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22 Cards in this Set

  • Front
  • Back
• Pharmacotherapeutics:
the desired, therapeutic effect of the drug.
Pharmacokinetics
the changes that occur to the drug while it is inside the body. Includes absorption, distribution, metabolism, and excretion
pharmacodynamics
the effects of the drug on the body. Ex: reduce B/P? Decrease temperature?t
• Contraindications and precautions
the conditions under which the drug should not be used or must be carefully monitoring. In what situations would we be careful with use, or not use this drug due to the patient or a certain population of individuals.
• Adverse effects
the unintended and usually undesired effects that may occur with use of the drug. Ex: rash, headache or anaphylactic shock. Can be something mild to something severe.
• Drug interactions:
the effects that may occur when the drug is given along with another drug, food, or substance.
Variables of core drug knowledge
1. pharmacotherapeutics
2. pharmacokinetics
3. pharmacodynamics
4. contraindications and precautions
5. Adverse effects
6. Drug interactions
Core patient variables
1. health status
2. lifespan and gender
3. Lifestyle, diet, and habis
4. Environment
5. Culture and inherited traits
What is the nursing management of drug therapy?
the process of planning and implementing actions that will maximize the therapeutic effects and minimize the adverse effects of a drug. Must also provide patient and family education
What is the goal of nursing drug therapy?
To provide maximum benefit with minimal harm. Promote effectiveness and decrease adversity.
In what health care settings might drugs be administered?
-hospitals
-long-term care facilities
-outpatient centers and clinics
-patients home
What is the nursing process?
a systematic approach to the delivery of nursing care, it involves interdependent functions and includes assessment, nursing diagnosis, planning, implementation, and evaluation.
What assessment data is needed for drug therapy?
-current medications
-potential interactions between medication
-use resources to identify drugs that are unfamiliar.
-knowledge of prototype drugs
What are prototype drugs?
-typical medications in a drug class. Normally it is the first drug of its class and has similar characteristics to all in a class of drugs.
What are the three sources of assessment data
-the patient interview and history
-the physical examination
-the medical record.
What is the purpose of data collection?
-to interpret data based on their relevance to drug therapy
-to help determine any significant drug interactions.
How are nursing diagnosis relevant to drug therapy?
They reflect a current, actual problem or risk for developing, a problem related to drug therapy. It may reflect the effects of the drugs. It is highly individualized.
What is the main planning goal for drug therapy?
Maximize therapeutic effects.
-administer the drug in a manner that will promote absorption
-administer at the right time
-monitor lab values
What should be considered in planning to minimize adverse effects?
-verify allergies
-assess for contraindications
-administer in a manner consistant with standard safety protocols
-monitor patient and lab findings
-d/c or withold based on assessment or lab findings.
-report adverse effects to prescriber
-modify administration techniques if needed
-implement appropriate assessments to detect onset of adverse effects
IWhat needs to be considered for implementation based on core drug knowledge components?
-understanding the drugs response such as name, reason, intended effect, and important adverse effects
-Basics taught to patient and family
What needs to be considered for implementation based on core patient variables?
-health status
-lifespan and gender
-lifestyle, diet, and habits
-environment
-culture and inherited traits
What is considered with evaluation of drug therapy?
-measure the patients progress
-consider if it achieved desired effect
-assess if outcomes were not achieved and why
-identify any reason behind treatment failure