Chapter 9 – Drug Therapy During Pregnancy And Breastfeeding
1. Properties of a Ideal Drug
a. Effective
b. Safe
c. Selective
d. Reversible
e. Predictable
f. Ease of administration
g. No drug interactions
h. Low cost
i. Chemically stable
j. Simple name
2. FDA Approved Drugs vs. Dietary Supplements
Proven to be safe and effective Proven to be safe; efficacy studies are not
required
Usually not in food Can be substances found in food
Usually consists of only one active Can consist of a mixture of chemical
ingredient; in the case of combining drugs, entities derived from a plant source
the contents of each component is known
3. Goals of Pharmacological Therapy
a. Maximum benefit
b. Minimal harm
4. Steps to Safe Medication Administration
a. RIGHTS of Medication Administration
i. Right drug
ii. Right patient
iii. Right dose
iv. Right route
v. Right time
vi. Right documentation
vii. Right indication
viii. Allergies
b. Nursing Responsibilities: The Nurse Must Know...
i. What medications are appropriate for the patient
ii. What drugs are contraindicated for the patient
, iii. The probable consequences of the interaction between drug and patient
iv. Administer meds according to the “rights”
v. Maintain safety and infection control
5. Nursing Process in Medication Administration
a. Preadministration assessment
b. Analysis and nursing diagnosis
c. Planning
d. Implementation
e. Evaluation
f. If an error occurs
i. Report error
ii. Corrective measures
6. Components of a Medication Order
a. Patient’s name
b. Date & time of order
c. Name of medication
d. Dosage
e. Route
f. Time and frequency of medication administration
g. Signature of provider
h. Forms of Medication Orders
i. Written
ii. Computerized
iii. Verbal
iv. Telephone
7. Pharmacodynamics
a. How drugs affect the body
b. Dose-response relationships
c. Drug-receptor interactions
d. Therapeutic index
e. Abilities of Drugs
i. Drugs can inhibit or enhance abilities in the body. It CANNOT create new
abilities
8. Receptor Drugs: Agonist vs Antagonist
a. Receptors
i. Special chemicals in the body that most drugs interact with to produce
effects
ii. Receptors can include enzymes, ribosomes, tubulin, etc.
iii. The term receptor is reserved for the body’s own receptors for hormones,
neurotransmitters and other regulatory molecules.
b. Many drugs work by either agonizing (stimulate) or antagonizing (block)
1. Properties of a Ideal Drug
a. Effective
b. Safe
c. Selective
d. Reversible
e. Predictable
f. Ease of administration
g. No drug interactions
h. Low cost
i. Chemically stable
j. Simple name
2. FDA Approved Drugs vs. Dietary Supplements
Proven to be safe and effective Proven to be safe; efficacy studies are not
required
Usually not in food Can be substances found in food
Usually consists of only one active Can consist of a mixture of chemical
ingredient; in the case of combining drugs, entities derived from a plant source
the contents of each component is known
3. Goals of Pharmacological Therapy
a. Maximum benefit
b. Minimal harm
4. Steps to Safe Medication Administration
a. RIGHTS of Medication Administration
i. Right drug
ii. Right patient
iii. Right dose
iv. Right route
v. Right time
vi. Right documentation
vii. Right indication
viii. Allergies
b. Nursing Responsibilities: The Nurse Must Know...
i. What medications are appropriate for the patient
ii. What drugs are contraindicated for the patient
, iii. The probable consequences of the interaction between drug and patient
iv. Administer meds according to the “rights”
v. Maintain safety and infection control
5. Nursing Process in Medication Administration
a. Preadministration assessment
b. Analysis and nursing diagnosis
c. Planning
d. Implementation
e. Evaluation
f. If an error occurs
i. Report error
ii. Corrective measures
6. Components of a Medication Order
a. Patient’s name
b. Date & time of order
c. Name of medication
d. Dosage
e. Route
f. Time and frequency of medication administration
g. Signature of provider
h. Forms of Medication Orders
i. Written
ii. Computerized
iii. Verbal
iv. Telephone
7. Pharmacodynamics
a. How drugs affect the body
b. Dose-response relationships
c. Drug-receptor interactions
d. Therapeutic index
e. Abilities of Drugs
i. Drugs can inhibit or enhance abilities in the body. It CANNOT create new
abilities
8. Receptor Drugs: Agonist vs Antagonist
a. Receptors
i. Special chemicals in the body that most drugs interact with to produce
effects
ii. Receptors can include enzymes, ribosomes, tubulin, etc.
iii. The term receptor is reserved for the body’s own receptors for hormones,
neurotransmitters and other regulatory molecules.
b. Many drugs work by either agonizing (stimulate) or antagonizing (block)
