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What is the nursing Process?
What do you need to know about medication?
- Method of administration
- expected therapeutic effect
- adverse effect
What is the nurse's role?
- Assess pt
- store meds
- reassess pt
- Document (affects)
What are the categories of controlled substances?
- I- not approved for medicinal use
- II-Narcotic Analgesic (opiates/barbituates)
- III- Sedatives, Anabolic steroids)
- IV-Sedative, Hypnotic
- V-Partially Controlled
What can nomenclature for medications be based on?
- Body system if affects
- Therapeutic Use
- Chemical Characteristics
What is "off label" use?
using a medication for something other than what it was initially intending for
What are examples of therapeutic effects?
Define what tolerance is
when a body becomes more effective at breaking down the medicine by releasing certain enzymes
Having a tolerance for a different drug that is broken down by the same enzymes that break down a drug that you have tolerance
Define some characteristics of adverse drug effects (ADE)
- severe (allergic reaction)
What is an ADE for CNS
What is an ADE for GI tract
What is an ADE for hematological
What is an ADE for hepatotoxicity
What is an ADE for nephrotoxicity
What is an ADE for allergic reaction
skin Rash --> Anaphylactic Shcok
What is an ADE for Drug Fever
low or high fever
What is an ADE for Paradoxical/Idiosyncratic
What is an ADE for Carcinogenic
increased cancer risk
What is an ADE for teratogenicity
Abnormal fetal development
What is an ADE for Toxicity
What are the levels for Teratogenicity Drug Categories
- A- no risk: studies on pregnant women
- B- no risk: studies done on animals
- C- Potential Risk: animal studies
- D- Evidence of risk
- X- DO NOT GIVE
What do you need to check during your assessment
- Recreational Drugs
- OTC Drugs
- Body Size
What should you look for with doses?