Pharmacology Module NP1 SU20 PDF

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PHARMACOLOGY MODULE NURSING 1519

This module is designed to supplement your learning utilizing your theory readings and assignments, as well as the resources provided. This assignment should be completed by each individual as part of class preparation. Group work is not permitted on this assignment. Please submit to the MOODLE dropbox.

1. Go to the ATI website (www.atitesting.com) or MOODLE ATI folder and download the Medication Active Learning Template. Fill one out for each of the following medications1. 2. 3. 4. 5. 6.

amoxicillin cephalexin erythromycin doxycycline gentamycin ciprofloxacin

These templates will assist you in learning some of the prototype medications for major classes of antibiotics. Submit to the Moodle dropbox titled Pharmacology Module. 2. Read the following case study and answer the questions. Nancy Carter, age 75, is hospitalized after falling and breaking her hip. This afternoon a new nurse goes into her room and takes her a pill, which she recognizes as her blood pressure pill. At home she only takes it in the morning, but she says nothing as the nurse gives her a second pill on this day. Perhaps her blood pressure is high due to the stress of the accident and her fractured bone. Oh well, she really does not want to know if her blood pressure is up and why she is getting a second pill. She says to herself, "I have enough to worry about without worrying about that too." When Nurse Smith goes to Mrs. Carter's chart on the Medication Administration Record that she left in the nurses' station, she discovers that the medication, the amiodipine 5 mg (Norvasc), was to be given daily and not BID as she had written on her notes about the patient's medications.

a. a. What do you think caused Nurse Smith to make this medication error and what action b. does Nurse Smith need to take now and why? She should have checked her medication reconciliation that took place at admission. This is where the nurse compiles a list of each medication the patient is taking. Also, during her assessment she should have made note that the patient had already taken the medication that morning before arriving. Nurse needs to consider the rights of safe medication administration to make sure the right dose is given at the right time. Nurse Smith will need to notify her supervisor and care provider of the medication error and do proper documentation/incident report for the error. Nurse Smith will also need to check vitals more frequently to ensure no adverse effects due to the medication error. Report and document any of these adverse effects. d. b. If the patient is harmed or dies because of the nurse's error, and the nurse finds herself as the defendant in a lawsuit, what standards will be used in judging the nurse's actions?

The standards of care are the minimum requirements for providing safe nursing care. Federal and state laws, rules and regulations, accreditation standards, and institutional policies and procedures are used to formulate nursing standards of care.

3. Answer the following questions regarding Medication Safety. a. Discuss the preferred site for intramuscular injections (in your own words). Why are other injection sites not as preferred? Compare the adult and child in your discussion. The preferred sites for IM injections on adults are the ventrogluteal or the deltoid. For children, the preferred sites are the vastus lateralis or the deltoid. These are the preferred sites because they are more muscular and have less nerves and blood vessels.

b. How might the student nurse and/or nurse prevent medication errors from occurring? List a minimum of five. 1. Prepare medications for one client at a time. 2. Avoid distractions during medication preparation (poor lighting, phone) 3. Do not administer medication that someone else has prepared. 4. Do not leave medications at the bedside. 5. Take the MAR to the bedside. 6. Always follow the rights of medication administration (route, dose, client, time, drug) c. Explain how to properly handle controlled substances that must be wasted during preparation. Two licensed clinical staff members must witness the appropriate disposal of the substance in an approved container and document the wasting of the drug.

d. List and describe the essential parts of a medication order. - Patient’s name - Date and time the order is written. - Name of drug to be administered. - Dosage of the drug. - Route of drug administration. - Frequency of drug administration. - Signature of the person writing the order. All the above components are needed for it to be a legally valid medication order. A lot of them go right back to the Rights of medication administration (drug, route, dose, client)....