1. refuse, right assessment, right evaluation. RATIONALE: This is

1.    
Chapter 1

a.    
Pharmacokinetics is how the drug moves through
the body

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b.     The therapeutic index or TI is a measure of
how safe the drug is, a larger therapeutic index is a higher margin of safety
so there is no need to check medication levels in the body, smaller TI is a
more narrow safety range therefore you need to monitor medication levels in the
body more closely.

RATIONALE: This is very important
because if it is a drug that you need to be checking the amount in the body and
you don’t, there is a possibility that you could make the drug go into toxic
levels in your patients body.

I will incorporate this into my nursing practice by

2.    
Chapter 2

a.    
If you are taking a telephone prescription try
to have another RN listen in on the call in a private area if the telephone
needs to be on speaker.

b.     Every time that you are giving a medication
to a patient be sure to check the rights of medication administration: right
client, right medication, right dose, right time, right route, right
documentation, right client education, right to refuse, right assessment, right
evaluation.

RATIONALE: This is very important
because this is where you can catch any mistakes and correct them before it
gets to the patient.

I will incorporate this into my nursing practice by

3.    
Chapter 3

a.     When rounding if the dosage is lower than
1.0 round to the nearest hundredth, if it is greater than 1.0 round to the
nearest tenth.

b.    
When you are calculating the ml/hr that you will
put into an infusion pump you just need to take how many ml you will be giving
total over how many hours you need to give in.

RATIONALE: This is very important
because this could be the difference between giving too little or giving too
much of the medication.

I will incorporate this into my nursing practice by

4.    
Chapter 4

a.     When you are administering medications that
can cause severe adverse reactions (i.e. potassium chloride) you want to make
sure that you use an infusion pump, you should never give these medications by
IV bolus.

b.    
When administering medications never infuse them
through tubing that is infusing blood, blood products, or parenteral nutrition
solutions.

RATIONALE:

I will incorporate this into my nursing practice by

5.    
Chapter 5

a.     Toxicity from a drug can occur by taking an
excessive dose of the medication but also at therapeutic doses of the drug.

b.    
When a patient is having an anaphylactic reaction
it is an immediate response and you will signs and symptoms like: respiratory distress,
severe bronchospasm, laryngeal edema, a quick drop in blood pressure, and
cardiovascular collapse

RATIONALE:

I will incorporate this into my nursing practice by

6.    
Chapter 6

a.    
In children there are many factors to consider
when determining the dosage they will get from a medication such as: age,
weight, decreased gastric acid production and slower gastric emptying, lower
first-pass medication metabolism, etc.

b.    
In older adults it can be harder to get rid of
the drug due to decreased kidney and liver function so you will need to adjust
dosages accordingly.

RATIONALE:

I will incorporate this into my nursing practice by

 

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