PHARM FINAL REVIEW - Chapter 1: Pharmacology & the Nursing Process in LPN Practice

7 Rights of Drug Administration

Right patient, right drug, right dose, right route, right time, right to refuse, & right documentation.

Adverse effect

Drug effect that is more severe than expected and has the potential to damage tissue or cause serious health issues.

Assessment

First step of nursing process

Assessment involves

Gathering information about patient that will be used in planning care.

Diagnosis

Name (or label) for patient's disease/condition.

Evaluation

Process of determining the right response by looking at what happens to the patient when the nursing care plan is put into action.

Expected side effects

Unintended, (not unusual) effects of drug that occur in many people taking the drug.

Side effects are typically

Mild and do not require stopping the drug.

Implementation

Carrying out planned interventions

Objective Data

Information that is seen, heard, felt, or measured by someone other than the patient.

Planning

Using information about the patient gathered during assessment to set short-term & long-term goals.

Subjective Data

What the patient says they are feeling/thinking.

Therapeutic effects

Intended action of drug

Nursing assessment is using your

Observational, questioning, & listening skills.

Nursing assessment ensures that a nurse

Safely administer drugs.

When giving a drug, a nurse should always know

WHY they are giving the patient the drug.

When assessing a patient, always ask about

Current health problems, illness history, surgery history, drugs taken (OTC, prescription, & herbal drugs), now & in the past.

To ensure you are giving the right drug, check the drug label

3 times

Never give a drug that was made for one specific route

By any other route

When giving a one-time-only drug, take extra precautions to ensure that

Nobody else has administered drug previously.

Never record drugs

That were not given or before giving them

When giving a patient a drug, how many patient identifiers should be used?

2

If a patient refuses a drug

Document the refusal

If a patient is eating breakfast during med pass, the nurse should

Not leave the medicine at the bedside; administer at a later time.