Study Guide for Drug Therapy in Nursing

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Top Reviews Most recent Top Reviews. There was a problem filtering reviews right now. Please try again later. Some spelling and grammar errors but a very nice study guide. If you are deciding on whether to purchase the text book or the study guide, I recommend the study guide. It gives you top ten things to know about each chapter, basically a well written summary.

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Courtney Kimbler rated it really liked it Dec 21, English Choose a language for shopping. Note coexisting disorders and their likelihood of contributing to adverse drug effects. And I even seen some of these questions on the test!!! Amazon Rapids Fun stories for kids on the go. Plan to write notes all over it.

And a lot of very helpful multiple choice study questions with answers in the back of the book. Mine gives very detailed lecture notes, that make the text book unnecessary. Nothing more than a good review for the book. If you are having difficulties recalling every detail in the book like most students, get this book.

But do not forget to always read the nurse-consideration green part in every book. The drug detail is obviously not thorough but good recap. The actual text has too much unnecessary "window dressing" if you know what I mean. Plan to write notes all over it. Use it along with the text and never as a substitute.

You will fail if you do! One person found this helpful. I like the variety of formats for review, but am finding mistakes in the book--not a whole lot, which is why it only gets 4 stars. Chapter 12 has a multiple choice question with only one option: Great book for my pharmacology in nursing class Clinicians are often reluctant to prescribe opioids for elderly patients with cancer or other types of chronic pain, typically because of concerns about adverse drug effects eg, sedation, constipation, delirium and development of dependence.

When opioids are prescribed, the doses are often inadequate. Underprescribing opioids may mean that some elderly patients have needless pain and discomfort; elderly patients are more likely to report inadequate pain management than younger adults. Guidelines for treating hypertension in the elderly are available, and treatment appears to be beneficial reducing risk of stroke and major cardiovascular events. Nonetheless, studies indicate that hypertension is often not controlled in elderly patients.

Drugs for Alzheimer disease: Acetylcholinesterase inhibitors and NMDA N -methyl- d -aspartate antagonists have been shown to benefit patients with Alzheimer disease. The amount of benefit is unclear, but patients and family members should be given the opportunity to make an informed decision about their use. Anticoagulants reduce risk of stroke in patients with atrial fibrillation. Although there is an increased risk of bleeding with anticoagulation, some older adults who might nonetheless benefit from anticoagulation are not receiving it. Older adults are at greater risk of morbidity and mortality resulting from influenza, pneumococcal infection, and herpes zoster.

Drug Therapy in Nursing 3rd Edition W/ Study Guide | eBay

Vaccination rates among older adults can still be improved. In elderly patients with a chronic disorder, acute or unrelated disorders may be undertreated eg, hypercholesterolemia may be untreated in patients with emphysema.

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Clinicians may withhold these treatments because they are concerned about increasing the risk of adverse effects or the time required to benefit from treatment. Clinicians may think that treatment of the primary problem is all patients can or want to handle or that patients cannot afford the additional drugs. Patients should participate in decision making about drug treatment so that clinicians can understand patients' priorities and concerns.

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To reduce the risk of adverse drug effects in the elderly, clinicians should do the following before starting a new drug:. Consider age-related changes in pharmacokinetics or pharmacodynamics and their effect on dosing requirements. Choose the safest possible alternative eg, for noninflammatory arthritis, acetaminophen instead of an NSAID. Provide clear instructions to patients about how to take their drugs including generic and brand names, spelling of each drug name, indication for each drug, and explanation of formulations that contain more than one drug and for how long the drug will likely be necessary.

Assume a new symptom may be drug-related until proved otherwise to prevent a prescribing cascade. Monitor patients for signs of adverse drug effects, including measuring drug levels and doing other laboratory tests as necessary. Regularly reevaluate the need to continue drug therapy and stop drugs that are no longer necessary. Medication reconciliation is a process that helps ensure transfer of information about drug regimens at any transition point in the health care system.

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Medication reconciliation should occur at each move admission, transfer, and discharge. Computerized physician ordering programs can alert clinicians to potential problems eg, allergy, need for reduced dosage in patients with impaired renal function, drug-drug interactions.

These programs can also cue clinicians to monitor certain patients closely for adverse drug effects. Which of the following is the most beneficial measure for healthy elderly people? Throughout my life, I have always had a job. Since I was 16, I was working somewhere part-time and earning my own money even if it was minimum wage Tap to switch to the Consumer Version.

Drug-Related Problems in the Elderly.

Study Guide to Accompany Drug Therapy in Nursing

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A medical problem that requires drug therapy is being treated with a less-than-optimal drug. The correct drug for a medical problem is prescribed, but the patient is not taking it.

A medical problem is being treated with too much of the correct drug. A medical problem is being treated with too little of the correct drug. A medical problem requires drug therapy, but no drug is being used to treat that problem. The following are examples: Worsened delirium in older adults with or at high risk of delirium.

If discontinuing drugs used chronically, taper to avoid withdrawal symptoms.

Study Guide for Drug Therapy in Nursing

For antipsychotics, increased risk of stroke and mortality in patients with dementia. Monitoring drug use involves. Documenting the indication for a new drug. Keeping a current list of drugs used by the patient in medical records. Monitoring for achievement of therapeutic goals and other responses to new drugs. Monitoring necessary laboratory tests for efficacy or adverse effects. Choice of an unsuitable drug, dose, frequency of dosing, or duration of therapy.

Failure to consider drug interactions and correct indications for a drug. In addition, the following contribute: Financial and physical constraints, which may make purchasing drugs difficult. Cognitive problems, which may make taking drugs as instructed difficult. Use of drugs that must be taken several times a day or in a specific manner. To reduce the risk of adverse drug effects in the elderly, clinicians should do the following before starting a new drug: Document the indication for each new drug to avoid using unnecessary drugs.

Note coexisting disorders and their likelihood of contributing to adverse drug effects. The following should be done after starting a drug: Black Box warnings from the FDA labels have been added to the discussion of each prototype when applicable, and safety alerts have been added to emphasize prevention of common medication errors.

The book presents core drug knowledge using prototypes of different drug classes and emphasizes Wolters Kluwer Health Bolero Ozon. Drug Therapy in Nursing.

Resources In This Article

Aschenbrenner , Samantha J. Drugs Affecting Cardiac Rhythm.