RN ATI Capstone Pharmacology 1- Focused Review

RNfATIfCapstonefPharmacologyf1-
fFocusedfReviewfThaliafVazquez

D41033079

ManagementfoffCare
SafefMedicationfAdministrationfandfErrorfReduction:f ActionsftofTakefforfafClient’sfRefusalfoffMedic
ation
RMfPharmfRNf8.0fChpf2
RNfQSEN-fPatient-CenteredfCare
● Providesfforfthefclient'sfphysiologicalfandfpsychologicalfneeds
● Providefeducationfandfevaluateftheirfresponses
● Supportfclientfrights
● Carefforfolderfadultsfandfthefveryfyoung
● Assessfpreferences,fvaluesfandfneeds
○ Usefthefdatafcollectedftofhelpfdevelopfafmorefindividualizedfplanfoffcare.
● UsedftofultimatelyfdevelopfaftherapeuticfrelationshipfR
NfThinkingfSkills-fClinicalfJudgement
● Applyingfknowledgeftofhelpfanalyze,fevaluatefandfcreate.
● Beingfableftofapplyfknowledgefmeansfbeingfableftofusefinformationfinfnewfsituations
● Beingfableftofanalyzefmeansftofbeforganized,fcomparefandfcontrastf andfdrawfco
nclusions.
● Beingfableftofevaluatefmeansfjudgefsupportfandfbefableftofcritiquefinformation
● Beingfableftofcreatefmeansfbeingfableftofplan,fdevelopfandfimplementforiginalfwork.fRN
fNursingfProcess-fImplementation


● It'sftheffourthfstepfoffthefnursingfprocess.
● Criticalfthinkingfskillsfandfclinicalfreasoningftofmakefclinicalfjudgementsfonfbeingfableftofs
electfwhatfinterventionsftofcomplete.
● Thisfwillfpromote,fmaintainfandfrestorefclientfhealth.
● Supportsfself-care,fbasicfneeds,fmanagefchangesfinfstatusfandfminimizefriskfoffinjury.
● AlwaysfusefEBPftofmakefclinicalfjudgments.fR
NfManagementfoffCaref2019
● 17-23%fwillfbeftestedfonfandfbasedfonfbeingfableftofmanagefcare.
● Itfbasedfonfbeingfableftofmakefjudgementsfinfbeingfableftofprovidefandfdirectfnursingfcare
● ManagementfoffCarefTopics
○ Advancedfdirectives,fself-determination,flifefplanning
○ Advocacy
○ Assignment,fdelegation,fsupervision
○ Casefmanagement
○ Clientfrights
○ Collaborationfwithfinterdisciplinaryfteam
○ ConceptsfoffManagement
■ Confidentiality,finformationfsecurity

,RNfATIfCapstonefPharmacologyf1-
fFocusedfReviewfThaliafVazquez

D41033079
■ Continuityfoffcare
■ Establishingfpriorities
■ EthicalfPractice
■ Informedfconsent
■ Informationftechnology
■ Legalfrights/fresponsibilities
■ Performancefandfqualityfdevelopment
■ Referrals
PharmacologicalfandfParenteralfTherapies
AirflowfDisorders:IdentifyingfMedicationsfthatfHavefanfAdversefEffectfoffChestfPain
RMfPharmfRNf8.0fChpf17
RNfQSENfEvidencefBasedfPractice
● Thisfrelatesftofthefassimilationfoffcurrentfknowledgeftofmakefclinicalfjudgementftofpro
videfcare.
● Comesffromfresearchfandfcrediblefsources,fclientfpreferencesfandfexperience.
● AsfafnursefimplementingfEBPfwill:
○ Demonstratefeffectivefresultsfandfpositivefoutcome
○ Validatefeffectivenessfoffthefselectedfinterventions
○ Usefoffafsystematicfapproachftoffindfrelevantfevidence
○ Considersfclientsfpreferences
○ Enablesfownfclinicalfexpertisef
RNfThinkingfSkills-fClinicalfJudgement
● Applyingfknowledgeftofhelpfanalyze,fevaluatefandfcreate.
● Beingfableftofapplyfknowledgefmeansfbeingfableftofusefinformationfinfnewfsituations
● Beingfableftofanalyzefmeansftofbeforganized,fcomparefandfcontrastf andfdrawfco
nclusions.
● Beingfableftofevaluatefmeansfjudgefsupportfandfbefableftofcritiquefinformation
● Beingfableftofcreatefmeansfbeingfableftofplan,fdevelopfandfimplementforiginalfwork.fRN
fNursingfProcess-fAnalysisfandfDiagnosis


● SecondfstepfoffthefNursingfProcess
● Itsfbeingfableftofcollectfdata
● Interpretfthefdata
● Makefclinicalfjudgements
RNfPharmacologicalfandfParenteralfTherapiesf2019
● 12-18%foffitemsfonfNCLEXfcomeffromfpharmacologicalfandfParenteralfTherapies
● ThisfsubfcategoryffallsfunderfPhysiologicalfIntegrity
● Thisfcategoryfdeterminesfknowledgefoffbeingfableftofadministerfandfknowfmedications
● TopicsfInclude:
○ Adversefeffects/contraindications/fsidefeffects/finteractions
○ Bloodfandfbloodfproducts

, RNfATIfCapstonefPharmacologyf1-
fFocusedfReviewfThaliafVazquez

D41033079
○ Centralfvenousfaccessfdevices
○ Dosagefcalculation
○ Expectedfactions/outcomes
○ Medicationfadministration
○ Parenteralf/fintravenousftherapies
○ Pharmacologicalfpainfmanagement
○ Totalfparenteralfnutrition
AirflowfDisorders:fEvaluatingfClientfUnderstandingfoffMontelukast
RMfPharmfRNf8.0fChpf17
RNfQSENfPatientfCenteredfCare
● Providesfforfthefclient'sfphysiologicalfandfpsychologicalfneeds
● Providefeducationfandfevaluateftheirfresponses
● Supportfclientfrights
● Carefforfolderfadultsfandfthefveryfyoung
● Assessfpreferences,fvaluesfandfneeds
○ Usefthefdatafcollectedftofhelpfdevelopfafmorefindividualizedfplanfoffcare.
● UsedftofultimatelyfdevelopfaftherapeuticfrelationshipfR
NfThinkingfSkills-fClinicalfJudgement
● Applyingfknowledgeftofhelpfanalyze,fevaluatefandfcreate.
● Beingfableftofapplyfknowledgefmeansfbeingfableftofusefinformationfinfnewfsituations
● Beingfableftofanalyzefmeansftofbeforganized,fcomparefandfcontrastf andfdrawfco
nclusions.
● Beingfableftofevaluatefmeansfjudgefsupportfandfbefableftofcritiquefinformation
● Beingfableftofcreatefmeansfbeingfableftofplan,fdevelopfandfimplementforiginalfwork.fRN
fNursingfProcess-fEvaluation


● Theffinalfphasefoffthefnursingfprocessfisfthefevaluationfphase.
● Itftakesfplaceffollowingfthefinterventionsftofseefiffthefgoalsfhavefbeenfmet.fThefusualfmet
hodfemployedfisftofcompletefanfevaluationfformfthatfthefnurseffillsfinfforfeachfinterventi
onforftreatment.
● Nursefmustfbefablefto:
○ Identifyfiffgoalsfarefmet
○ Iffteachingfisfunderstood
○ Evaluationfoffthefoutcomefiffafdelegatedftaskfwasfgiven
○ Determinefiffinterventionsfshouldfbefterminated,fcontinuedforfmodifiedfwhenfpr
ovidingfcare.
RNfPharmacologicalfandfParenteralfTherapiesf2019
● 12-18%foffitemsfonfNCLEXfcomeffromfpharmacologicalfandfParenteralfTherapies
● ThisfsubfcategoryffallsfunderfPhysiologicalfIntegrity
● Thisfcategoryfdeterminesfknowledgefoffbeingfableftofadministerfandfknowfmedications
● TopicsfInclude: