Lehne's Pharmacology for Nursing Care 11th Edition Ch. 2.

Lehne's Pharmacology for Nursing Care 11th Edition Ch. 2. Five rights of drug administration - CORRECT ANSWERS Right drug, right patient, right dose, right route, right time. Additional rights of drug administration - CORRECT ANSWERS right assessment, right documentation, right evaluation, right to education, right to refusal. Rights of drug administration guarantee - CORRECT ANSWERS drug will be administered as prescribed, but correct administration, without additional intervention cannot ensure that treatment will result in maximum benefit with minimum harm. Nurse Responsibilities - CORRECT ANSWERS Important events will take place after the object is delivered; these must be responded to. You must know what drugs are contraindicated for the patient. Pharmacology checks and balances - CORRECT ANSWERS providers, pharmacists, and nurses. Nurses are the most important part of the checks and balances - CORRECT ANSWERS they are the ones administering the medication and likely the first person to observe and evaluate responses and intervene if required. Last line of defense against medication errors. Ethically and legally unacceptable to administer a drug harmful to patient. Two major areas to apply pharmacologic knowledge - CORRECT ANSWERS patient care and patient education The nurse must know - CORRECT ANSWERS 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 Eight aspects of drug therapy - CORRECT ANSWERS Preadministration assessment, dosage and administration, evaluating and promoting therapeutic effects, minimizing adverse effects, ,minimizing adverse interactions, making PRN decisions, managing toxicity. 3 goals of preadministration assessment - CORRECT ANSWERS collect baseline data needed to evaluate therapeutic and adverse responses, identify high-risk patients, assess patient's capacity for self-care. Baseline data - CORRECT ANSWERS Used to compare how effective the drug is both therapeutically and for adverse reactions. Must know the effects the drug is likely to produce to collect the baseline data. Important predisposing factors of high-risk patients - CORRECT ANSWERS pathophysiology (live and kidney impairment), genetic factors, drug allergies, life span considerations (pregnancy, young age, advanced age). When treatment of a drug is under consideration you must determine - CORRECT ANSWERS if the patient has had an allergic reaction in the past and note the type of reaction. If there is an allergy, you must get an alternative prescribed. To identify patients who may have a high risk to an adverse drug reaction - CORRECT ANSWERS collect pt. history, physical examination, and laboratory data.