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Go to evolve.elsevier.com/shop to search and browse for products. 2019v1.0 High Alert header highlights drugs that pose the greatest Siarnouddubmitcheianestaiesdt rvianatgrioiosnus I • •n • • •h • w U • M I Aa • ShDs Pn i Ill(haen o Cnleradt 5 •ioy Da oesernlW sn •iLtl ewku sse Yriep rfifla0 ,aa Iodcsad efcrlvm ra Gmno-fi.bnm ut0atno penre e9attos w cxici riir.clmittrnhict vnp%vainn 9 cseaidrirtaereceefwehaecaetfdht)oame,eoufc%oc z doflt eoDl nyinei;5atlec ,eaiiNseurciaulNuf bi,Nht ennetr odtnrfrt itn fl0diOz maa flraaaN ttaipnE gruupa otm ,b e eolrvhnerwtii0osrhuxe nCeuctPm,iear,lPucdmo,bleo lteaapxu spse a siv adai rilIemdaimsaCoodnoHmmmc(ieuulodbptdu;itemeooVb,miocsndm,c ulnho mmahl peailp,xr lopdoo;ienulsercomf tihpsn,i ,ge,o irmC nfeo c elua ichaiao pai n pznirIexicirillaiesnacmd ahn ,,wnxcdeItntdyaennxiNmbmnbueimooo lihsoaet,e/aeafoinbSeine,p yute,hfe, at eauedirolguunesthif omsarct on bcu e,icpcl,niFieieo e,n t,l rttl,, zen pmiD ld ifnnanCmeteyl pmie iSocreairol ny uln h gdf,or 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NURSING for STUDENTS FOURTEENTH EDITION Linda Skidmore-Roth, RN, MSN, NP Consultant Littleton, Colorado Formerly, Nursing Faculty New Mexico State University Las Cruces, New Mexico El Paso Community College El Paso, Texas Elsevier 3251 Riverport Lane St. Louis, Missouri 63043 MOSBY’S DRUG GUIDE FOR NURSING STUDENTS, ISBN: 978-0-323-69405-6 FOURTEENTH EDITION ISSN: 2213-4409 Copyright © 2021 by Elsevier Inc. All rights reserved. No part of this publication may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopying, recording, or any information storage and retrieval system, without permission in writing from the publisher. Details on how to seek permission, further information about the Publisher’s permissions policies and our arrangements with organizations such as the Copyright Clearance Center and the Copy- right Licensing Agency, can be found at our website: www.elsevier.com/permissions. This book and the individual contributions contained in it are protected under copyright by the Publisher (other than as may be noted herein). Notices Knowledge and best practice in this field are constantly changing. As new research and experience broaden our understanding, changes in research methods, professional practices, or medical treatment may become necessary. Practitioners and researchers must always rely on their own experience and knowledge in evaluating and using any information, methods, compounds, or experiments described herein. In using such information or methods they should be mindful of their own safety and the safety of others, including parties for whom they have a professional responsibility. With respect to any drug or pharmaceutical products identified, readers are advised to check the most current information provided (i) on procedures featured or (ii) by the manufacturer of each product to be administered, to verify the recommended dose or formula, the method and duration of administration, and contraindications. It is the responsibility of practitioners, relying on their own experience and knowledge of their patients, to make diagnoses, to determine dosages and the best treatment for each individual patient, and to take all appropriate safety precautions. To the fullest extent of the law, neither the Publisher nor the authors, contributors, or editors, assume any liability for any injury and/or damage to persons or property as a matter of products liability, negligence or otherwise, or from any use or operation of any methods, products, instructions, or ideas contained in the material herein. Previous editions copyrighted 2019, 2017, 2015, 2013, 2011, 2009, 2007, 2005, 2003, 2001, 1999, 1997, 1996. International Standard Book Number: 978-0-323-69405-6 Executive Content Strategist: Sonya Seigafuse Senior Content Development Manager: Luke Held Senior Content Development Specialist: Sarah Vora Publishing Services Manager: Julie Eddy Senior Project Manager: Jodi M. Willard D esign Direction: Ryan Cook Printed in the United States of America and China Last digit is the print number: 9 8 7 6 5 4 3 2 1 Consultants iii Consultants James Graves, Pharm D Meera K. Shah, PharmD, AAHIVP Clinical Pharmacist Clinical Pharmacist Inpatient Pharmacy Saint Louis, Missouri University of Missouri Health Center Travis E. Sonnett, PharmD Columbia, Missouri Inpatient Pharmacy Supervisor Kathleen S. Jordan, DNP, MS, FNP-BC, Mann-Grandstaff VA Medical Center ENP-BC, ENP-C, SANE-P Spokane, Washington Nurse Practitioner Residency Program Director Mid-Atlantic Emergency Medicine Associates Pharmacy Clinical Assistant Professor Washington State University School of Nursing College of Pharmacy The University of North Carolina Spokane, Washington Charlotte, North Carolina Wm. Kendall Wyatt, MD, RN, EMT-P Janis McMillan, MSN, RN, CNE Chief resident Physician Associate Clinical Professor West Virginia University School of Nursing Charleston Area Medical Center Northern Arizona University Charleston, West Virginia Flagstaff, Arizona This page intentionally left blank Preface v Preface Mosby’s Drug Guide for Nursing Students, fourteenth edition, is the most in-depth handbook available for nursing students! Since its first publication in 1996, more than 100 U.S. and Canadian pharmacists and consultants have reviewed the book’s content closely. Today, Mosby’s Drug Guide for Nursing Students is more up-to-date than ever—with features that make it easy to find critical information fast! NEW FEATURES regularly used in the United States and Canada, • Over 50 recent FDA-approved drugs for with drugs available only in Canada identified 2021 are located throughout the book and in by a maple leaf icon ( ). Select monographs, Appendix A. important to learn and know for the NCLEX • A new appendix with commonly used herbs examination, have been identified by a . and natural supplements delivers easy-to- You’ll see drug-specific information within reference information about these commonly monographs identified with a . A special mentioned products. icon highlights drugs that may have genetic • New Patient Problems subheading under contraindications . Nursing Considerations provides International Each monograph provides the following in- Classification for Nursing Practice (ICNP) classi- formation, whenever possible, for safe, effective fications that are applicable to individual drugs.. administration of each drug: NEW FACTS High-alert status: Identifies drugs with This edition features thousands of new drug the most potential to cause harm to patients if facts, including: administered incorrectly. • New drugs and new dosage information “Tall Man” lettering: Uses the capitaliza- • Newly researched adverse effects tion of distinguishing letters to avoid medication • Updated Black Box Warnings errors and is required by the FDA for drug • The latest precautions, interactions, and manufacturers. contraindications • IV therapy updates Pronunciation: Helps the nurse master • Revised nursing considerations complex generic names. • Updated patient/family education guidelines Rx, OTC: Identifies prescription or over-the- • Updates on key new drug research counter drugs. Functional and chemical classifica- ORGANIZATION tions: Helps the nurse recognize similarities This handbook is organized into four main and differences among drugs in the same sections: functional but different chemical classes. • Individual drug monographs (in alphabetical order by generic name) Do not confuse: Presents drug names that • Drug Categories might easily be confused within each appropri- • Appendixes ate monograph. • Illustrated mechanisms and sites of action Action: Describes pharmacologic properties The guiding principle behind this book is to concisely. provide fast, easy access to drug information and nursing considerations. Every detail—from Therapeutic outcome: Details all pos- the cover, binding, and paper to the typeface, sible results of medication use. four-color design, and appendixes—has been Uses: Lists the conditions the drug is used to treat. carefully chosen with the user in mind. Here’s what you’ll find in each section of the handbook: Unlabeled uses: Describes drug uses that may be encountered in practice but are not yet Individual Drug Monographs FDA approved. This book includes monographs for more than 4000 generic and trade medications—those Dosages and routes: Lists all available most commonly administered by students. and approved dosages and routes for adult, Common trade names are given for all drugs pediatric, and geriatric patients. vi Preface Available forms: Includes tablets, Appendixes capsules, extended release, injectables (IV, IM, Selected new drugs: Includes com- SUBCUT), solutions, creams, ointments, lotions, prehensive information on 201 key drugs gels, shampoos, elixirs, suspensions, supposito- approved by the FDA during the last 12 months. ries, sprays, aerosols, and lozenges. Ophthalmic, nasal, topical, and Adverse effects: Groups these reactions otic products: Provides essential informa- by alphabetical body system, with common side tion for 140 ophthalmic, nasal, topical, and otic effects italicized and life-threatening reactions products commonly used today, grouped by in red type for emphasis. chemical drug class. Contraindications: Lists conditions under Vaccines and toxoids: Features an easy- which the drug absolutely should not be given. to-use table with generic and trade names, uses, Precautions: Lists conditions that require dosages and routes, and contraindications for special consideration when the drug is prescribed. 39 key vaccines and toxoids. Black Box Warnings: Identifies FDA Abbreviations: Lists abbreviations alpha- warnings that highlight serious and life-threaten- betically with their meanings and explains the ing adverse effects. five FDA pregnancy categories. Pharmacokinetics/pharmacody- Immunization schedules: Recom- namics: Features a quick-reference chart of mended childhood and adolescent immuniza- concise facts of pharmacokinetics (absorption, tion schedules. distribution, metabolism, excretion, half-life) Standard Precautions: Used in the care and pharmacodynamics (onset, peak, duration). of all patients regardless of their diagnosis or Interactions: Lists confirmed drug, food, disease. herb, and lab test interactions. Illustrated mechanisms and sites of Nursing considerations: Identifies action: These 13 detailed, full-color illustra- key nursing considerations for each step of the tions are added to help enhance the understand- nursing process: Assessment, Patient Problem, ing of the mechanism or site of action for the Implementation, Patient/Family Education, following drugs and drug classes: and Evaluation, including positive therapeutic • Anticholinergic bronchodilators outcomes. Instructions for giving drugs by vari- • Antidepressants ous routes (e.g., IV, PO, IM, SUBCUT, topically, • Antidiabetic agents rectally) appear under Implementation, with • Antifungal agents route subheadings in bold. • Antiinfective agents • Antiretroviral agents Compatibilities: Lists syringe, Y-site, and • Benzodiazepines additive compatibilities and incompatibilities. • Diuretics If no compatibilities are listed for a drug, the • Laxatives necessary compatibility testing has not been done • Narcotic agonist-antagonist analgesics and that compatibility information is unknown. • Narcotic analgesics To ensure safety, assume that the drug may not • Phenytoin be mixed with other drugs unless specifically • Sympatholytics stated. Treatment of overdose: Lists drugs and Photo atlas of drug administration: treatments for overdoses where appropriate. This practical resource for students and practi- tioners lists standard precautions and provides Drug Categories more than 20 full-color illustrations depicting The Drug Categories section, following the the physical landmarks and administration individual drug monographs, provides general techniques used for IV, IM, SUBCUT, and ID drug information about the various functional classes delivery. to promote learning about the similarities and differences among drugs in the same Common Herbs functional class. It summarizes action, uses, This appendix, new to the fourteenth edition, adverse effects, contraindications, precautions, provides easy-to-reference information for pharmacokinetics, interactions, and nursing the most commonly used herbs and natural considerations for each functional class. supplements.

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Mosby's Drug Guide For Nursing Students PDF

1223 Pages·2021·73.067 MB·English
by  Linda Skidmore-Roth
#Medicine #Pharmacology
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n(htotsnorlne,lromsilfePooh a,is raeSsRestsyaeamu oolp 5 ubTons ,no 2 si nsresr Ihsdb gr Ivrm-seteectmiod x0tbo, C edVbee8eyiony e, sd inn- mmr TVpr:iarln msae ymu s)mnbny (cid:30)g otuhA ao netsdie(hs oislrgic ian-rl,De rrilodes P- op c yla inKr,k y(tbcd,ebvivsc rrrO neeiter I sghbh/ , erlnanoeiorhbyocn oVaL) eg allkiolcLm e,iierNbsysilato;cb rdil )dltcgeeo -C;acri- ylaikycceap /oykaX,a L-i, ipnbs koci-r Eonfts,nsLtlrier aXme aoo,v ivgie® r DaIadnee Iraca I- ns Dnre D Cgos,k I ccd I e, ss E fncgiri i R pBuIshNthfanmu I mgutuoiIei H aNtmy G Ndc/crghnaocI(cid:30)lEe G cl E rPepi meo phaTao araxn C tE,i nt2 TtSoUDhr-so re C vEnihIirl A:-iiiint;E dtM :na1VrmrnsE Aagya PeiiOd N:N,e AliitenN l Md,hb n ln1pRDi:da2G bm:vd AsI,upic AAda tsps:T e01 hiSmuos Amoti Hcrt a lBiaudA Hinurg:l:0,2ahVy(Hep:od3etn:i cgtt a Adu:p M/a au slnrniiih i s .ewFeaaenri R GBmy(onatyu5mlroeuorng CvulCdr,alaEdoyqds :p,1aI X eizaa en Atclatip ept H nl arccteptyuln Dh pdluodogd:imeeee0bstiLsru;,p b,R A qeerTrcr 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Ndc/crghnaocI(cid:30)lEe G cl E rPepi meo phaTao araxn C tE,i nt2 TtSoUDhr-so re C vEnihIirl A:-iiiint;E dtM :na1VrmrnsE Aagya PeiiOd N:N,e AliitenN l Md,hb n ln1pRDi:da2G bm:vd AsI,upic AAda tsps:T e01 hiSmuos Amoti Hcrt a lBiaudA Hinurg:l:0,2ahVy(Hep:od3etn:i cgtt a Adu:p M/a au slnrniiih i s .ewFeaaenri R GBmy(onatyu5mlroeuorng CvulCdr,alaEdoyqds :p,1aI X eizaa en Atclatip ept H nl arccteptyuln Dh pdluodogd:imeeee0bstiLsru;,p b,R A qeerTrcr Pdndcoo: lh i marissenhr,ektepo)0ry saivaflr etite 6olngO Preo/nuhgtlyOdy aaa5cn,ladc:ded-hIzSoux hxa,l Pee ,ec phy sOlmss4lod re peoo 0taOqf5pelny/mttt nd,ytOt,ErearaiI g ,u aa5Say dtes iEpnsi-d :0upn m iri 2 neVdstr Pfttc1ni icsl1u0iprdocpv(cid:28)ofrN edish roreainem)eoe5 tu aiI ( A P0imluad0a r opslao:gmetnB:ielna gNstx,ru-rm p Ecsi t Oe0r(n l0 i,lnuipetn1sSllenteDcid,egOiovEt lyo4oauseym PXG e ropa agar gremc ,0 eFe acinmr,cPcbetvnL8n 5arOLeqaadmsbe5,sn d,orr bee0hle pcHi yt r)s,F0,ssEsccd iaess0gy,i(e nl mddp rmehrg znstuoi , w od (pr aaee diaIf: ar2eronE2nf/ir(mbsz cNaio2dirIm mlyylraiaoyodeniadn da5i5stopIiAatTairtseltf5 irmt(aCnedgs)nla inyteyyv,megiiga ppYaq olgipl,r s esk y,msi y,eea co ab i5n6eNu tdbu,l fd ,arrmoT llPHr s soth sactm:0-yeecagheiaenelcrb aurise O d1re yiDeanarr,,n iSdsnD ye,Al2tiia ttg nd qv6d, after, dn xythxw11 ca ,fri5 (/queh1crm dda) meieo-tw io,ytde-0u gya4l,eAdewe rmqm5c oc 3o r ahR a0phraere1S0(cid:28)t,nLrs5nit ks l ytys:piidve ka,ysnei1Ay0m0mpa ,ea0c o nOeai, ln s;rent2 0Zs0 n succs, a Psflaaged i2emthz ;ie, s0i0Ik nuo)filOls ld 1innUsbi N,em5ms ee0nc i ga wpp c0itsn5 am sm0x Eace gt)/nresoghI0dkaTim, dtdfh-,;rI am ex g;lta ni2 a r/ou ahreaelletPg/Em(xdiec0lae gyrnIsredady c Odrx-hI li 0e r,a4ggaSa e,elIqe ltye a2 )e;),0ya xdlc2m /ossr ;s5si0ti, m,m 1sne ,rnt -am r l 1cmjoigIedi m innraI0Padt nrlog)etyh 0g e(cid:28)s/;nea o/ deClagsg-smrki idae dyfsovgdroy gee asio uavm-togtueetghtremmprhhirscseeeeo o,iad rn ung et scetb efpalfnuryeenii adcncbdtteigosra di cld ,y SKIDMORE MOSBY’S DRUG GUIDE NURSING for STUDENTS FOURTEENTH EDITION Linda Skidmore-Roth, RN, MSN, NP Consultant Littleton, Colorado Formerly, Nursing Faculty New Mexico State University Las Cruces, New Mexico El Paso Community College El Paso, Texas Elsevier 3251 Riverport Lane St. Louis, Missouri 63043 MOSBY’S DRUG GUIDE FOR NURSING STUDENTS, ISBN: 978-0-323-69405-6 FOURTEENTH EDITION ISSN: 2213-4409 Copyright © 2021 by Elsevier Inc. All rights reserved. No part of this publication may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopying, recording, or any information storage and retrieval system, without permission in writing from the publisher. Details on how to seek permission, further information about the Publisher’s permissions policies and our arrangements with organizations such as the Copyright Clearance Center and the Copy- right Licensing Agency, can be found at our website: www.elsevier.com/permissions. This book and the individual contributions contained in it are protected under copyright by the Publisher (other than as may be noted herein). Notices Knowledge and best practice in this field are constantly changing. As new research and experience broaden our understanding, changes in research methods, professional practices, or medical treatment may become necessary. Practitioners and researchers must always rely on their own experience and knowledge in evaluating and using any information, methods, compounds, or experiments described herein. In using such information or methods they should be mindful of their own safety and the safety of others, including parties for whom they have a professional responsibility. With respect to any drug or pharmaceutical products identified, readers are advised to check the most current information provided (i) on procedures featured or (ii) by the manufacturer of each product to be administered, to verify the recommended dose or formula, the method and duration of administration, and contraindications. It is the responsibility of practitioners, relying on their own experience and knowledge of their patients, to make diagnoses, to determine dosages and the best treatment for each individual patient, and to take all appropriate safety precautions. To the fullest extent of the law, neither the Publisher nor the authors, contributors, or editors, assume any liability for any injury and/or damage to persons or property as a matter of products liability, negligence or otherwise, or from any use or operation of any methods, products, instructions, or ideas contained in the material herein. Previous editions copyrighted 2019, 2017, 2015, 2013, 2011, 2009, 2007, 2005, 2003, 2001, 1999, 1997, 1996. International Standard Book Number: 978-0-323-69405-6 Executive Content Strategist: Sonya Seigafuse Senior Content Development Manager: Luke Held Senior Content Development Specialist: Sarah Vora Publishing Services Manager: Julie Eddy Senior Project Manager: Jodi M. Willard D esign Direction: Ryan Cook Printed in the United States of America and China Last digit is the print number: 9 8 7 6 5 4 3 2 1 Consultants iii Consultants James Graves, Pharm D Meera K. Shah, PharmD, AAHIVP Clinical Pharmacist Clinical Pharmacist Inpatient Pharmacy Saint Louis, Missouri University of Missouri Health Center Travis E. Sonnett, PharmD Columbia, Missouri Inpatient Pharmacy Supervisor Kathleen S. Jordan, DNP, MS, FNP-BC, Mann-Grandstaff VA Medical Center ENP-BC, ENP-C, SANE-P Spokane, Washington Nurse Practitioner Residency Program Director Mid-Atlantic Emergency Medicine Associates Pharmacy Clinical Assistant Professor Washington State University School of Nursing College of Pharmacy The University of North Carolina Spokane, Washington Charlotte, North Carolina Wm. Kendall Wyatt, MD, RN, EMT-P Janis McMillan, MSN, RN, CNE Chief resident Physician Associate Clinical Professor West Virginia University School of Nursing Charleston Area Medical Center Northern Arizona University Charleston, West Virginia Flagstaff, Arizona This page intentionally left blank Preface v Preface Mosby’s Drug Guide for Nursing Students, fourteenth edition, is the most in-depth handbook available for nursing students! Since its first publication in 1996, more than 100 U.S. and Canadian pharmacists and consultants have reviewed the book’s content closely. Today, Mosby’s Drug Guide for Nursing Students is more up-to-date than ever—with features that make it easy to find critical information fast! NEW FEATURES regularly used in the United States and Canada, • Over 50 recent FDA-approved drugs for with drugs available only in Canada identified 2021 are located throughout the book and in by a maple leaf icon ( ). Select monographs, Appendix A. important to learn and know for the NCLEX • A new appendix with commonly used herbs examination, have been identified by a . and natural supplements delivers easy-to- You’ll see drug-specific information within reference information about these commonly monographs identified with a . A special mentioned products. icon highlights drugs that may have genetic • New Patient Problems subheading under contraindications . Nursing Considerations provides International Each monograph provides the following in- Classification for Nursing Practice (ICNP) classi- formation, whenever possible, for safe, effective fications that are applicable to individual drugs.. administration of each drug: NEW FACTS High-alert status: Identifies drugs with This edition features thousands of new drug the most potential to cause harm to patients if facts, including: administered incorrectly. • New drugs and new dosage information “Tall Man” lettering: Uses the capitaliza- • Newly researched adverse effects tion of distinguishing letters to avoid medication • Updated Black Box Warnings errors and is required by the FDA for drug • The latest precautions, interactions, and manufacturers. contraindications • IV therapy updates Pronunciation: Helps the nurse master • Revised nursing considerations complex generic names. • Updated patient/family education guidelines Rx, OTC: Identifies prescription or over-the- • Updates on key new drug research counter drugs. Functional and chemical classifica- ORGANIZATION tions: Helps the nurse recognize similarities This handbook is organized into four main and differences among drugs in the same sections: functional but different chemical classes. • Individual drug monographs (in alphabetical order by generic name) Do not confuse: Presents drug names that • Drug Categories might easily be confused within each appropri- • Appendixes ate monograph. • Illustrated mechanisms and sites of action Action: Describes pharmacologic properties The guiding principle behind this book is to concisely. provide fast, easy access to drug information and nursing considerations. Every detail—from Therapeutic outcome: Details all pos- the cover, binding, and paper to the typeface, sible results of medication use. four-color design, and appendixes—has been Uses: Lists the conditions the drug is used to treat. carefully chosen with the user in mind. Here’s what you’ll find in each section of the handbook: Unlabeled uses: Describes drug uses that may be encountered in practice but are not yet Individual Drug Monographs FDA approved. This book includes monographs for more than 4000 generic and trade medications—those Dosages and routes: Lists all available most commonly administered by students. and approved dosages and routes for adult, Common trade names are given for all drugs pediatric, and geriatric patients. vi Preface Available forms: Includes tablets, Appendixes capsules, extended release, injectables (IV, IM, Selected new drugs: Includes com- SUBCUT), solutions, creams, ointments, lotions, prehensive information on 201 key drugs gels, shampoos, elixirs, suspensions, supposito- approved by the FDA during the last 12 months. ries, sprays, aerosols, and lozenges. Ophthalmic, nasal, topical, and Adverse effects: Groups these reactions otic products: Provides essential informa- by alphabetical body system, with common side tion for 140 ophthalmic, nasal, topical, and otic effects italicized and life-threatening reactions products commonly used today, grouped by in red type for emphasis. chemical drug class. Contraindications: Lists conditions under Vaccines and toxoids: Features an easy- which the drug absolutely should not be given. to-use table with generic and trade names, uses, Precautions: Lists conditions that require dosages and routes, and contraindications for special consideration when the drug is prescribed. 39 key vaccines and toxoids. Black Box Warnings: Identifies FDA Abbreviations: Lists abbreviations alpha- warnings that highlight serious and life-threaten- betically with their meanings and explains the ing adverse effects. five FDA pregnancy categories. Pharmacokinetics/pharmacody- Immunization schedules: Recom- namics: Features a quick-reference chart of mended childhood and adolescent immuniza- concise facts of pharmacokinetics (absorption, tion schedules. distribution, metabolism, excretion, half-life) Standard Precautions: Used in the care and pharmacodynamics (onset, peak, duration). of all patients regardless of their diagnosis or Interactions: Lists confirmed drug, food, disease. herb, and lab test interactions. Illustrated mechanisms and sites of Nursing considerations: Identifies action: These 13 detailed, full-color illustra- key nursing considerations for each step of the tions are added to help enhance the understand- nursing process: Assessment, Patient Problem, ing of the mechanism or site of action for the Implementation, Patient/Family Education, following drugs and drug classes: and Evaluation, including positive therapeutic • Anticholinergic bronchodilators outcomes. Instructions for giving drugs by vari- • Antidepressants ous routes (e.g., IV, PO, IM, SUBCUT, topically, • Antidiabetic agents rectally) appear under Implementation, with • Antifungal agents route subheadings in bold. • Antiinfective agents • Antiretroviral agents Compatibilities: Lists syringe, Y-site, and • Benzodiazepines additive compatibilities and incompatibilities. • Diuretics If no compatibilities are listed for a drug, the • Laxatives necessary compatibility testing has not been done • Narcotic agonist-antagonist analgesics and that compatibility information is unknown. • Narcotic analgesics To ensure safety, assume that the drug may not • Phenytoin be mixed with other drugs unless specifically • Sympatholytics stated. Treatment of overdose: Lists drugs and Photo atlas of drug administration: treatments for overdoses where appropriate. This practical resource for students and practi- tioners lists standard precautions and provides Drug Categories more than 20 full-color illustrations depicting The Drug Categories section, following the the physical landmarks and administration individual drug monographs, provides general techniques used for IV, IM, SUBCUT, and ID drug information about the various functional classes delivery. to promote learning about the similarities and differences among drugs in the same Common Herbs functional class. It summarizes action, uses, This appendix, new to the fourteenth edition, adverse effects, contraindications, precautions, provides easy-to-reference information for pharmacokinetics, interactions, and nursing the most commonly used herbs and natural considerations for each functional class. supplements.

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