Pharmacokinetics - correct Answers ✔✔ -Changes that occur to
the drug while it is inside the body. Movement of the drug
particles inside the body
Pharmacotherapeutics - correct Answers ✔✔ -The desired,
therapeutic effect of the drug. What the expected outcome for
the taken drug
Pharmacodynmics - correct Answers ✔✔ -The effects of the drug
on the body. How the body changes in reaction to the drug
Contraindications/Precautions - correct Answers ✔✔ -The
conditions under which the drug should not be used or must be
used carefully with monitoring
Adverse effects - correct Answers ✔✔ -The unintended and
usually undesired effects that may occur with the use of the drug
Drug interactions - correct Answers ✔✔ -The effects that may
occur when the drug is given along with another drug, food, or
substance
Health status - correct Answers ✔✔ -Chronic medical conditions,
acute conditions, current meds, allergies, lab values, vitals.
Assess functioning of body system and organs. Components of
complete drug
Life span and gender - correct Answers ✔✔ -Age & gender.
Muscle mass, weight, activity/exercise, sleep/rest. Patients
developmental level, ability to read and write, ability to
understand directions. Needed to plan pt eduction on drug
therapy including the nurses approach and teaching methods.
,Lifestyle, diet and habits - correct Answers ✔✔ -Occupation,
finances, substance use exercise, supplements, complimentary
meds, tobacco/nicotine/alcohol/iliicit drugs/caffeine.
The nurse ask questions about pt lifestyle because they can use a
potential effect on drug therapy
Environment - correct Answers ✔✔ -Where will the drug be
administered
*Most drug therapy now occurs outside of hospitals. Need to educate them
before discharge. May give clues to the pt adherence to the drug regimen
or to potential risks from the therapy. General factors to assess include
cleanliness, lighting, adequate heat, water, and refrigeration.
Culture & inherited traits - correct Answers ✔✔ -Cultural beliefs,
some don't believe in meds. Give them the respect to do
unharmful practices. Genetic trains may affect kinetics/dynamics.
Worry about the pt safety at all times first. Consider beliefs
second, as long as beliefs not harming themselves. Affects the
patients acceptance of prescribed drug therapy. Religions
restrictions or cultural practices may affect the patients
acceptance of drug
Nurse management of drug therapy - correct Answers ✔✔ -The
process of planning and implementing actions that will maximize
the therapeutic effects and minimize the adverse effects of a
drug. Nurse considers core drug knowledge and core pt variables
and determines potential interactions between them. Educate pt
and family
85%
50% - correct Answers ✔✔ -Approximately ____% of adults 65 and
older are receiving one prescription per month.
Almost _____% of adults aged 65 and up are receiving 3 or more
prescriptions a month
,Core drug knowledge - correct Answers ✔✔ -The first step for a
nurse is to identify the __________________ relevant to a patients
drug therapy. How much do they know?
Prototype Drug - correct Answers ✔✔ -Typical of a medication
within a drug class.
usually the first drug of a class
Drug has similar characteristics to all drugs in class of drugs
Provides systematic way to increase knowledge of medication
Pt interview and history
Physical exam
Medical record - correct Answers ✔✔ -3 sources of assessment
data:
Core patient variables - correct Answers ✔✔ -Assessment of the
________________________ also allows the nurse to predict to some
degree the future needs of the patient
Circulatory systems - correct Answers ✔✔ -Patients who are very
active and who exercise are likely to have better
__________________than those who are inactive
lifestyle choices - correct Answers ✔✔ -______________________
affect the distribution of drugs within the body
Physical examination - correct Answers ✔✔ -Focuses on health
status, life span and gender. Must be comprehensive. Physical
assessment of each body system to provide info about disease
and illness. Vital signs for baseline date. Height and weight.
Medical record - correct Answers ✔✔ -Provides information about
the patients health status, lifestyle, diet, habits, and
environment. Areas that are specifically important include labs
and diagnostic test results. Nurse must review all diagnostic
findings paying special attention to those findings relevant to
body systems at risk for adverse effects from currently used
drugs. Drug history.
Kidney problems - correct Answers ✔✔ -Increase of creatinine =?
, Nursing Outcomes - correct Answers ✔✔ -Determine the desired
results. Based on date collected. Specific to the patients drug
regimen.
Maximizing therapeutic effects - correct Answers ✔✔ -Administer
the drug in a manner that will promote its absorption. Administer
at appropriate time to maintain blood levels of the drug that will
promote therapeutic effects. Monitor lab values when appropriate
to determine that the prescribed dose achieves a therapeutic
drug level. 6 rights mainly used here
Minimizing adverse effects - correct Answers ✔✔ -Verify the its
allergies. Assess for contraindication for the drug therapy.
Administer drug in a manner consistent with standard safety
protocols. Monitor pt and relevant lab findings. Withhold drug
based on findings. Report evidence of adverse effects to
prescriber ASAP. Modify administration techniques. Implement
appropriate assessment for certain drugs`
Core drug knowledge - correct Answers ✔✔ -Understand drug's
response.
Patient education - correct Answers ✔✔ -The goal of
___________________ is for the individual pt to understand the drug
and its effects well enough to self medicate safely and effectively
and to monitor the drug response
Name
Reason
Intended effect
Adverse effects - correct Answers ✔✔ -Basics of teaching pt and
family about drug therapy:
_________ of the drug
____________ drug was prescribed
____________ effect of drug
Important ________________ that may occur
What to do if miss dose
Evaluation - correct Answers ✔✔ -Measures the pt progress
Consider whether the drug achieved the desired effect.
Must identify the reason behind any treatment failure
report/ document treatment failure
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