3.1 Nursing Process in Pharmacology & 10 Rights
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50 Terms
Nursing Process
Systematic method to deliver patient care
Implementation
Execution of nursing actions to achieve goals
Assessment
First step in nursing process, data collection
Subjective Data
Information perceived by the patient
Objective Data
Observable and measurable information
Client Education
Key nursing responsibility during assessment
Assessment Data
Guide teaching sessions and care planning
Active Listening
Engaged listening and observation
Family Inclusion
Enhances patient education and support
Nursing Interventions
Actions to help clients achieve outcomes
Goal Setting
Planning outcomes for client care
Patient Identification
Ensuring correct patient for treatment
ID Band Colors
Color-coded bands for patient conditions
Triple Checking
Verification process before drug administration
Medication Orders
Prescriptions by physicians for drug administration
Kardex
Document with medication order details
Automatic Stop Orders
Facility-specific orders for medication renewal
Drug Order Components
Details required in a medication order
Standing Orders
Ongoing or specific dose/duration orders
Amlodipine
Example drug with dosage information
paracetamol
(Biogesic) 500mg/tablet, 1 tablet q4 hrs PRN for Temp < 37.8°C
KCL DRIP
Start KCL drip with PNSS IL + 40 mEq KCL to run at 80 cc/hr x 2 cycles. Start potassium citrate
PRN Orders
Given at a client's request and nurse's judgment
captopril
(Capomed) 25mg/tablet, SL for BP > 180/110 mmHg
D50 Water
50cc IVTT for CBG < 60mg/dl
STAT Orders
Given once, immediately
AC
Before meals
PC
After meals
BID
Twice a day
HS
Hours of sleep
Q
Every
QD
Every day
QH
Every hour
QID
Four times a day
QOD
Every other day
QOH
Every other hour
Q2H
Every 2 hours
Q3H
Every 3 hours
Q4H
Every 4 hours
TID
Three times a day
RIGHT PATIENT
ensure that all patients are identified as the person for whom the service or treatment is rendered and is able to match the service or treatment to that person
RIGHT DRUG
Ensuring patient receives prescribed medication
RIGHT DOSE
Dose prescribed for a particular client
RIGHT TIME
The time at which the prescribed dose should be administered
RIGHT ROUTE
Necessary for adequate or appropriate absorption
RIGHT ASSESSMENT
Requires that appropriate data be collected before administration of the drug
RIGHT DOCUMENTATION
Requires that the nurse immediately record the appropriate information about the drug administered
RIGHT EDUCATION
Requires that the client receive accurate and thorough information about the medication
RIGHT EVALUATION
Requires that the effectiveness of the medication be determined by the client's response
RIGHT TO REFUSE
Clients may refuse to take the medication