Use of over-the-counter medications
Home remedy use
Switch the route of administration based on drug availability.
Call the patient by name when entering the room to verify the drug is for the right person.
Check the patient's armband before administering the medication.
Prepare medications for all patients first, then administer by room to manage time appropriately.
Preparing and administering prescribed medications safely
Planning measurable outcomes for the patient related to drug therapy
Monitoring the patient continuously for therapeutic as well as adverse effects
Gathering data in a drug and dietary history
Dose of the medication administered
Time medication administered
Patient allergies to medications
Therapeutic effect on patient
Depends on the drug being administered
Evaluation, Planning, Diagnoses, Assessment, Implementation
Planning, Assessment, Diagnoses, Implementation, Evaluation
Diagnoses, Assessment, Planning, Evaluation, Implementation
Assessment, Diagnoses, Planning, Implementation, Evaluation
Physiologic interactions of drugs.
distribution rates among various body compartments.
Interactions between various drugs.
adverse reactions to medications.
Be absorbed by the body.
exert a response.
be eliminated by the body.
Reach a therapeutic level.
Applying cold packs to the injection site
Lowering the extremity below the level of the heart
Administering the medication via the Z-track method
Massaging the site after injection
increase the risk of drug-drug interactions.
typically provide a short duration of action.
must be administered with 8 ounces of water.
have a decreased effect in patients with a low albumin level.
Medications given intravenously are not affected by the first-pass effect.
Medications given orally bypass the portal circulatory system.
A large percentage of an intravenously administered drug is metabolized into inactive metabolites in the liver.
Drugs administered intravenously enter the portal system prior to systemic distribution.
Interacting with receptors.
Making the cell perform a new function.
Inhibiting the action of a specific enzyme.
Altering metabolic chemical processes.
Presence of food in the stomach
pH of the stomach
Patient position upon intake of medication
Form of drug preparation
Time of day
Use the patient's weight in pounds.
Use a current drug reference to determine usual dosage per 24 hours.
Determine the dose parameters by multiplying the weight by the minimum and maximum daily doses of the drug (the safe range).
Determine the total amount of the drug to administer per dose and per day.
Compare the drug dosage prescribed with the calculated safe range.
If the drug dosage prescribed varies from recommended reference range, notify the provider.
Monitoring for and reporting any adverse effects noted during Phase IV studies
Selecting patients to participate in Phase I studies
Identifying patients who are receiving placebo drugs during Phase III studies
Informing patients of the specific drug they are receiving within a blinded investigational study during Phase III
Employ beneficence, the duty to do no harm to a patient.
Withhold information from the patient as requested by the family.
impose his or her own values upon the patient when doing so would help the patient.
transfer care of a patient to another professional nurse if caring for the patient would violate personal ethical principles.