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Summary

This document appears to be a study guide or lecture notes on pharmacology and drug administration for nursing students. It covers drug legislation, safety, and patient considerations.

Full Transcript

drugs cross placenta by diffusion...

drugs cross placenta by diffusion "Motherisk" program, Pregnancy out in 2019 US FDA has implemented a 5- A,B,C,D,X (A-no risk - X risk) letter risk categories accountability and 10 rights why to know this? safety in the profession Breast feeding risk from mother ADME Nursing Process/Caputi method medications may not be ADME in the same way as in adults, causing increased or Institute for Safe decreased efficacy or safety. student nurse safety Medication Practices (ISMP) Gastric pH less acidic until 1 to 2 years of age governing foods, drugs, cosmetics, and medical devices, Gastric emptying slowed A establishes for the safety and nutritional quality, First-pass elimination reduced 1. Canadian Food and manufacturers of drugs must comply with official prescribed IM absorption faster and irregular Drug Act standards Recognized formularies Pharma W1: nurs principals of Pt focus considerations Neonatal & Peds Liver immaturity admon M older children may have increase metabolism, Drug Legislation in CA requiring higher/more frequent doses updated from the Narcotic Control Act in 1997, regulates the control and sale of narcotics and other drugs of misuse, Kidney immaturity affects GFR and tubular secretion. 2. Controlled Drugs and requiring a prescription. Narcotic drugs have an 'N' and a E Decreased perfusion rate of the kidneys may reduce Substances Act (CDSA) symbol on their labels, and the RCMP (Royal Canadian excretion of drugs. Mounted Police) enforces these rules." Dosage calculation BSA method West Nomogram: BSA in ht and wt @ Safe, compassionate, and competent care while maintaining privacy and confidentiality. Nurse preserves patient’s decline organ function Leads to a higher Older adults +65 yo dignity, support informed decision- CNA Code of Ethics likelihood of adverse effects & toxicity making, promote health and well-being, and be accountable for their practice and actions. diversity in CA, 3 in 10 Canadians who are visible minorities, aboriginal minorities are Canadian born Ethnocultural translator NURS culture practices and beliefs

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