RN VATI PHARMACOLOGY ASSESSMENT REMEDIATION

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 Safety and Infection Control  Accident/Error/Injury Prevention – (2)  Chronic Neurologic Disorders: Contraindications for Pregabalin (Active Learning Template – Medication, RM Pharm RN... 7.0 Chp 13) • Contraindications: • Pregnancy:  Birth defects: can cause skeletal and visceral malformations  Pregnancy Risk Category C: Administer only if the benefits outweigh the risks • Interactions: • Benzodiazepines, alcohol, and opioids intensify CNS effects  Nursing considerations: Advise the client to avoid medications that affect the CNS  Medical and Surgical Asepsis: Reducing the Risk of an Allergic Reaction for a Client Who Has a Latex Allergy (Active Learning Template – Basic Concept, RM FUND 9.0 Ch 10) • Before beginning any task or procedure that requires aseptic technique, health care team members must check for latex allergies. If the client or any member of the team has a latex allergy, the team must use latex-free gloves, equipment, and supplies.  Pharmacological and Parenteral Therapies  Adverse Effects/Contraindications/Side Effects/Interactions – (19)  Airflow Disorders: Adverse Effects of Beta2-Adrenergic Agonists (Active Learning Template – Medication, RM Pharm RN 7.0 Chp 17) • Tachycardia, angina: Oral agents can cause tachycardia and angina due to activation of alpha1 receptors in the heart • Nursing considerations:  Advise clients to observe for chest, jaw, or arm pain or palpitations and to notify the provider if they occur  Instruct clients to check pulse and to report an increase of greater than 20 to 30 beats/min  Advise clients to avoid caffeine  Dosage might need to be reduced • Tremors: Caused by activations of beta2 receptors in skeletal muscle • Nursing considerations:  Tremors usually resolve with continued medication use  Dosage might need to be reduced  Airflow Disorders: Adverse Effects of Ipratropium (Active Learning Template – Medication, RM Pharm RN 7.0 Chp 17) • Local anticholinergic effects: Dry mouth, hoarseness • Nursing considerations:  Advise clients to sip fluids and suck on sugar-free hard candies to control dry mouth [Show More]

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