Steve Shared "Nursing Pharmacology Playlist" - 218 Picmonics
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Nursing Pharmacology Playlist
6 Rights of Medication Administration
- Right Patient
- Right Medication
- Right Dose
- Right Time
- Right Route
- Right Documentation
- Nursing Considerations
- Three Checks
- Check for Allergies
- Assess the Patient
- Education
2 mins
Needle Sizes and Uses
- Adjust Size Based on Height/Weight
- Subcutaneous Injections
- 3/8 or 5/8 inch
- Intramuscular (IM)
- 1-1.5 inches
1 min
Peak and Trough
- Peak
- Highest Concentration
- Trough
- Lowest Level of Therapeutic Range
- Obtain Before Next Dose
- Half-Life
2 mins
Routes of Administration Part One
- Enteral Administration
- Oral
- Sublingual
- Buccal
- Rectal
- Tubes
- Topical or Mucous Membrane Administration
- Transdermal
- Drops/Spray
- Vaginal
- Inhalation Administration
- Inhalation
2 mins
Routes of Administration Part Two (Parenteral)
- Parenteral Administration
- Intradermal
- Subcutaneous
- Intramuscular (IM)
- Intravenous
- Epidural
- Intrathecal
- Intraosseous
- Intraperitoneal
2 mins
Intramuscular Medication (IM) Administration
- Risks
- Injury to Nerves, Bone, and Blood Vessels
- Sites
- Deltoid
- Vastus Lateralis
- Ventrogluteal
- Nursing Considerations
- Selection of Needle Length
- Aseptic Technique for Drawing Up
- Z-Track
- 90 Degree Angle
- Max Amount (2-5 mL Adult, 1 mL Child)
- Techniques to Reduce Pain
2 mins
Transdermal Medication Administration
- Application
- Patch or Disc
- Directly on Skin of Arms, Chest, Upper Back
- Benefits
- Avoids First Pass Metabolism
- Sustained Administration of Medication
- Nursing Considerations
- Clean Skin After Removal
- Rotate Sites of Patches
- Apply to Dry Skin
- Avoid Shaved Skin
- Avoid Heat
- Nitro Effects Lost After 24 Hours
2 mins
Ear Drops Medication Administration
- Indications
- Earwax Buildup
- Ear Infections
- Pulling The Pinna
- Child - Back and Downward
- Adult - Back and Upward
- Procedure
- Side-Lying with Ear Up
- Instill Medication
- Stay for 2-3 Minutes
- Nursing Considerations
- Room Temperature
- May Massage Tragus
- Perforated Eardrum
2 mins
Eye Medication Administration
- Procedure
- Supine with Neck Hyperextended
- Wash Away Crusts
- Cotton Ball on Cheekbone
- For Ophthalmic Drops
- Instill Drops into Conjunctival Sac
- Repeat if Missed or Patient Blinks
- 5 Minutes Before 2nd Medication
- For Ophthalmic Ointment
- Thin Stream Along Inner Edge
- Inner Canthus to Outer Canthus
2 mins
Alpha 1 Receptor
- Characteristics
- Gq Subunit
- Increase Vascular Smooth Muscle Contraction
- Increase Pupillary Dilator Muscle Contraction
- Increase Intestinal and Bladder Sphincter Muscle Contraction
1 min
Alpha 2 Receptor
- Characteristics
- Gi Subunit
- Decrease Sympathetic Outflow
- Decrease Insulin Release
- Decrease Lipolysis
- Increase Platelet Aggregation
- Decrease Aqueous Humor Production
2 mins
Beta-1 Receptor
- Characteristics
- Gs Protein Class
- Increased Heart Rate
- Increased Contractility
- Increase Renin Release
- Increased Lipolysis
44 secs
Beta-2 Receptor
- Characteristics
- Gs protein class
- Increased Heart Rate
- Increased Contractility
- Increased Lipolysis
- Increased Insulin
- Increased Aqueous Humor Production
- Ciliary Muscle Relaxation
- Vasodilation
- Bronchodilation
- Decrease Uterine Tone
2 mins
P450 Inhibitors
- Quinidine
- Ciprofloxacin
- Isoniazid
- Grapefruit Juice
- Acute Alcohol Use
- Erythromycin (Macrolide)
- Indinavir
- Cimetidine
- Sulfonamides
- Ketoconazole
- Amiodarone
2 mins
Warfarin (Coumadin)
- Mechanism of Action
- Mechanism of Action
- Inhibits Clotting Factors
- Inhibits Clotting Factors
- Indications
- Indications
- Atrial Fibrillation
- Atrial Fibrillation
- Venous Thrombosis
- Venous Thrombosis
- Pulmonary Embolism
- Pulmonary Embolism
- Assessment
- Assessment
- PT/INR Levels
- PT/INR Levels
- Observe for Bleeding
- Observe for Bleeding
- Contraindications
- Contraindications
- Pregnancy
- Pregnancy
- Nursing Considerations
- Nursing Considerations
- Vitamin K and Fresh Frozen Plasma
- Vitamin K and Fresh Frozen Plasma
- Prolonged Therapeutic Onset
- Prolonged Therapeutic Onset
- Maintain Same Diet
- Maintain Same Diet
2 mins
Heparin (Unfractionated)
- Mechanism of Action
- Mechanism of Action
- Suppresses Coagulation
- Suppresses Coagulation
- Indications
- Indications
- Deep Vein Thrombosis (DVT)
- Deep Vein Thrombosis (DVT)
- Pulmonary Embolism
- Pulmonary Embolism
- Side Effects
- Side Effects
- Hemorrhage
- Hemorrhage
- Heparin-Induced Thrombocytopenia (HIT)
- Heparin-Induced Thrombocytopenia (HIT)
- Considerations
- Considerations
- Monitor aPTT
- Monitor aPTT
- Preferred (Safe) During Pregnancy
- Preferred (Safe) During Pregnancy
- Antidote
- Antidote
- Protamine Sulfate
- Protamine Sulfate
2 mins
Aminoglycoside Overview
- End in "-mycin"
- End in "-mycin"
- GNATS
- GNATS
- Gentamicin
- Gentamicin
- Neomycin
- Neomycin
- Amikacin
- Amikacin
- Tobramycin
- Tobramycin
- Streptomycin
- Streptomycin
- Mechanism of Action
- Mechanism of Action
- Bactericidal
- Bactericidal
- Indications
- Indications
- Severe Gram Negative Infections
- Severe Gram Negative Infections
- Bowel Surgery Prep
- Bowel Surgery Prep
1 min
Aminoglycoside Side Effects
- Side Effects
- Side Effects
- Ototoxicity
- Ototoxicity
- Nephrotoxicity
- Nephrotoxicity
- Respiratory Paralysis
- Respiratory Paralysis
- Contraindications
- Contraindications
- Pregnancy
- Pregnancy
- Considerations
- Considerations
- Peak and Trough
- Peak and Trough
- Never Mix with Penicillin in Same IV
- Never Mix with Penicillin in Same IV
2 mins
Fluoroquinolones
- End in "-floxacin"
- End in "-floxacin"
- Mechanism of Action
- Mechanism of Action
- Bactericidal
- Bactericidal
- Indications
- Indications
- Variety of Infections
- Variety of Infections
- Side Effects
- Side Effects
- GI Distress
- GI Distress
- Photosensitivity
- Photosensitivity
- Achilles Tendon Rupture
- Achilles Tendon Rupture
- Contraindications
- Contraindications
- Pregnancy
- Pregnancy
- Children
- Children
- Myasthenia Gravis
- Myasthenia Gravis
- Considerations
- Considerations
- Avoid Milk Products or Antacids
- Avoid Milk Products or Antacids
- Slow IV Infusion
- Slow IV Infusion
2 mins
Vancomycin
- Mechanism of Action
- Mechanism of Action
- Inhibits Bacterial Cell Wall Synthesis
- Inhibits Bacterial Cell Wall Synthesis
- Indications
- Indications
- Serious Gram-Positive Infections
- Serious Gram-Positive Infections
- Side Effects
- Side Effects
- Nephrotoxicity
- Nephrotoxicity
- Ototoxicity
- Ototoxicity
- Red Man Syndrome
- Red Man Syndrome
- Thrombophlebitis
- Thrombophlebitis
- Nursing Considerations
- Nursing Considerations
- Culture Samples First
- Culture Samples First
- Infuse IV Over 60 Minutes
- Infuse IV Over 60 Minutes
- Take Around the Clock
- Take Around the Clock
2 mins
