NR130 Study Guide
NR130 Study Guide
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This 0 page Study Guide was uploaded by tophomework Notetaker on Saturday November 14, 2015. The Study Guide belongs to a course at a university taught by a professor in Fall. Since its upload, it has received 18 views.
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Date Created: 11/14/15
Study Guide Quizzes and Final Exam NR 130 This guide consists of 3 pages to steer you through the quizzes in weeks 1 7 and the comprehensive final in week 8 The presentation is different from a standard study guide in that each week is not addressed in a separate document as the study requirements are basically the same for all of Pharmacology The first page and a half covers what you need to know for each drug class and each prototype drug while the second part covers what you don t need to know The basic technique for figuring out what you must know about drugs is to ask yourself what is the nurse s role in drug administration Then use the nursing process to organize those responsibilities Remember quizzes and the final cover all the material including assigned reading and online lessons The online lessons address only those drug classes where prototype drugs are selected but you should know about the drug classes in all the assigned chapters in the textbook You are not responsible for details of non prototype drugs What You Need to Know For Each Drug Class and Each Prototype Drug 1 Uses and indications to monitor for therapeutic effects you must know why the drug was given For instance if a drug is prescribed for angina you need to know the symptoms of angina and how the drug relieves those symptoms Good study aids drug classification summaries in front of your drug reference Nursing process evaluation 2 Safe Drug Administration what parameters do you need to check before giving this drug Are there special dosing considerations When should you hold the dose For example you must take a blood pressure reading and other VS before giving an antihypertensive Patient safety and accurate medication administration are of paramount importance Nursing process assessment planning and implementation 3 Side Effects and Averse Reactions What side effects do you anticipate and how do you manage them can you prevent them using actions within the scope of nursing practice What are the signs of an adverse reaction and how do you mange that generally requires collaboration with others In broad terms side effects are often extensions of therapeutic effects an antihypertensive may lead to orthostatic hypotension Some sideadverse effects are impossible to predict so they must be memorized When you think about how to manage side effects or adverse reactions attach the nursing action to the reaction like how do I always manage orthostatic hypotension Nursing process implementation and evaluation 4 Toxic Reactions crucial in drugs with narrow therapeutic windows How can you identify a toxicity what are the associated lab values and how is it managed including antidote if applicable Nursing process implementation and evaluation 5 Problem Formulation what are the nursing issues presented by this drug or drug class For instance CNS depressants may cause respiratory depression so the problem is Impaired Gas Exchange Nursing process diagnosis 6 Comparison of Drugs within a Class How do the prototype anticoagulants differ from one another how are they similar How do antibiotics differ from antivirals How do the anticoagulant antithrombolytics and antiplatelet agents differ from one another 7 Patient Teaching What does the patient need to know to safely selfadminister the drug or to experience a successful therapeutic outcome How long the drug should be taken administration considerations like taking with water or food or how to give a SubCut injection to oneself or another avoid sunlight all of these things can make a difference between resolution and management of a disease entity and continued problems Nursing process planning implementation and evaluation 8 Special Considerations short half life highly protein bound etc Nursing process planning and implementation What You Don t Need to Know Pregnancy Category of prototype drugs Dosage Tables in the text only special dosing which will be mentioned in the online lesson Life Span Considerations for pediatric or maternalchild patients Herbal Therapies Tables of Common Drug Interactions in the text in practice you will look this up in a reference IV Ysite Compatibility Chart Information always consult a reference for this data Pathophysiology of each disease process this is knowledge you should already possess from previous courses 8 Details of Mechanics of Action just general knowledge like loop diuretics act on the Loop of Henle in the kidney and cause sodium excretion water follows sodium NQP PPPE How to Study Identify the required reading for the week and figure out which chapters have associated online material Divide up the reading into manageable sections according to content Make an initial pass through the text and highlight unfamiliar terms the prototype drugs Master List in docsharing and any important considerations for the class or prototype drug in the nursing process section Focus on patient teaching and points to remember If the chapter has associated online lesson go to that material next and work your way through all the exercises and study aids Now go back to the text and test yourself by answering all the questions and critical thinking exercises at the end of the chapter When quiz or exam time comes go back to the lesson and to your highlights Do as many NCLEX questions on the CD that accompanies the text as possible Use the drug summaries in the front of your drug reference to see the overall data for that class and lay out the Pharm Phorms for prototype in that class to see how the prototype fits or if these are points specific to that drug Points about Particular Weeks Week 1 know basic definitions of pharm vocabulary terms see online lesson to pick out important ones What do you need to know about elderly patient to give drugs safely See items 1 8 in What You Need to Know above to study CNS drugs Week 2 Do not need to know International Classification of Seizures For all else see lessons and What You Need to Know items 1 8 above Week 3 Will not be tested on anatomy of Autonomic Nervous System and names and functions of all the secondary receptors For all else see lessons and What You Need to Know items 1 8 above Week 4 Do not need to know VaughnWilliams Classification of Antidysrhythmics or the Vaughn Williams class of prototype drugs No testing over EKG identification or new guidelines for hypertension For all else see lessons and What You Need to Know items 1 8 above Week 5 No need to know treatment guidelines for hyperlipedimia For all else see lessons and What You Need to Know items 1 8 above Week 6 Do not need to memorize all the chemical classifications of antibiotics No testing over pathophysiology of HIV or malaria For all else see lessons and What You Need to Know items 1 8 above Week 7 Do not need to memorize the cellcycle designation of antineoplastics No testing over the pathophysiology of cancer For all else see lessons and What You Need to Know items 1 8 above Final Exam As in weeks 1 7 above
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