Ch 1 - Nursing Management of Drug Therapy

Identify the defining components of core drug knowledge. - Pharmacotherapeutics, pharmacokinetics, pharmacodynamics, contraindications and precautions, adverse effects, and drug interactions Identify the defining components of core patient variables. - Health status, life span and gender, lifestyle, diet and habits, environment, culture and inherited traits Define 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 Describe how the prototype approach to drugs is a helpful learning tool. - It is an efficient way to learn and understand as much as possible of the vast information about drugs. By learning the core drug knowledge about the prototype, the nurse then knows something about related drugs. ?Differentiate the three main sources of data used in assessment of core drug variables. - 1. Patient Interview and History - most effective with open ended questions; close ended questions are quicker (good for emergency situations) even though they limit depth of the response; should go over health status, life span and gender, lifestyle, diet , and habits, environment, culture and inherited traits; next step is to determine which variables are relevant to the drug therapy being planned for the patient 2. Physical Examination - focuses on the core patient variables of health status and life span and gender and should be comprehensive; the patient's history and present complaints usually dictate which body systems require in-depth assessment; general observation and baseline data; the nurse must analyze all gathered data in terms of the specific current and proposed drugs, identifying any actual and potential problems related to providing drug therapy. 3. The Medical Record - review of medical record and test results provides complete assessment data for the core patient variables; past records used to verify the patient's drug history Describe how core drug knowledge and core patients variables are used in nursing management of drug therapy. - CDK - The patient needs to know when, how frequently, and for how long to take it, how to store it, and what to do if a dose is missed; patient must be aware of any special