Pharm class Flashcards
core ethical principles
respect for person: pt should be treated as independent person capable of making decisions in their own best interests.
beneficence: Nursing practice that does good and avoids harm.
justice: requires that the selection of research subjects be fair.
patient centered
focus on patient care
nursing process
organize patient information around a medical diagnose. is used by nurses for the appropriate delivery of patient care and drug administration. describe the who, what , where, why and how of nursing practice.
thiazide (diuretic)
management of mild to moderate hypertension. treatment of edema
assessment
subjective data: current health history, patient
increase medication adherence (the extend to which a patient continues an agreed on mode of treatment without close supervision)
1) ensuring access to providers across the continuum of care and implementing team-based care;
2) educating and empowering patients to understand the treatment regimen and its benefits;
3) reducing barriers to obtaining medication, including cost reduction
Which information will the nurse include in the patient teaching? (Select all that apply.)
administration technique.
instructions regarding drug discontinuation.
foods to avoid when taking a certain drug.
side effects to report to health care provider.
Which is a correctly written goal by the nurse?
patient will independently administer the prescribed dose of insulin at the end of 1 hour of instruction.
What is the first step of the nursing process when working with patients receiving drug therapy?
assessment
Before information about drug therapy is presented to a patient, it is most important for the nurse to
assess the patient’s readiness to learn
The Nursing Alliance for Quality Care (NAQC)
Supports highest-quality safe patient-centered health care
NAQC and ANA
Published guidelines supporting core principles
Six-step decision-making approach
Concept Assessment Patient problems Planning Nursing interventions Evaluation
Concept
Influences delivery of patient care
Focuses on patient-centered model of care
Pertain to patient’s problems
Includes health, illness, and health promotion
Includes preventive, primary, acute, and chronic health care
patient problems
identifies patient needs
better identifies clinical practice and the plan of care.
Pharmacogenetics
Study of how a patient’s genomes affect drug response
Helps individualize optimal drug treatment regimens
Helps decrease drug reactions
Promotes drug regimen adherence
Reduces overall healthcare costs
Patients who benefit most from pharmacogenetics
Those taking multiple prescription drugs
Those not responding to current therapy
Those having adverse drug reactions
Those taking black box warning drugs
Individual Variation in Metabolism of Select Drugs
Mercaptopurine Irinotecan Abacavir Warfarin Clopidogrel Opioids Mental health drugs Carbamazepine
Legal and Ethical Issues
Privacy
Who has access to patient’s genetic information?
Who owns genetic information
Concerns about patient “labeling”
Autonomy
Patient may consent to or refuse genetic testing
Patient may change their mind about testing
Justice
Equal and fair treatment for all
Nursing Process: Pharmacogenetics
Assessment
Assess family history back three generations.
Determine side effects/adverse effects to drug therapy
Concept
Safety
Planning
Integrate patient preferences and family implications into developing evidence-based plans of care
Nursing Interventions
Refer identified patients to genetic counseling as needed
Guide patients in the implications and uses of genetic results.
Ensure patient knows to report genetic findings to all healthcare providers.
Evaluation
A patient has liver and kidney disease. He is given a medication with a half-life of 30 hours. The nurse expects the duration of this medication to
increase
When assessing older adults and those with renal dysfunction, the nurse knows that creatinine clearance is usually
decreased
A patient sustains significant burns to the skin and is experiencing fluid shift associated with edema in the fluid overload phase. The nurse would anticipate that this will interfere most with which phase of pharmacodynamics?
Distribution
Which nursing actions would be most appropriate for ensuring patient safety with a medication that has a low therapeutic index?
