PHAR & THE NURSING PROCESS
PHARMACOLOGY AND THE NURSING PROCESS
ADPIE
- ASSESSMENT
- DIAGNOSIS
- PLANNING
- IMPLEMENTATION
- EVALUATION
RIGHTS OF DRUG ADMINISTRATION
TRADITIONAL
Right client
Right drug
Right dose
Right time
Right route
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ADDITIONAL
Right assessment
Right documentation
Right to education
Right evaluation
Right to refuse
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1. RIGHT CLIENT
2. RIGHT DRUG
Medication orders may be prescribed by:
Physician
Dentist
Advanced practice registered nurse
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Drug orders are generally written on order sheets or may be given as a telephone order or a verbal order.
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COMPONENTS OF A DRUG ORDER
Date and time of order
Drug dose, route, frequency, and duration
Special instruction for withholding or adjusting dose
Name and signature of the physician who ordered the drug
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CATEGORIESS OF DRUG ORDERS
Standing order
One time or single order
PRN order
STAT order
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3. RIGHT DOSE
DRUG DISTRIBUTION METHODS
- Stock Drug Method
- Drugs are stored on unit and dispensed to all clients from the same container.
- Unit Dose Method
Drugs are individually wrapped and labeled in single doses.
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4. RIGHT TIME
OD
BID
TID
QID
Q
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- Remember to use only universally accepted abbreviations.
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5. RIGHT ROUTE
DRUG FORMS AND ROUTES
- Oral, sublingual, buccal (tablets, capsules, liquids)
- Transdermal
- Topical
- Instillations (eye drops, eye ointments, eardrops, nose drops, nose sprays)
- Inhalations
- Gastric tubes (nasogastric tube, orogastric tube, gastrostomy tube)
- Suppositories (rectal, vaginal)
- Intradermal, subcutaneous, intramuscular, Z-track method, intravenous (ampules, vials)
6. RIGHT ASSESSMENT
7. RIGHT DOCUMENTATION
8. RIGHT EDUCATION
9. RIGHT EVALUATION
10. RIGHT TO REFUSE
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HERBAL THERAPY
10 DOH APPROVED MEDICINAL PLANTS
- LAGUNDI – cough, colds, fever, asthma
- YERBA BUENA – body aches and pain, cough, colds, nausea, dizziness, pruritus
- SAMBONG – diuretic in hypertension, dissolves kidney stones
- TSAANG GUBAT – gastroenteritis, gargle to prevent cavities
- NIYOG-NIYOGAN – antihelmintic
- AKAPULKO – antifungal
- ULASIMANG BATO – lowers uric acid for rheumatism and gout
- BAWANG – lowers blood cholesterol
- AMPALAYA – lowers blood sugar
- GUAVA – antidiarrheal and antiseptic
- ASSESSMENT
- DIAGNOSIS
- PLANNING
- IMPLEMENTATION
- EVALUATION