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Calculation skills for nurses: Student Survival Skills PDF

280 Pages·2013·101.202 MB·English
by  BoydClaire
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STUDENT SURVIVAL SKILLS MEDICINE MANAGEMENT SKILLS FOR NURSES Claire Boyd MEDICINE MANAGEMENT SKILLS FOR NURSES Student Survival Skills Series Survive your nursing course with these essential guides for all student nurses: Calculation Skills for Nurses Claire Boyd 9781118448892 Medicine Management Skills for Nurses Claire Boyd 9781118448854 Clinical Skills for Nurses Claire Boyd 9781118448779 MEDICINE MANAGEMENT SKILLS FOR NURSES Claire Boyd RGN, Cert Ed Practice Development Trainer A John Wiley & Sons, Ltd., Publication This edition fi rst published 2013 © 2013 by John Wiley & Sons, Ltd Wiley-Blackwell is an imprint of John Wiley & Sons, formed by the merger of Wiley’s global Scientifi c, Technical and Medical business with Blackwell Publishing. Registered offi ce: John Wiley & Sons, Ltd, The Atrium, Southern Gate, Chichester, West Sussex, PO19 8SQ, UK Editorial offi ces: 9600 Garsington Road, Oxford, OX4 2DQ, UK The Atrium, Southern Gate, Chichester, West Sussex, PO19 8SQ, UK 111 River Street, Hoboken, NJ 07030-5774, USA For details of our global editorial offi ces, for customer services and for information about how to apply for permission to reuse the copyright material in this book please see our website at www.wiley.com/wiley-blackwell. The right of the author to be identifi ed as the author of this work has been asserted in accordance with the UK Copyright, Designs and Patents Act 1988. All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted, in any form or by any means, electronic, mechanical, photocopying, recording or otherwise, except as permitted by the UK Copyright, Designs and Patents Act 1988, without the prior permission of the publisher. Designations used by companies to distinguish their products are often claimed as trademarks. All brand names and product names used in this book are trade names, service marks, trademarks or registered trademarks of their respective owners. The publisher is not associated with any product or vendor mentioned in this book. Limit of Liability/Disclaimer of Warranty: While the publisher and author(s) have used their best efforts in preparing this book, they make no representations or warranties with respect to the accuracy or completeness of the contents of this book and specifi cally disclaim any implied warranties of merchantability or fi tness for a particular purpose. It is sold on the understanding that the publisher is not engaged in rendering professional services and neither the publisher nor the author shall be liable for damages arising herefrom. If professional advice or other expert assistance is required, the services of a competent professional should be sought. Library of Congress Cataloging-in-Publication Data Boyd, Claire. Medicine management skills for nurses / Claire Boyd. p. ; cm. – (Student survival skills series) Includes bibliographical references and index. ISBN 978-1-118-44885-4 (pbk. : alk. paper) I. Title. II. Series: Student survival skills series. [DNLM: 1. Drug Therapy–nursing–Handbooks. 2. Medication Errors–nursing–Handbooks. 3. Pharmaceutical Preparations–administration & dosage–Handbooks. WY 49] 615.5’8–dc23 2012044639 A catalogue record for this book is available from the British Library. Wiley also publishes its books in a variety of electronic formats. Some content that appears in print may not be available in electronic books. Cover image courtesy of Visual Philosophy Cover design by Visual Philosophy Set in Trade Gothic Light 9/12pt by Aptara Inc., New Delhi, India 1 2013 Contents PREFACE vii INTRODUCTION ix ACKNOWLEDGEMENTS xi THE 24-HOUR CLOCK xii 1 DRUG ADMINISTRATION: GENERAL PRINCIPLES 1 2 PHARMACOKINETICS AND PHARMACODYNAMICS 19 3 DRUGS AND MEDICINES 35 4 ORAL DRUG ADMINISTRATION 47 5 ADMINISTRATION OF INJECTIONS 65 6 CALCULATIONS FOR WORKING OUT DOSAGES 83 7 ADMINISTRATION OF RECTAL AND VAGINAL PREPARATIONS 99 8 ADMINISTRATION OF TOPICAL PREPARATIONS 111 9 ADMINISTRATION OF INHALATION MEDICATIONS AND NEBULISERS 127 10 ADMINISTRATION OF INTRAVENOUS FLUIDS 141 11 ADMINISTRATION OF INTRAVENOUS BOLUS MEDICATIONS 159 12 ADMINISTRATION OF CONTINUOUS INTRAVENOUS INFUSIONS 169 13 ADMINISTRATION VIA PERCUTANEOUS ENDOSCOPIC GASTROSTOMY, PERCUTANEOUS ENDOSCOPIC JEJUNOSTOMY OR NASOGASTRIC TUBE 177 14 DRUGS AND SPECIFIC MEDICAL CONDITIONS 191 15 PAIN MANAGEMENT 203 16 KNOWLEDGE TEST 219 CONTENTS ANSWERS TO ACTIVITIES, QUESTIONS AND “TEST YOUR KNOWLEDGE” 227 APPENDIX 1: SPECIFIC COMPETENCIES: “MEDICINES MANAGEMENT” 243 APPENDIX 2: A TYPICAL PRESCRIPTION CHART 253 BIBLIOGRAPHY 259 INDEX 263 vi Preface This book is designed to assist the student healthcare worker in the fi eld of medicines management. All exercises are related to practice and the healthcare environment. The book looks at the general principles of drug administration, and features `how to’ chapters covering the administration of many types of drug. All the material has been requested by students like you, who told me what they wanted in a medicines management book. It is designed to be a quick reference, one on which you can build your knowledge and skills. At the start of your nursing career you will observe drug administration and then gradually take a more active part in the process. Don’t shy away from this, as one day you will be on your own and the patient will rely on you as being the fount of all knowledge. Nobody expects you to be all knowing at the start of your career and you will need to have quite a few drug-related competencies signed off to prove your ability during your training. Many clinical areas also supply students with an induction pack during placement. This pack usually has a section on commonly prescribed medications used in that area. It is from this that you will build up your knowledge of cardiac drugs, renal drugs, drugs used in neurosurgical wards, drugs used in paediatric care, and so on. The book talks about patients but often uses the community terminology of service user as well. The paediatric nurse has not been forgotten, with information throughout incorporating this branch of nursing. vii PREFACE The book incorporates many exercises to check understanding, to help you to build confi dence and competence. It has been also compiled using quotes and tips from student nurses themselves: a book by students for students. Claire Boyd Bristol October 2012 viii

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