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PharmExam1ReviewGuide
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Guide your studies by knowing the drug classification and what it is used for with all medsincluded below; drugs in the same classifications have many similar side effects, nursing
considerations, nursing interventions, and patient teaching.
10 Rights of Medication Administration – know what they are and what they mean
(examples of each)
- Right patient- use 2 identifiers name and date of birth
- Right drug- check medication 3 times with order
- Right dose- check dose 3 times with order
- Right route- how the drug is administered
- Right time- is it being given in the right time window 30 mintutes before or
after scheduled time with a meal
- Right assessment- pain temp blood pressure behavior
- Right documentation- nurse initials time, route ,dose, date
- Right to education - make sure the patient knows why they are taking the
medication
- Right evaluation- follow up temp pain level bp
- Right to refuse- a patient has the right to refuse
Illegible RX – nursing action (what to do?)
- Don’t guess call the provider to have it clarified.
Nursing considerations with regard to lack of medication compliance
- Why is the patient noncompliant, can they afford their medication, have they
been educated of the importance, are they competent enough to be able to
medicate themselves.
Half-life – what does it explain?
- Time it takes for half of the drug to leave the body
Tolerance – what is it?
- A person’s diminished response to a drug. It takes a larger dose to achieve
the same therapeutic effects that a previous dose was once able to give
Know the considerations with crushing medications – what can/can’t be crushed
- Not all medications can be crushed. Contin, XL, SR, EC, XR,
Patient teaching for transdermal therapy
- Make sure to remove previous patch, cleanse area prior to putting patch
on, rotate site of patch. Some patches must go in a specific place on the
body.
Symptoms of allergic response and what to do
- Anaphylactic shock, lips swelling, unable to breath, throat closing. Stop
medication immediately notify provider follow orders.
Know the responses that the body has to adrenergics, cholinergics, adrenergic blockers,
anticholinergics, sympathomimetics, sympatholytics.
Review the handout on ANS from class and compare it to the charts in purple boxes
in Kee text that review what response each classification of these drugs causes –
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, you will review that some classifications cause similar responses, yet responses may
be
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