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
...
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
o elderly- 2 identifiers; if confused (do not ask pt for the name)
o give med 30 min before or 30 min after the due time (right time)
o TID: 3 times/day; BID: 2 times/day; QID: 4 times/day; DO NOT use QD (write the word
Daily)
Pharmacokinetics:
o What the body does to the drug
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