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What is the nursing Process?
Assessment
Diagnosis
Goals/Outcomes
Interventions
Evaluations
What do you need to know about medication?
Class
Method of administration
expected therapeutic effect
adverse effect
What is the nurse's role?
Assess pt
store meds
administer
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?
Palliative
curative
supportive
substitute
chemotherapeutic
restorative
Define what tolerance is
when a body becomes more effective at breaking down the medicine by releasing certain enzymes
Define Cross-Tolerance
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)
common/rare
local/systemic
mild
severe (allergic reaction)
What is an ADE for CNS
stimulation/depression
What is an ADE for GI tract
N/V/D
GI Bleeding
What is an ADE for hematological
bleeding
leukopenia
What is an ADE for hepatotoxicity
hepatic necrosis
What is an ADE for nephrotoxicity
renal failure
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
unexpected reaction
What is an ADE for Carcinogenic
increased cancer risk
What is an ADE for teratogenicity
Abnormal fetal development
What is an ADE for Toxicity
Harmful Dose
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
Allergies
Recreational Drugs
OTC Drugs
Age
Body Size
Sex-Teratogenicity
Ethnicity
Genetics
Dose
What should you look for with doses?
how much?
when?
how long?
Author
amanda430
ID
304330
Card Set
Pharm-Intro
Description
Intro
Updated
6/22/2015, 11:58:19 PM
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