RN VATI PHARMACOLOGY ASSESSMENT REMEDIATION

RN VATI PHARMACOLOGY ASSESSMENT REMEDIATION

❖     Safety and Infection Control

➢       Accident/Error/Injury Prevention – (2)

▪    Chronic Neurologic Disorders: Contraindications for Pregabalin (Active Learning Template – Medication, RM Pharm RN 7.0 Chp 13)

•   Contraindications:

◆         Pregnancy:

➢       Birth defects: can cause skeletal and visceral malformations

➢       Pregnancy Risk Category C: Administer only if the benefits outweigh the risks

•   Interactions:

◆         Benzodiazepines, alcohol, and opioids intensify CNS effects

➢       Nursing considerations: Advise the client to avoid medications that affect the CNS

▪    Medical and Surgical Asepsis: Reducing the Risk of an Allergic Reaction for a Client Who Has a Latex Allergy (Active Learning Template – Basic Concept, RM FUND

9.0 Ch 10)

•   Before beginning any task or procedure that requires aseptic technique, health care team members must check for latex allergies. If the client or any member of the team has a latex allergy, the team must use latex-free gloves, equipment, and supplies.

❖     Pharmacological and Parenteral Therapies

➢       Adverse Effects/Contraindications/Side Effects/Interactions – (19)

▪    Airflow Disorders: Adverse Effects of Beta2-Adrenergic Agonists (Active Learning Template – Medication, RM Pharm RN 7.0 Chp 17)

•   Tachycardia, angina: Oral agents can cause tachycardia and angina due to activation of alpha₁ receptors in the heart

◆         Nursing considerations:

➢       Advise clients to observe for chest, jaw, or arm pain or palpitations and to notify the provider if they occur

➢       Instruct clients to check pulse and to report an increase of greater than 20 to 30 beats/min

➢       Advise clients to avoid caffeine

➢       Dosage might need to be reduced