Scribd
Upload
73 views24 pages

Group 1: Abigail B. Romarie T. Angelica Joy A. Beberly P. Enrique P. Veigner C

The document outlines the scope of nursing responsibilities related to pharmacology, including understanding drug effects, dosages, and interactions. It then discusses the importance of using the nursing process, which includes assessment, diagnosis, planning, implementation, and evaluation, as a framework for guiding patient care and drug administration. Finally, it provides examples of applying the nursing process and discusses best practices for documenting medication administration.

Uploaded by

Chinoma Sagayo Lang-akan
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPTX, PDF, TXT or read online on Scribd
73 views24 pages

Group 1: Abigail B. Romarie T. Angelica Joy A. Beberly P. Enrique P. Veigner C

The document outlines the scope of nursing responsibilities related to pharmacology, including understanding drug effects, dosages, and interactions. It then discusses the importance of using the nursing process, which includes assessment, diagnosis, planning, implementation, and evaluation, as a framework for guiding patient care and drug administration. Finally, it provides examples of applying the nursing process and discusses best practices for documenting medication administration.

Uploaded by

Chinoma Sagayo Lang-akan
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPTX, PDF, TXT or read online on Scribd
You are on page 1/ 24

GROUP 1

Abigail B.
Romarie T.
Angelica Joy A.
Beberly P.
Enrique P.
Veigner C.
Group Work
1. Scope of Nursing Responsibilities
(related to Pharmacology) in patient
care
2. Importance of pharmacology in
nursing practice
3. Given the nursing process identify
process interventions related to
Pharmacology for each step
Scope of nursing responsibilities in
patient care
1. Understand drugs and how they
can affect living things.
2. Know the right dosage of drugs,
and not just quantity.
3. Identify and respond to drug
interactions and side effects, and
treat accordingly.
4. Know when to use drugs.
Because some condition does not
need drug therapy.
5. Understand the process of drug
intake, absorption, distribution,
metabolism and elimination
6. Identify the properties of ideal
drugs.
7. Know the application of
pharmacology with regards to the 5
Rs: Use right drug, give to right
patient, right dose, right route, right
time
- Nurses play a SIGNIFICANT role in
management of drug therapy
- HOLISTIC NURSING APPROACH to
care is crucial to the success of
drug therapy initiation,
maintenance and evaluation
1. Nursing Process (AdPIE, ADOPIE)
• formal, structured process used
as a framework to guide patient
care and drug administration
Cont. of Nursing Process
I. Assessment
• Develop data base
– history of present - identify
subjective and objective cues (Lab
tests, Diagnostic Studies)
– current medication
- dosage, frequency, route,
prescribing health care provider (if
any(
ex. insulin (dose) to a 20 yo boy
every month by the Nurse Pretty
in Rhu X
- client's expectation and
perception of drug effectivity
Cont. of Nursing Process

- history of past illness the drugs


used to treat conditions - identify
how they store drugs, frequency
and dose, use of herbal medicine
- patient's response to medication -
identify compliance to drug
therapy
• Assess psychological response to
current diagnosis, socio-cultural
influence on the patient's
compliance to therapy
– ex. does patient access pharmacy and
sufficient financial resources to fill prescribed
medication? does the drug therapy threaten
cultural health care practice?
Cont. of Nursing Process

II. Nursing Diagnosis - reflects an


actual or potential concern based
on the analysis of assessment data
– Some nursing diagnoses r/t
medication administration are
knowledge, deficit,
noncompliance, alterations in
comfort and ineffective coping
Cont. of Nursing Process

III. Planning
– establish nursing interventions
with client, family or SO; provide
client-centered nursing care
– characterized by goal setting
(SMART goals)

ex. The patient will be able to


identify each of his/her cardiac
medications and state the
anticipated effects of each
medication within 1 week.
Cont. of Nursing Process

IV. Implementation
• nursing actions to accomplish
the established goals/outcomes
• observe correct and timely
administration of medication
• initiate the teaching process to
help individuals reach their goal
Cont. of Nursing Process
Client teaching

• General – Instruct client to take


drug as prescribed
Ex. Advise pregnant women to check
first their health care provider before
taking prescription or OTC meds

• Self-administration – Instruct client


on the administration of drug,
according to route
Ex. Eye drops on eyes, Insulin – IM
Cont. of Nursing Process
• Diet – Instruct client about the foods
to include in their diet and what
foods to avoid
Ex. Clients should eat foods with
high K (potassium) content – banana
when taking diuretics unless with
KCL supplements

• Side effects - Instruct client to report


immediately if he/she experience
unusual symptom
Cont. of Nursing Process

• Cultural considerations – be
alert to client and family cultural
expectations
Ex. Time may not be viewed as
important – this may affect the
effectivity of drug therapy
Cont. of Nursing Process
VI. Evaluation
– effectiveness of health
teaching about drug therapy
– Complete care with:
• Review with the client and
family the need for follow-up
care, if required
• Encourage ADL
• Refer the client to community
resources
Cont. of Nursing Process
Example
• HPN clients – Metropolol,
Amlodipine from DOH in each
RHU
• Mental Health patients – has
psychotic drugs in each RHU
• Schistosomiasis/TB patients –
RHU
Practice 5 Rights of Medical
Administration
1. Right Patient - double-check
the patient's name. Do not
assume
2. Right Drug - Check both drug
name and correctness of
therapy. Do not rely on the
color of med
3. Right route - oral, parenterral,
topical, IM, ID, SQ/IC
4. Right time - Check medication
order in the chart, confirm
schedule for drug - OD, ac, pc, q 4
hours
5. Right dose - Check medication
order if this dose is appropriate for
the patient
6. Right Documentation -
document administration AFTER
giving the ordered medication.
Chart the time, route and any
other specific information as
necessary. For example, the site of
an injection or any laboratory
value or vital sign that needed to
be checked before giving the drug.
7. Client Education – patient has the
right to receive instruction about how
to manage their own health needs.

8. Right To Refuse

9. Right Assessment
10. Right Evaluation

11. Right Expiration

12. Right Approach


Document Medication
Administration
• Observe hospital policy
• Includes precise time, the
initials of the nurse responsible
for administration, and site of
administration for parenteral
dose
References:
• -Shannon, Margaret etc.
"Govoni&Hayes Drugs and Nursing
Applications". 7th Ed. Norwalk,
Connecticut. Appleton & Lange.
1992. Accessed on 28 August 2019
• - Kee, Joyce LeFever.
"Pharmacology: A nursing
approach". 4th Ed. Saunders.
Accessed on 28 August 2019.

You might also like