and legally wrong to administer a drug that is harmful to a patient
• WE are patient advocates

Question 4

8 aspects: application of pharmacology

Answer 4

Question 5

guidelines for correct drug administration:

Answer 5

• read order carefully and verify
• read med labels carefully (identity, amount)
• verify dosage calculations
• verify identity of patient
• implement special handling
• DO NOT administer if you do not understand reason for use

Question 6

Patient Education :

Answer 6

Dosage and administration:
- name of med (generic/trade)
- dosage size and schedule of administration
- technique (route, preparation)
- duration of drug use
- storage (refrig)

Promoting therapeutic effects:
- improves adherence (if pt understands what to expect, onset, effects

Minimize adverse effects:
-educate patient

minimized adverse interactions:
- dangers of drug-drug interactions, foods to avoid, herbs, etc

Question 7

application of nursing process in drug therapy: ADPIE

Answer 7

ADPIE
Assessment:
- collect data (subjective/objective)
- provides foundation for subsequent steps
- methods (interview, med/drug hx, physical exam, labs)

Diagnosis
- analyze database to determine actual/potential problem
- form nursing dx

Planning:
- interventions that solve or prevent the problem identified
- must be individualized
- ongoing process that constantly changes

Implement:
- carry out intervention and record outcomes

Evaluation:
- determines degree which tx has been successful
- analyze data obtained during implementation