Pharmacology Final Exam Review - Nursing Process & Drug Therapy Study Guide 2021

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Pharmacology Final Exam Review Nursing Process & Drug Therapy  In a prescription what must you have: o name of the med o route- (no route call the Dr. and verify it) o date/time o dose o ... time/frequency of med o Dr. signature  If you don’t understand the prescription: o hold med & call the Dr.  Types of meds that cannot be crushed: o Enteric coated (EC) o Long acting (extended release) o Sustained action (SA) o Sustained Release (SR)  If crushed it loses the effect, it will also dissolve sooner than it is supposed to increasing toxicity. DO NOT CRUSH!!  Do a pre assessment: o What medications is the patient taking o Baseline of medication o Allergies o OTC meds currently taking o If taking Digoxin- check the Apical HR (60-100); if HR less than 60 CANNOT give Digoxin; also check Digoxin level & K+ (if K+ level is high, it decreases the effect of Digoxin; if the potassium level is low, increases the effect of Digoxin) o For Beta Blockers- check if pulse is less than 60 (If less than 60 do not give beta blocker), after the med is given you always Assess o Diuretics- always give in the A.M (check K+ level, electrolyte levels, vital signs *mostly BP, weight the pt, intake/output of pt)  Purpose of 9 rights of drug administration: o to avoid medication error of OD (Safety of drug administration) o right med, right time, right patient, right dose, right to refuse, right route, right documentation, right reason, & right response to med o use 2 identifiers to check pt o read medication level 3 times! o newborn-check the mother’s identifier/older children-check the parent’s identifiers [Show More]

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