Nursing process and CJMM
This is the first step of the nursing process
Assessment
These drugs that are available without a prescription
Over-the-counter (OTC) drugs that are available without a prescription
Confirm the drug can be given by the route ordered.
Confirm the patient can take or receive the drug by the route ordered.
Right route
This is The effects of a drug on body functions (what a drug does to the body).
pharmacodynamics
You must have 40 of these completed before level one clinical starts
Drug cards
Implements interventions correlates with this in the CJMM
Take action
Using this memory jogger can help you remember high alert drug and avoid causing harm to your patients.
drugs can be remembered using the acronym PINCH. P is for potassium, I is for insulin, N is for narcotics (opioids), C is for cancer chemotherapy drugs, and H is for heparin or any drug type that interferes with blood clotting
Patient declines his blood pressure medications
Right to refuse
This is The metabolism of a drug within the body (what the body does to a drug)
pharmacokinetics The metabolism of a drug within the body (what the body does to a drug)
This happens in various sites in the body but mainly in the liver, where enzymes break down the chemicals that make up the drug into its usable and unusable parts.
biotransformation
Seen when patients do not respond to their drugs in the way they should or develop new signs or symptoms
Adverse effects
These Drugs that are highly regulated because they are commonly abused; also known as scheduled drugs.
controlled substances
Check the patient’s name using two methods to identify the patient.
Right patient
This is a special designation from the FDA indicating that the drug has a higher-than-normal risk for causing serious or life-threatening problems in addition to its positive benefits for some
black box warning
This citrus fruit can interfere with drug metabolism
Grapefruit
We use this each and every time you give a drug to a patient!
9 rights of medication administration
This always needs to be completed when patients are transferred from LTC facility to an acute care hospital
Medication reconciliation
You should check the drug label to make sure you have the right
Right drug
Adverse drug effects that can result in kidney damage.
nephrotoxic
Name the Process of Pharmacokinetics
Pharmacokinetics
Absorption
Distribution
Metabolism
Excretion
Read the drug label three times. When do these occur?
Read the drug label three times!
1. Before taking the drug from the unit-dose cart or storage area
2. Before preparing or measuring the prescribed dose of drug
3. At the bedside before you give it to the patient
This Act is governed by state law that licenses LPNs/VNs, registered nurses, nurse anesthetists, nurse practitioners, and nurse midwives.
Nurse Practice Act
Confirm the reason or need for the drug.
Right reason
This is a severe, life-threatening form of an allergic reaction
anaphylactic reaction
These types of drugs must never be crushed, chewed, opened (if a capsule), or cut because this will result in an overdosage
Long-acting or extended-release drugs