pharmacotherapeutics + nursing process

Question 1

prn meaning

Answer 1

“pro re nata” = as needed

Question 2

t/f: if a new drug is ordered, you should start with administering the smallest effective dose

Answer 2

true

Question 3

questions to ask self when administering a drug? (4)

Answer 3

• why was it ordered?
• is pt on lowest dose possible?
• simplify?
• start low and go slow

Question 4

polypharmacy

Answer 4

process of taking multiple drugs –> higher risk of them interacting

Question 5

self medication

Answer 5

when patient has own treatment, home remedies, can have risk of adverse rxns

Question 6

what is an example of misusing drugs?

Answer 6

sharing medications, taking prescribed meds that are for someone else, using too much of a drug

Question 7

what does noncompliance/medication adherence mean?

Answer 7

the ability for the pt to follow routine for medication

Question 8

what is a con that alternative/complementary pharmacology can have?

Answer 8

may have adverse interactions with prescribed meds

Question 9

what is direct to consumer advertising?

Answer 9

advertising drugs to general public through media or print

Question 10

common drugs for pediatrics (Nb-11yrs)

Answer 10

antibiotics
asthma
adhd

Question 11

common drugs for adolescents (12-19yrs)

Answer 11

adhd
asthma
birth control

Question 12

common drugs for adults (20-59yrs)

Answer 12

antidepressants
cholesterol medication
analgesics

Question 13

common drugs for elderly (60+)

Answer 13

cholesterol medication
BP meds
insulin (diabetic drugs

Question 14

what is the RN’s role in pharm

Answer 14

last people to touch and admin med; pt last line of defense for med error; we should question questionable orders

Question 15

assessment and drug therapy

Answer 15

• know pt vitals, pain, h2t assessment
• allergies, high risk individual?
• ID drug being administered

Question 16

diagnosis and drug therapy

Answer 16

• promote therapeutic drug effects
• minimize adverse effects + toxicity
• maximize pt self care and knowledge

Question 17

planning and drug therapy

Answer 17

• how can we give this med to reach highest efficacy with minimal harm
• specific interventions

Question 18

implementation and drug therapy

Answer 18

• think through admin route, dose, time, pt teaching

Question 19

evaluation and drug therapy

Answer 19

• has the pt been satisfied with results
• was the goal achieved and effective
• what went wrong?

Question 20

what is the AGS beers criteria

Answer 20

lists of meds that are not safe/appropriate for older adults

Question 21

red flags for low health literacy?

Answer 21

• freq missed appts
• incomplete registration forms
• non compliance with medication
• inability to name medication
• no coherent, sequential hx