Slid CH01

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Chapter 1:

Introduction to
Pharmacology
Introduction
• Nurses must:
– understand drugs and how they work
– be able to judge the efficacy of medication and
recognize any adverse or unintended effects
• With knowledge, nurses can minimize any
harm associated with administering
medications
Nursing and Pharmacology
• Pharmacology
– Study of the actions of drugs
– Incorporates knowledge form other sciences
– Plays important role in nursing care
Drug Classifications and Names
• Drug classifications
– Classified by how they affect body systems
– Similar drug features within classes
• Drug names
– Trade name
• Assigned by company that manufactures drug
– Generic name
• Official drug name
Prescription and Nonprescription
Drugs
• Legal ways to access drugs
– Prescription
– Over-the-counter (OTC)
• Role of the nurse
– Gather information about patients’ use of both
types of drugs
Controlled Substances
• Comprehensive Drug Abuse Prevention and
Control Act
– Categorized by schedule (I-V)
– Based on therapeutic use and potential for
abuse
• Nurse requirements
– Storage and administration
– Recordkeeping
Sources of Drug Information
• Pharmacology textbook
• Drug reference guides
• Authoritative sources
• Package inserts
• Online resources
• Continuing education
Quality and Safety Education for Nurses
(QSEN) Competencies
• Patient-centered care
• Teamwork and collaboration
• Evidence-based practice
• Quality improvement
• Safety
• Informatics
Overview of the Nursing Process:
Assessment
• Involves collecting data about the patient
– May affect whether or not a medication should
be given
• Includes collecting data about the drug(s)
• Is an ongoing process
– As patients’ conditions may change
Overview of the Nursing Process:
Nursing Diagnosis
• Cluster data gathered in assessment
• Analyze data for patterns
• Make inferences about:
– Patient’s problems
– Patient’s needs
Overview of the Nursing Process:
Planning
• Top priorities
– Formulate goals and outcome criteria
– Prioritize needs
– Keep patient comfort and safety
• QSEN competency of patient-centered care
Overview of the Nursing Process:
Intervention
• Priorities
– Carry out planned activities
– Be mindful of ongoing assessment needed
• Nurses require specific skills
– Include three general elements
Overview of the Nursing Process:
Evaluation and All Phases
• Evaluation
– Continuous process
• Determine progress toward identified goals
• All phases of nursing process
– Guidelines for documentation
– Variables
• Patient- and drug-specific
Cultural Aspects of Drug Therapy
• Physical differences
– May affect how groups respond to medications
– Should not assume how a patient will respond
• Cultural considerations
– Pain response
– Health care practices
Eight Rights of Medication
Administration
• Right drug
• Right patient
• Right dose
• Right route
• Right time
• Right reasons
• Right documentation
• Right response
Two Additional Rights of
Medication Administration
• Right education
• Right to refuse
American Nurses Association
• 2001 Code of Ethics
– Four recommendations for nurses
• 2005 Code of Ethics for Nurses with
Interpretive Statements
– Nine provisions
Medication Errors
• Daily occurrences
– Can result in serious and fatal consequences
• Top three causes
– Information management in health records
– Unrecognized patient deterioration
– Implementation of clinical decision support
How Often Do Medication Errors
Occur?
• Incidence is hard to qualify
– Error rates vary
• Most accurate way to quantify
– Direct observation
How Can Medication Errors Be
Prevented?
• Key areas of focus
– Patient transfer
– Patient identification
– Environmental factors
• 2016-2017 Targeted Medication Safety Best
Practices for Hospitals

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