Shared Flashcard Set

Details

Pharmacology 1-3
Power Point Info
35
Nursing
Not Applicable
11/14/2010

Additional Nursing Flashcards

 


 

Cards

Term
Babylonians had clay prescription tablets in
Definition
3000 BC
Term
Chemists began isolating specific substances in
Definition
1800's
Term
Most drugs now synthesized in
Definition
labs
Term
Drugs
Definition
Chemical substances capable of producing an effect on living organisms
Term
Biologics
Definition

Agents produced in animal cells, microorganisms, or in the bodyitself

(ie: Hormones, vaccines)

Term

Nursing Process

1.  Assess

Definition

History

Physical

Term

Nursing Process

2.Diagnose

Definition

1. Primary medical problem

 

2. Secondary medical problems

 

3.Social, psychological, educational,environmental, safety,nutritional problems

Term

Nursing Process

3. Plan

Definition
  1. Therapeutic goal
  2. Medication knowledge
  3. Special Needs Equipment
  4. Teaching Needs
Term

Nursing Process

4. Implement

Definition
  1. Right drug
  2. Right time
  3. Right dose
  4. Right patient
  5. Right route
  6. Right documentation
Term

Nursing Process

5. Evaluate

Definition
  1. Therapeutic effects
  2. Adverse effects
  3. Allergy
Term
Responsibilities of RN vs. LVN
Definition

Dictated by licensure and experience

 

RN: Licensure and authority to carry out all steps of the nursing process

 

LVN: Working under the supervision of the RN, assess, implement and evaluate with guidance

Term
Assessment
Definition
  • Gathering information to develop a database, or record, from which all nursing process plans develop
  • Requires skill and expertise of the nurse
  • Two types of data
    • Subjective
    • Objective

 

Term
Data
Definition
  • Subjective data: Information given by the patient or family. It includes the concerns or symptoms felt by the patient
  • Objective data: Obtained through physical exam; information that is observed or could be verified by another. Collected from your physical assessment findings
Term
Subjective Data Sources
Definition
  • Patient
  • Family
  • Medical Records
  • History
  • Health Care Providers
  • Lab Reports
Term
Objective Data Sources
Definition
  • Inspection
  • Palpation
  • Percussion
  • Auscultation
Term

Drug History Assessment

 

Helpful information to be used in planning drug therapy

Definition
  • Symptoms, signs, or diseases that explain need for medications
  • Current (and sometimes past) use of medications and drugs
  • Problems with drug therapy
Term
Diagnoses
Definition
  • Conclusions about what the patients problems are
  • Once the data is collected the "team" makes the diagnoses
    • Physician makes the medical DX
    • Nurse makes a nursing DX
Term
Questions to ask when making a nursing diagnoses
Definition
  • What are the major problems for the pt
  • What brought them to the hospital
  • How sick is the pt
  • What procedures or meds will be needed
  • What special concerns or cultural beliefs does the pt have
  • What does the pt understand
Term
Planning
Definition

Patient Goals: Help the pt learn about a medication and how to use it properly

 

Nursing Goals: Help the nurse plan what equipment or procedures are needed to administer a certain medication

Term
Four Steps of Planning
Definition
  1. Reason medication given (what is it supposed to do)
  2. Learn info re: drug (desired effect, side effects, dosages,route & frequency,drug interactions, reasons not to give)
  3. Special storage, techniques, or equipment
  4. Develop pt teaching plan (what pt needs to know about side effects, admin of med, what pt needs to report to nurse or md and pt response)
Term
Prior to medication administration, critical thinking is essential to:
Definition
  • Verify accuracy of med by checking MAR against physician's original order
  • Determine whether type of medication and dosage are appropriate for pt 
Term
When is medication held
Definition
  • Medication order is unclear or appears incorrect
  • Pt's condition would decline with the medication
  • Physician did not have all the relevant info needed before writing the order
  • There is a change in pt condition
Term
Six Rights of Medication Administration
Definition
  1. Right drug
  2. Right dose
  3. Right patient
  4. Right route
  5. Right time
  6. Right documentation
Term

Right Drug

 

Drug label verified three times

Definition
  1. Before taking drug from unit dose cart or shelf
  2. Before preparing prescribed dose
  3. Before replacing drug on shelf or administering to patient
Term
Right Time Considerations
Definition
  • Action of medication
  • Hospital policy
  • Patient routines
Term
Right dose considerations
Definition
  • Age
  • Weight
  • Health Status
  • Recent changes in health status
Term
Right patient
Definition
  • Verify pt using two identifiers (name, date of birth, ID #)
  • Many pts at risk for misidentification (pediatric, geriatric, confused, non-English speaking
Term
Right route
Definition
  • Route alters affects of medications
  • Nurses must not alter the route prescribed without physician's order
Term
Right documentation
Definition
  • If it isn't documented, it wasn't given
  • Nurses should only document that they have given
  • Document accurately after medication is administered
Term
Questions to ask at Evaluation
Definition
  • Have therapeutic effects been seen?
  • Have any side effects been seen?
  • Have any allergic responses been seen?
Term

Preparing a teaching plan

 

Nursing considerations involved with presenting education

Definition
  • Planning teaching over time
  • Planning to what the pt needs and what they can handle
  • Informed consent
Term
Concordance
Definition
When physician, nurse, patient, family, and pharmacist work together as a team to help a patient follow a prescribed plan of care
Term
Assessment of patient education
Definition
  • Patient assessment
    • Need to learn
    • Willingness to learn
    • Mutually determined learning objectives
  • Types of teaching methods
    • verbal, written, audiovisual, combo
  • Pt return demonstration and/or verbalization
    • Give feedback and praise

 

Term
Implementing Teaching Plan
Definition
  • Role of pt stress and anxiety
  • Planning and timing of sessions
  • Learning capacity
  • Variety of teaching methods
  • Verbal education
    • group settings
  • Written information
    • pt teaching resources
  • Audiovisual resources
    • internet & navigating the web
Term
Communicating with the patient
Definition
  • Nurse time constraints
  • Cultural considerations and beliefs
    • Nurse and/or patient
  • Common language between nurse and patient
  • Written education
    • Literacy
    • Health literacy
  • Pt problems resulting from inability to read or write
  • Poor health outcomes
  • Health disparity: increased risk for disease
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