Legal 319.pptx - Chapter 2 Application of Pharmacology in...

This preview shows page 1 - 12 out of 43 pages.

Chapter 2 Application of Pharmacology in Nursing Practice 1
Image of page 1

Subscribe to view the full document.

Evolution of Nursing Responsibilities Regarding Drugs Right drug Right patient Right dose Right time Right route Right assessment Right documentation Right evaluation Right of patient to education Right of patient to refuse care 2
Image of page 2
Evolution of Nursing Responsibilities Regarding Drugs (Cont.) Correct administration, without additional interventions, cannot ensure that treatment will result in the therapeutic objective Proper delivery is only the beginning of a nurse’s responsibility 3
Image of page 3

Subscribe to view the full document.

Evolution of Nursing Responsibilities Regarding Drugs (Cont.) Nurses and healthcare providers must participate in a system of checks and balances designed to promote beneficial effects and to minimize harm to patients 4
Image of page 4
Evolution of Nursing Responsibilities Regarding Drugs (Cont.) The nurse must know: What medications are appropriate for the patient What drugs are contraindicated for the patient The probable consequences of the interactions between the drug and the patient 5
Image of page 5

Subscribe to view the full document.

Evolution of Nursing Responsibilities Regarding Drugs (Cont.) The nurse’s role as advocate Last line of defense for the patient Ethically and legally unacceptable to administer a drug that is harmful to the patient, even though the medication has been prescribed by a licensed prescriber and dispensed by a licensed pharmacist 6
Image of page 6
Application of Pharmacology in Patient Care Two major areas in which pharmacologic knowledge can be applied: 1. Patient care 2. Patient education 7
Image of page 7

Subscribe to view the full document.

Application of Pharmacology in Patient Care (Cont.) 1. Preadministration assessment 2. Dosage and administration 3. Evaluating and promoting therapeutic effects 4. Minimizing adverse effects 5. Minimizing adverse interactions 6. Making PRN decisions 7. Managing toxicity 8
Image of page 8
Preadministration Assessment Collecting baseline data Needed to evaluate therapeutic responses and adverse effects Identifying high-risk patients Liver and kidney impairment Genetic factors Drug allergies Pregnancy Older adult or pediatric age group Tools: Patient history, physical examination, and laboratory results 9
Image of page 9

Subscribe to view the full document.

Dosage and Administration Certain drugs have more than one indication The dosage may differ depending on the indication for which the drug is being used Many drugs can be administered by more than one route The dosage may differ depending on the route selected Certain intravenous agents can cause severe local injury if extravasation occurs 10
Image of page 10
Dosage and Administration (Cont.) Read the medication order carefully
Image of page 11

Subscribe to view the full document.

Image of page 12

What students are saying

  • Left Quote Icon

    As a current student on this bumpy collegiate pathway, I stumbled upon Course Hero, where I can find study resources for nearly all my courses, get online help from tutors 24/7, and even share my old projects, papers, and lecture notes with other students.

    Student Picture

    Kiran Temple University Fox School of Business ‘17, Course Hero Intern

  • Left Quote Icon

    I cannot even describe how much Course Hero helped me this summer. It’s truly become something I can always rely on and help me. In the end, I was not only able to survive summer classes, but I was able to thrive thanks to Course Hero.

    Student Picture

    Dana University of Pennsylvania ‘17, Course Hero Intern

  • Left Quote Icon

    The ability to access any university’s resources through Course Hero proved invaluable in my case. I was behind on Tulane coursework and actually used UCLA’s materials to help me move forward and get everything together on time.

    Student Picture

    Jill Tulane University ‘16, Course Hero Intern