PHARMACOLOGY | NCM 106
CHAPTER 9: DRUG STUDY
DEFINITION OF TERMS TEN (10) RIGHTS OF MEDICATION
DRUG STUDY (NURSING DRUG STUDY) • MR. ED TRACED
• Learning about complete information about the drugs. M Medication
• Study about the drug and drugs R Route
DRUG STUDY/SUMMARY E Education
• Study of drugs before giving medications
D Dosage
PHARMACOPOEIA
• Is a book containing a list of products used in medicine, with T Time
descriptions of the product chemical tests for determining R Refuse
identity and purity and formulas for certain mixtures. A Assessment
FORMULARY
C Client
• Is a collection of formulas and prescriptions.
E Evaluation
GENERIC NAME
• Given before a drug becomes official. D Documentation
• Reflects the chemical family to which the drug belongs (e.g. GENERIC/BRAND NAME & CLASSIFICATION
Acetaminophen for Tylenol, Paracetamol for Biogesic, • GENERIC NAME:
Ibuprofen for Advil) o Aripiprazole
OFFICIAL NAME • BRAND NAME:
• The name under which it is listed in one of the official o Abilify
publications. • CLASSIFICATION:
o Atyphical
CHEMICAL NAME
o Antipsychotic
• The name by which a chemist names it; this name describes
the constituents the drug precisely (e.g acetyl-para- DOSE, TIMING, & DURATION
aminophenol for Tylenol) • DRUG FORM & ORDER:
o TABLET: 30 mg/day orally
TRADE NAME/BRAND NAME
• TIMING:
• The name under which a manufacturer markets the o Once daily
medication (e.g.Tylenol, Biogesic, Advil) • OTHER FORMS:
NURSE o Oral solution
• A person licensed to administer, educate about, and evaluate o Orally disintegrating tablets
the effectiveness of prescribed medications. INDICATION/PHARMACODYNAMICS OF DRUG
DIFFERENT SKILLS REQUIRED IN THE ADMINISTRATION OF • INDICATION:
MEDICATIONS o Treatment of schizophrenia, acute manic and mixed
1. COGNITIVE SKILLS episodes associated with bipolar disorder, maintenance
therapy for bipolar disorder
• What to do; how to implement or execute orders or
interventions • PHARMACODYNAMICS:
o May provide antipsychotic effects through partial agonist
2. TECHNICAL SKILLS and antagonist actions
• Handling situations; palpation techniques, use of equivalents;
ADVERSE EFFECT & CONTRAINDICATIONS
technicalities
• ADVERSE EFFECTS:
3. INTERPERSONAL SKILLS o Accidental injury, constipation, akathisia, headache,
• What they are, how to improve them and how to apply them asthenia, peripheral edema, hypertension, nausea,
4. ETHICAL AND LEGAL SKILLS vomiting, dyspepsia, vomiting, myalgia, EPS, tremor, and
• Medical ethics involves examining a specific problem, usually a increased salivation
clinical case, and using values, facts, and logic to decide what • CONTRAINDICATIONS:
the best course of action should be. o Hypersensitivity to the drug and to patients with dementia
related to psychosis and neuroleptic malignant syndrome
SOURCES OF DRUG INFORMATION
1. PIMS (Phil. Index for Medical Specialists) NURSING RESPONSIBILITIES
2. MIMS (Medical Index for Medical Specialists) • BEFORE:
3. PDR (Physician Drug Reference) o Check for the doctor’s order
4. Pharmacology book o Assess if patient has existing health condition like CV
5. RN magazines and Medical magazines disease as drug may predispose to hypotension
6. Journals o Assess patient’s mental status
7. Nursing Drug Handbook o Assess patient’s and family’s knowledge about the drug
8. Package insert of the drug therapy
9. The physician who prescribes the drug • DURING:
o Give the smallest dose for the shortest time
o Check if patient swallows the drug
LAMAGON | BSN 2A
PHARMACOLOGY | NCM 106
CHAPTER 9: DRUG STUDY
• AFTER: DRUG COMPUTATION
o Assess patient’s mental status Desired Dose x Quantity = Amount to administer
o Check for s/s of adverse reaction Stock on Hand
o Monitor patient’s V/S especially BP D x Q = Amount
o Monitor patient’s laboratory results H
o Decrease environmental stimuli PROBLEM 1
PATIENT TEACHING • Erythromycin 500 mg is ordered. It is supplied in a liquid form
• Educate the client well on the importance of following the drug containing 250 mg in 5 mL. To calculate the dosage, the nurse
regimen uses the formula:
• Instruct the patient to avoid abrupt withdrawal of the drug Desired Dose x Quantity = Amount to administer
• Teach patient to avoid taking OTC drugs, alcohol, and other CNS Stock on Hand
depressants 500 mg x 5 mL = 10 mL
• Instruct patient to stay cool in hot weather since heat stroke 250 mg
may occur PROBLEM 2
• Advice the patient to be extra careful in all activities since the • MD writes an order for Xanax 2 mg by mouth a day. Pharmacy
drug may impair LOC (level of consciousness), judgment and dispeneses you with 1 mg per tablet of Xanax. How many
motor skills tablets do you administer per dose?
• Educate the patient about the possible side effects of the drugs Answer: 2 tablets/dose
and report any signs of experiencing one PROBLEM 3
SAMPLE DOCTOR’S PRESCRIPTION • MD writes an order for Cytotec 0.1 gram by mouth daily for a
patient with peptic ulcer disease. Pharmacy dispenses you with
100 mg per tablet. How many tablets do you administer per
dose?
Answer: 1 tablet/dose
DRUG STUDY FORMAT
LAMAGON | BSN 2A
