PHARMACOLOGY
Prof. Raman
NURSING INTERVENTIONS RELATED TO MEDICATION ADMINISTRATION
Think “Nursing Process”: ALL OF THESE ARE CONSIDERED NURSING INTERVENTIONS
ASSESSMENT:
o
o
o
o
o
o
o
o
o
o
o
o
o
Allergies, pathophysiology, age, body size, gender, genetic factors, pregnancy, age
Medical problems that may require this medication
Baseline labs, LFT’s (if affects liver), BUN/Creatinine (if affects kidneys), CBC (if affects blood cell production), etc.
Level of comprehension for teaching
Ability to swallow (if oral), position, patency, size of catheter (if IV), condition of skin, nutritional status (if IM or subcutaneous), patency and condition
of NG tube or PEG tube if to be utilized
Preadministration and postadminstration assessment
BP before and after antihypertensives
Temperature before and after antipyretics
Heart rate before and after beta blockers
Pain level before and after pain medication
Dosage and Administration (correct drug, correct dose, correct route, correct time, etc.)
What are the Adverse Drug Reactions for this medication for this patient (what other drugs, CAM’s, environmental/food factors can cause ADR’s in this
patient)
Other factors
NURSING DIAGNOSES:
o
o
o
o
Based on all of the above what are the nursing diagnoses for your patient?
Is patient at risk for Adverse Effects/Adverse Interactions/Toxicity?
What do you need to observe (labs, mouth ulcerations, pain level, etc)?
What do you need to teach patient, family, other staff members?
o
o
o
What is your plan based on your assessment and nursing diagnoses?
What is your plan to minimize Adverse Effects/Adverse Interactions/Toxicity?
What is your plan to promote Therapeutic Effects
PLAN:
IMPLEMENTATION:
o
o
o
o
o
o
o
o
o
Do you need to monitor BP? Heart rate? Temperature? Level of Pain, Labs, etc.?
Do you need to monitor for mouth ulcers, etc.?
Do you need to performing patient/family/staff teaching?
Minimize Adverse Effects
Minimize Adverse Interactions
Do you need to manage toxicity?
Do you need to report some issue with this patient to the prescriber/unit manager/etc.? Do you need to notify the prescriber “stat” about a serious
problem?
What are the collaborative problems?
Do you need to take other actions related to this patient and this medication?
EVALUATION:
o
o
o
o
Evaluate the therapeutic responses to the administration of this medication(s)
How did the assessment, nursing diagnoses, plan, implementation go?
Do any of these steps need to be repeated or revised?
Is there anything more that you need to do?