Transcript Nursing Process and Drug Therapy Chapter One

Nursing Process and Drug
Therapy
Chapter One
Preventing Medication Errors
Chapter Six
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The Nursing Process in Drug Therapy
 Assessment
– Drug history
Prescription
medications
Non prescription medications
 Tums,
Social
cough drops, laxatives
drugs
 Coffee,
Herbal
tea, alcohol, cola, tobacco
or dietary supplements
 Ginkgo,
glucosamine
Problems
with current medications
 Explore
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The Nursing Process in Drug Therapy
 Example: Pt taking Antihypertensive
medication every other day rather than daily.
Now admitted for hypertensive episode.
 Nursing Diagnosis
 Knowledge deficit R/T drug therapy regimen as
evidenced by underuse of medication severe
hypertension
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The Nursing Process in Drug Therapy
 Plan
Establish
 Patient
patient goals
will take medication as prescribed
Determine
outcome criteria
 Patient
will maintain a blood pressure between
130/80 and 145/92 following two weeks of
prescribed therapy
Identify
appropriate nursing action
 Teach
patient about medication
 Instruct patient on how to monitor his own blood
pressure
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The Nursing Process in Drug Therapy
 Intervention
Patient
 Why
education
is patient not taking the medication every
day?
• Cost
• Side effects
• Forgetting
 Risks
of uncontrolled hypertension
 Better understanding of how medication works
 Instruction on how to monitor his own Bp
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The Nursing Process in Drug Therapy
 Evaluation
 If possible, ALWAYS FOLLOW-UP WITH PATIENT
TO REASSESS EFFECTS OF INTERVENTION
 COMMUNICATE!
 Plan further interventions if necessary
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Patient Safety
Medication Errors: Preventing and
Responding
SAFE MEDICATION ADMINISTRATION
“SIX” RIGHTS
RIGHT MEDICATION
RIGHT DOSE
RIGHT PATIENT
RIGHT TIME
RIGHT ROUTE
THE RIGHT OF THE PATIENT TO
REFUSE
THE RIGHT TO INFORMATION ABOUT
THE DRUG
RIGHT DOCUMENTATION
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The RIGHT Medication
 As the physician prescribed
 Trade name or generic?
 Does the drug match the MAR? (medication
administration record)
 Is the drug appropriate for the patient?
The RIGHT Dose
 Does the dose of medication in your hand
agree with the dose on the MAR?
 Are the mg, mcg, ml the same?
The RIGHT Patient
 Have you checked using two patient identifiers?
 Patient states…verifies BD
 Patient armband
 Compare Pt. ID number to MAR
 What if there is no arm band?
 BCMA
The RIGHT Time
 AM or PM
 24 Hour Clock
 Q4
 Tid
 Bid
 Qid
 qd
The RIGHT Route
 PO
 IV
 SC (SQ)
 TRANSDERMAL
 RECTAL
 IM
 IN
 SL
 DOES IT MAKE SENSE??