Chapter 7 pharm

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18 Questions

Which of the following is NOT a consideration for assessment during the assessment process?

Therapeutic responses based on supplemental product used

Why is patient education considered important for patient safety?

To empower patients to make informed decisions about their health

What is an important characteristic of goals and outcomes in the assessment process?

They should be realistic, individualized, and achievable

What is a key aspect of patient assessment related to potential drug interactions?

Assessing the patient's understanding of their medication regimen

Why is it mentioned that 'the manufacturers of herbal products are not required to prove safety and effectiveness'?

To caution against assuming all herbal products are safe and effective

In order for a drug to be allowed to be over the counter, what is the significance of the therapeutic index?

The higher the therapeutic index, the safer the drug for over-the-counter use.

What are the practicality criteria for over-the-counter drugs, as mentioned in the text?

They must be both easy to use and easy to monitor.

What are three concerns of over-the-counter drug use mentioned in the text?

Toxicity, interactions with other medications, and abuse.

What are dietary supplements according to the text?

Orally administered alternative medications, including herbal supplements.

What is the significance of Ginkgo and Garlic in relation to medications?

Ginkgo interacts with anticoagulant and HTN medications, while Garlic messes with insulin levels.

What information is important to obtain during assessment according to the text?

Obtaining objective information including all medication history.

What is one of the potential hazards of OTC medication mentioned in the text?

May postpone effective treatment of more chronic disease states.

Match

Herbal Medicine = Using herbs to heal Education = A part of implementation Therapeutic responses = Part of evaluation OTC drugs = must have favorable adverse event profile, limited interactions with other drugs, and low potential for abuse

Natural always mean safe

False

Therapeutic responses will vary based on supplemental product used.

True

_______ are plant components including bark, berries, roots, leaves, gums, seeds, stems, and flowers used for their medicinal qualities.

Herbs

Altered GI elimination, Altered need for sleep, Altered physical activity, Altered safety needs, Altered interchange of gases, Freedom from pain, Ineffective health maintenance, Insomnia, Risk for injury, Urinary retention are considered a ___________ ______________

nursing diagnosis

For a drug to be OTC, the patient must

be able to easily diagnose their condition and monitor effectiveness

Study Notes

Assessment Process

  • Patient education is considered important for patient safety because it enables patients to make informed decisions about their health.
  • An important characteristic of goals and outcomes in the assessment process is that they are specific, measurable, achievable, relevant, and time-bound (SMART).

Patient Assessment

  • An important aspect of patient assessment related to potential drug interactions is the consideration of all medications, including over-the-counter (OTC) drugs and herbal supplements, to prevent adverse interactions.
  • Important information to obtain during assessment includes all medications, including OTC drugs and herbal supplements.

Over-the-Counter (OTC) Drugs

  • In order for a drug to be allowed to be OTC, it must have a high therapeutic index, indicating a wide safety margin between the effective dose and the toxic dose.
  • The practicality criteria for OTC drugs include that they are safe for self-medication, have a wide therapeutic index, and are used for a self-limiting condition or a condition that can be diagnosed by the patient.

Concerns and Hazards

  • Three concerns of OTC drug use mentioned in the text are altered GI elimination, altered need for sleep, and altered physical activity.
  • One of the potential hazards of OTC medication mentioned in the text is the risk for injury.

Dietary Supplements

  • Dietary supplements are vitamins, minerals, amino acids, or other botanical products used to supplement the diet.
  • Herbal supplements are plant components, including bark, berries, roots, leaves, gums, seeds, stems, and flowers, used for their medicinal qualities.
  • Ginkgo and Garlic are examples of herbal supplements that can interact with medications.
  • The manufacturers of herbal products are not required to prove safety and effectiveness, which is a concern for patient safety.

Nursing Diagnoses

  • Altered GI elimination, altered need for sleep, altered physical activity, altered safety needs, altered interchange of gases, freedom from pain, ineffective health maintenance, insomnia, risk for injury, and urinary retention are considered nursing diagnoses.

Miscellaneous

  • The statement "Natural always means safe" is not necessarily true.
  • Therapeutic responses will vary based on the supplemental product used.
  • For a drug to be OTC, the patient must be able to diagnose and treat the condition themselves.

Test your knowledge of the criteria for drugs to be available over the counter, including favorable adverse event profile, limited drug interactions, and low potential for abuse. Understand the importance of the patient's ability to diagnose their condition and monitor effectiveness, as well as the concept of therapeutic index.

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