Pharmacological & Parenteral Therapies – Adverse Effects, Contradictions, Side Effects and Interactions of Medications

Welcome back. Today we continue the section on Pharmacological & Parenteral Therapies. This is a big section that covers a lot of ground. Lets get to it.

A great overview –
https://www.registerednursing.org/nclex/adverse-effects-contradictions-side-effects-interactions-medications/

One note – Saunders at the end of Peds and then at the end of each adult section has some pharm info. Review it.

Adverse Effects, Contradictions, Side Effects and Interactions of Medications

Identify a contraindication to the administration of a medication to the client

Make sure you know the patients allergies. Also if they are pregnant, breast feeding have some type of renal or liver disease.

***** Identify actual and potential incompatibilities of prescribed client medications
Some meds work perfectly fine together and others do not.

Here are some potential drug interactions – there are more.
https://www.pharmacytimes.com/publications/issue/2002/2002-11/2002-11-7010

***** Identify symptoms/evidence of an allergic reaction (e.g., to medications)

https://www.mayoclinic.org/diseases-conditions/drug-allergy/symptoms-causes/syc-20371835

————- Most of the following things are common sense —
Montior // Evaluate , document. When you document, don’t forget to document the positive effects that you see from the medication.

***** Assess the client for actual or potential side effects and adverse effects of medications (e.g., prescribed, over-the-counter, herbal supplements, preexisting condition)

***** Provide information to the client on common side effects/adverse effects/potential interactions of medications and inform the client when to notify the primary health care provider

Standard stuff – make sure when you’re studying your meds – know the side effects and think how you would explain those to your patient.

***** Notify the primary health care provider of side effects, adverse effects and contraindications of medications and parenteral therapy

***** Document side effects and adverse effects of medications and parenteral therapy

***** Monitor for anticipated interactions among the client prescribed medications and fluids (e.g., oral, IV, subcutaneous, IM, topical prescriptions)

***** Evaluate and document the client’s response to actions taken to counteract side effects and adverse effects of medications and parenteral therapy

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Got some time? Here is a great page to review.

NCLEX: Pharmacology Essentials

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