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1 Pharmacology Review The most commonly used drugs in nursing. by Donna Hess RN, MS

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Pharmacology Review

The most commonly used drugs in nursing.

by Donna Hess RN, MS

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INSTRUCTIONS:l This Powerpoint is a brief review of the most

common drugs utilized in the health care setting.l The recommendation is that when you print the

presentation or slides that each slide is printed on one sheet of 8” X 11” paper.

l There are (7) slide about drug administration before the drug slides. Please review the slide because they are important to SAFE drug administration.

l The content gives you the page numbers for each drug. The drugs are in alphabetical, order based on the drugs in the content.

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CONTENTS: Drugs Page

l Alzheimer 17l Ammonia Detoxicant 18l Analgesic 19-22l Antianemic-BRM 23l Antianginal 24l Antianxiety 25l Antiarrhythmic 26-28

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CONTENTS: Drugs Page

l Anticoagulant 29l Anticonvulsant 30-31l Anticonvulsant/Mood Stabilizer 32l Antidepressant 33-34l Antiemetic 35-36l Antihypertensive 37-39l Anti-Infective 40-45

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CONTENTS: Drugs Page

l Antilipemic 47-48l Antimanic/Mood Stabilizer 49l Antimicrobial Topical 50l Antineoplastic Chemotherapy 51-54l Antiparkinson 55-56l Antipsychotic & Side Effects 57-60l Antipsychotic/Non-Phenothiazine 61

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CONTENT: Drugs Page

l Antipsychotic/Phenothiazine 62l Antituberculosis 63l Anti-Ulcer 64l Biologic Response Modifier 65-66l Bone Reabsorption Inhibitors 67l Bronchodilator/Corticosteroid 68-69l Corticosteroid 70

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CONTENT: Drugs Page

l Digitalis & Antidote 71l Diuretic 72-74l Glaucoma 75-76l Herbals 77-80l HIV 81-82l Hypoglycemia & Hyperglycemia 83l Hypoglycemic/Insulin 84-85

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CONTENTS: Drugs Page

l Hypoglycemic/Oral 86-87l Iron Administration 88l Myasthenia Gravis 89l Nonsteroidal Anti-Inflammatory 90l Renal Disorders 91l Sedations 92l Stimulants (Pediatric) 93

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CONTENTS: Drugs Page l Thrombolytic 94-95l Thyroid 96l Uterine Stimulants (Maternal) 97l Withdrawal & Drug Overdose 98-99

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3 Checks of Drug Administration:l Check the drug with the MAR or the

medication information system when removing the mediation from the container.

l Check the drug when preparing it; pouring it, taking it out of the container, or connecting the IV tubing to the bag.

l Checking the drug before administrating it to the client and comparing the MAR with the client ID Band.

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Drug Administration Abbreviations:l Only us the abbreviations deemed

appropriate by the Institute for Safe Medication Practice or health care facility.

l Avoid medication errors:-qd = daily or every day-qhs = nightly-qod = every other day

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Pharmocokinetics:l Review each drug for:

1. Ability of drug to cross plasma membranes.2. Absorption of drug3. Distribution of drug4. Metabolism of drug5. Excretion of drug6. Drug plasma concentration and Therapeutic

response

7. Plasma ½ life and drug duration8. Loading dose and Maintenance dose

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Drug Receptor Interactions:l Agonist – drug that produces the same type of

response as the bodies internal responsel Partial Agonist – a drug that produces a

weaker or less effective response than the internal agonist response

l Antagonist – drug that occupies a receptor site and prevents the internal response from occurring

*Sometimes drugs compete for the receptor binding site and some inhibit the effects of the agonist.*

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Topical Drug Administration:

l Dermatological preparations-creams, lotions, gels, powder, spray

l Instillations & Irrigations-eye, ear, nose, urinary bladder, rectum, vagina

l Inhalations-inhaler, nebulizers, positive pressure equipment

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Other Routes of Administration:l Sublinguall Buccall GI Tube (NGT, gastric)l Transdermall Nasall Intravenous (IV)l Subcutaneous (SQ) (needle 45-90 degrees)l Intramuscular (IM) (needle 90 degrees)l Intradermal (ID) (needle 10-15 degrees)

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Do Not Crush Drugs:

l Capsulesl Enteric Coatedl Sustained-Release (SR)l Extended-Release (XL)l Long Acting (LA)*Always review the medication in an

updated Drug Book.

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Alzheimer

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Ammonia Detoxicant/Stimulant Laxative

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Analgesic (1)

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Analgesic (2)

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Analgesic (3)

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Analgesic (4)

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Antianemic-Biologic Response Modifier (BMR)

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Antianginal

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Antianxiety

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Antiarrhythmic (1)

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Antiarrhythmic (2)

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Antiarrhythmic (3)

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Anticoagulant

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Anticonvulsant (1)

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Anticonvulsants (2)

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Anticonvulsant/Mood Stabilizer

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Antidepressant (1)

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Antidepressant (2)

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Antiemetic (1)

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Antiemetic (2)

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Antihypertensive (1)

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Antihypertensive (2)

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Antihypertensive (3)

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Anti-Infective (1)

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Anti-Infective (2)

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Anti-Infective (3)

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Anti-Infective (4)

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Anti-Infective (5)

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Anti-Infective (6)

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Anti-Infective (7)

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Antilipemic (1)

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Antilipemic (2)

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Antimanic/Mood StabilizerAnticonvulsant/ Mood Stabilizer

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Antimicrobial Topical

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Antineoplastic Chemo. (1)

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Antineoplastic Chemo. (2)

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Antineoplastic Chemo. (3)

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Antineoplastic Chemo. (4)

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Antiparkinson (1)

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Antiparkinson (2)

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Antipsychotic

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Antipsychotic Side Effects (1)

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Antipsychotic Side Effects (2)

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Antipsychotic Side Effects (3)

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AntipsychoticNon-Phenothiazines

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Antipsychotic/Phenothiazines

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Antituberculosis

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Anti-Ulcer

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Biologic Response Modifier (1)

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Biologic Response Modifier (2)

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Bone Reabsorption Inhibitors

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Bronchodilator/Corticosteriod (1)

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Bronchodilator/Corticosteroid (2)

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Corticosteroid

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Digitalis & Antidote

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Diuretic (1)

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Diuretic (2)

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Diuretic – Osmotic (3)

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Glaucoma (1)

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Glaucoma (2)

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Herbal (1)

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Herbal (2)

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Herbal (3)

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Herbal (4)

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HIV (1)

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HIV (2)

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Hypoglycemia & HyperglycemiaSigns and Symptoms

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Hypoglycemic Insulin (1)

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Hypoglycemic Insulin (2)

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Hypoglycemic Oral (1)

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Hypoglycemic Oral (2)

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Iron Administration

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Myasthenia Gravis

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NSAIDS

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Renal Disorders

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Sedation

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Stimulants: Pediatric

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Thrombolytic (1)

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Thrombolytic (2)

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Thyroid

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Uterine Stimulant (Maternal)

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WithdrawalDrug Overdose (1)

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WithdrawalDrug Overdose (2)

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References:

l HESI NCLEX-RN Review Manual 2006-on reserve in HCC Library

l Pharmacology for Nurses A Pathophysiologic Approach 2005

l Pharmacology for Nurses 2008

l **Information in this document will be updated monthly and placed in Docushare & Blackboard.