Pharm Day 2 notes

drug classification: name

generic

• official name

• same regardless manufacturer

trade

• brand

• given by manufacturer

Always chart and verify generic names

how can drugs be classified by

effect on body

therapeutic use

chemical characteristic

prototype drug

represent entire drug class

first dev or most common

used for comparison

controlled substance

high potential for abuse

risk of diversion

req:

• secure storage

• count verification

• strict documentation

Black Box Warning

issued by FDA

indicate serious or life-threatening risk

Nurses must know and monitor BBWs

RN responsibilities

Administering meds correctly

Reporting medication errors

Recognizing incorrect orders

Monitoring patient response

Providing patient education

Delegating appropriately

med orders

Patient’s full name

Drug name

Dose

Route

Frequency

Provider signature

Date & time

Missing info = do not give med

rights of medication administration

1. Right patient

2. Right drug

3. Right dose

4. Right route

5. Right time

6. Right documentation

check for allergies ALWAYS

medication administration checks

3 checks

1. removing med

2. before prep

3. at bedside before administrating

nursing process

A: assessment

D: diagnosis/analyze

P: planning

I: intervention

E: evaluation

A: assessment

hx

allergies

assessment

vitals

labs

D: diagnosis/analyze

identify problem

P: planning

what to give

supplies needed

I: intervention

administer med

educate pt

E: evaluation

did it work?

side effects?

document response

albuterol

beta-2 agonists

Indication: bronchospasm (asthma, COPD)

MOA: relax bronchial smooth muscle

therapeutic: easier to breath, improve oxygenation

albuterol nursing considerations

side effect: tremor, nervousness

adverse effect: tachycardia, ↑ BP

contradiction: severe CV disease

furosemide

loop diuretic

Indication: edema, heart failure

MOA: inhibit sodium, water reabsorption

monitor:

• potassium (K) level

• BP

• dehydration

metoprolol

beta-1 blocker

indication: HTN, angina, HF

MOA: decrease HR/BP

monitor: HR/BP, signs of bradycardia

respiratory medication categories: bronchodilators

salmeterol: 2 puffs, oral inhalation, BID

albuterol: 2 puffs, oral inhalation or nebulization, x4hr PRN for shortness of breath

ipatropium: nebulization, x4hr PRN shortness of breath

epinephrine: injection, NOW

respiratory medication categories: corticosteroids

beclomethasone: 2 puffs, oral inhalation, BID

Prednisone: PO tablet, once a day

methylprednisolone: IV, NOW

respiratory medication categories: adjuvant

montelukast: PO, daily

respiratory medication categories: decongestant

pseudoephedrine: PO, x 6hr, PRN

oxymetazoline: 2-3 nasal spray, x 12h PRN

fluticasone: 2 nasal spray, daily

respiratory medication categories: antitussive

hydrocodone: PO, x 4hr PRN

dextromethorphan: PO, x 4hr PRN

respiratory medication categories: expectorant

guaifenesin: PO, x 4hr PRN