Question | Answer |
The ___ is a well established, research supported framework for professional nursing. It's a flexible, adaptable, & adjustable 5 step process consisting of assessment, nursing Dx, planning, implementation, and evaluation | nursing process |
during the __phase, data are collected, reviewed, and analyzed. | assessment |
data are categorized into __ & __ data | objective and subjective |
___ data may be defined as any information gathered through the senses or that which is seen, heard, felt, or smelled. | objective |
Prescriptions, OTC, herbal therapies, diet supplements, illegal drugs, hormonal drugs (birth control, estrogen), current meds, allergies, and responses to medications (therapeutic and adverse) are examples of the | medication Hx |
In the ___ the nurse must make a decision about the need/problem of the Pt. (actual or at risk), use the NANDA-I format, use crit thinking, creativity, and accurate data collection. | nursing Dx |
The nursing Dx has 3 parts. | 1- human response to illness (actual or at risk)
2-related to
3- as evidenced by |
After data are collected and nursing Dx are formulated, the ____phase begins. | planning |
Identify goals and outcome criteria (must be specific and measurable) (must be Pt centered), time frame, and prioritization | planning |
__ are objective, measurable, and realistic, with an established time period for achievement of outcomes. | Goals |
_ are concrete descriptions of Pt goals. they should be patient focused, succinct, and well thought out. specific standards of measure and Pt specific | outcome criteria |
_ consist of initiation and completion of specific actions by the nurse as defined by nursing Dx. and outcome criteria | implementation |
the 6 rights of medication administration | 1-right drug
2-right dose
3-right documentation
4-right time
5-right route
6- right Pt |
6 rights: generic name should be used. Check 3 times | right drug |
6 rights: id from order. check math dosage. check vital signs | right dose |
1/2 hour rule. use military time. avoid abbreviations. know Pt and medicine (example, if meds make you sleepy and Pt has busy life) | right time |
check name, id number, age/DOB, and allergies before giving meds. | right Pt |
date/time. name of meds given, dose, route, and site. if no drug given, state why!if med error occured | right documentation |
any preventable event that may cause or lead to inappropriate medication use or Pt harm while the medication is in the control of health care professional. | Medication error |
Includes: professional practices, health care product systems. Prescribing order, product labeling, packaging, communication, dispensing, distribution, administration, education, monitoring, and use | medication error |
_ occurs after the nursing care plan has been implemented. its systematic, ongoing, and a dynamic phase of the nursing process as related to drug therapy. | evaluation |
__ includes monitoring the patients therapeutic response to a drug, adverse effects, & toxic effects. | evaluation |
During pt assessment & drug therapy, a nurse should have information on what 3 things | assess all drugs
physical characteristics
psychosocial |
_should include: height, weight, muscle mass/ability to swallow/Gi integrity/ etc, chronic illness (Liver and renal) | physical characteristics |
_ should include: age & developmental stage, education/ reading level, ethnic group, cultural & religious beliefs | psychosocial |
__ should contain:
1- Pt name
2- date of order
3- name of drug
4- dosage- amount, frequency, number of doses
5- delivery route (very important)
6- prescriber signature | medication order |
if you are monitoring a pt, what nursing Dx step are you doing | evaluation |
any chemical that affects the physiologic process of a living organism | drug |
study or science of drugs | pharmacology |
describes the drug's chemical composition and molecular structure | chemical name |
name given by the US adopted name council | generic |
drug has a registered trademark | trade |
study of how various dosage forms influence the way in which the body metabolizes a drug and the way in which the drug affects the body. (capsule, pill, chewable, etc) | pharmaceutics |
study of what the body does to the drug molecules; involves the processes of absorption, distribution, biotransformation, metabolism, and excretion. Determines onset of action, peak effect, and duration of action | pharmacokinetics |
study of what the drug does to the body. the mechanism of drug actions in living tissues | pharmacodynamics |
3 principles of pharmacodynamics:
1- drug action depends on __ & __ the interacts in the body.
2- Drugs __ existing body functions
3- no drug has a __ reaction | where and how
modify
single |
dose formulated drug. Then administration. What phase does it enter | physical characteristics |
what phase disintegration of dosage form dissolution of drug in body | physical characteristics |
after administration of drug, and Pharmaceutical phase, what is next | drug available for absorption |
after the drug is available for absorption, what phase is next | pharmacokinetic phase |
what phase is absorption, distribution, metabolism, and excretion | pharmacokinetic |
after drug is available for absorption and pharmacokinetic phase, what is next | drug available for action |
after the drug is available for action, what phase is next | pharmacodynamic |
what phase is drug-receptor interaction
(Last phase, next action is effect) | pharmacodynamic |
study of the uses of drugs and the clinical indications for administering drugs to prevent and treat disease. Includes empirical and rational therapeutics | pharmacotherapetics |
the study of natural (plant and animal) drug sources | pharmacognosy |
study of adverse effects of drugs and other chemicals on living systems | toxicology |
normally 17 years from time when a new drug molecule is discovered through development and initial marketing | patent life |
left off pg 10 in syllabus. page 19 in book. slide 12 on power point | |