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Pharmacology demystified PDF

481 Pages·2006·1.597 MB·English
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D o w n lo a d e d b y [ F a c u lty o f N u rsin g , C h ia n g m a i U n iv e rsity 5 .6 2 .1 5 6 .8 6 ] a t [0 7 /1 8 /1 6 ]. C o p y rig h t © M c G ra w -H ill G lo b a l E d u c a tio n H o ld in g s, L L C . N o t to b e re d istrib u te d o r m o d ifie d in a n y w a y w ith o u t p e rm issio n . D o w n lo a d e d b y [ F a c u lty o f N u rsin g , C h ia n g m a i U n iv e rsity 5 .6 2 .1 5 6 .8 6 ] a t [0 7 /1 8 /1 6 ]. C o p PHARMACOLOGY DEMYSTIFIED yrig h t © M c G ra w -H ill G lo b a l E d u c a tio n H o ld in g s, L L C . N o t to b e re d istrib u te d o r m o d ifie d in a n y w a y w ith o u t p e rm issio n . D o w n lo a d Demystified Series ed b y [ F a Advanced Statistics Demystified Math Proofs Demystified cu lty Algebra Demystified Math Word Problems Demystified o f N Anatomy Demystified Medical Terminology Demystified u asp.net Demystified Meteorology Demystified rsin g Astronomy Demystified Microbiology Demystified , C h ia Biology Demystified OOPDemystified n g m Business Calculus Demystified Options Demystified a i U Business Statistics Demystified Organic Chemistry Demystified n iv CC+al+cu Dluesm Dyesmtifyiestdified PPehrasromnaacl oCloogmyp Duteimngy sDtiefimedystified ersity 5 .6 Chemistry Demystified Physics Demystified 2.1 5 College Algebra Demystified Physiology Demystified 6.8 6 Data Structures Demystified Pre-Algebra Demystified ] a Databases Demystified Precalculus Demystified t [0 7 Differential Equations Demystified Probability Demystified /18 /1 Digital Electronics Demystified Project Management Demystified 6]. C Earth Science Demystified Quality Management Demystified o p y Electricity Demystified Quantum Mechanics Demystified rig h Electronics Demystified Relativity Demystified t © M Environmental Science Demystified Robotics Demystified c G Everyday Math Demystified Six Sigma Demystified ra w Genetics Demystified sql Demystified -H Geometry Demystified Statistics Demystified ill G lo Home Networking Demystified Trigonometry Demystified ba Investing Demystified uml Demystified l Ed u c Java Demystified Visual Basic 2005 Demystified a tio JavaScript Demystified Visual C# 2005 Demystified n H o Linear Algebra Demystified xml Demystified ld in Macroeconomics Demystified gs, L L C . N o t to b e re d istrib u te d o r m o d ifie d in a n y w a y w ith o u t p e rm issio n . D o w n lo a d e d b y [ F a c u lty o f N u rsin g , C h ia n g m a i U n iv e rsity 5 .6 2 .1 5 6 .8 6 ] a t [0 7 /1 8 /1 6 ]. C o p y PHARMACOLOGY DEMYSTIFIED rig h t © M c G ra w -H ill G lo b a l E d u c a tio n MARY KAMIENSKI, H o ld in PhD, RN, FAEN, FNP, CEN g s, L L C . N JIM KEOGH o t to b e re d istrib u te d o r m o d ifie d McGRAW-HILL in a n New York Chicago San Francisco Lisbon London y w a Madrid Mexico City Milan New Delhi San Juan y w Seoul Singapore Sydney Toronto ith o u t p e rm issio n . D o w n lo a d e d b y [ F a c u lty o f N u rsin g , C h ia n g m a Copyright © 2006 by The McGraw-Hill Companies, Inc. All rights reserved. Manufactured in the United States of i U n America. Except as permitted under the United States Copyright Act of 1976, no part of this publication may be repro- iv e duced or distributed in any form or by any means, or stored in a database or retrieval system, without the prior written per- rsity mission of the publisher. 5 .6 2 .1 0-07-148344-6 56 .8 6 The material in this eBook also appears in the print version of this title: 0-07-146208-2. ] at [0 7 /1 All trademarks are trademarks of their respective owners. Rather than put a trademark symbol after every occurrence of a 8 /1 torfa dinefmrianrgkeemd ennatm oef ,t hwee turasdee nmaamrkes. Win haenr ee dsuitcohri adle sfiagsnhaiotino nosn layp, paenadr tion tthheis bbeonoekf,i tt hoef yt hhea vtrea dbeemena rpkr ionwtende wr, iwthi tihn intioa li nctaepnst.i on 6]. Co p y McGraw-Hill eBooks are available at special quantity discounts to use as premiums and sales promotions, or for use incor- righ porate training programs. For more information, please contact George Hoare, Special Sales, at george_hoare@mcgraw- t © M hill.com or (212) 904-4069. c G ra w TERMS OF USE -H ill G This is a copyrighted work and The McGraw-Hill Companies, Inc. (“McGraw-Hill”) and its licensors reserve all rights in lo b and to the work. Use of this work is subject to these terms. Except as permitted under the Copyright Act of 1976 and the al E right to store and retrieve one copy of the work, you may not decompile, disassemble, reverse engineer, reproduce, modify, d u create derivative works based upon, transmit, distribute, disseminate, sell, publish or sublicense the work or any part of it ca without McGraw-Hill’s prior consent. You may use the work for your own noncommercial and personal use; any other use tion H of the work is strictly prohibited. Your right to use the work may be terminated if you fail to comply with these terms. o ld in g THE WORK IS PROVIDED “AS IS.” McGRAW-HILL AND ITS LICENSORS MAKE NO GUARANTEES OR WAR- s, L RANTIES AS TO THE ACCURACY, ADEQUACY OR COMPLETENESS OF OR RESULTS TO BE OBTAINED FROM L C USING THE WORK, INCLUDING ANY INFORMATION THAT CAN BE ACCESSED THROUGH THE WORK VIA . N HYPERLINK OR OTHERWISE, AND EXPRESSLY DISCLAIM ANY WARRANTY, EXPRESS OR IMPLIED, ot to INCLUDING BUT NOT LIMITED TO IMPLIED WARRANTIES OF MERCHANTABILITY OR FITNESS FOR A b e PARTICULAR PURPOSE. McGraw-Hill and its licensors do not warrant or guarantee that the functions contained in the re d wlicoernks owrisl ls hmaelle tb ey oliuarb lree qtou iyreomu eonrt sa noyro tnhea et listes foopre arnatyi oinn awccilulr abcey ,u enrirnoter rorru potmedis soiro ner, rroerg afrredele. sNs eoift hcearu sMe,c iGnr tahwe- wHoilrlk n oorr fiotsr istrib u any damages resulting therefrom. McGraw-Hill has no responsibility for the content of any information accessed through ted the work. Under no circumstances shall McGraw-Hill and/or its licensors be liable for any indirect, incidental, special, or m punitive, consequential or similar damages that result from the use of or inability to use the work, even if any of them has o d been advised of the possibility of such damages. This limitation of liability shall apply to any claim or cause whatsoever ifie d whether such claim or cause arises in contract, tort or otherwise. in a n y DOI: 10.1036/0071462082 w a y w ith o u t p e rm issio n . D o w n lo a d e d b y [ F a c u lty o f N u rsin g , C h ia n g m a i U n iv e rsity Professional 5.6 2 .1 5 6 .8 6 ] a t [0 7 /1 8 /1 6 ]. C o p y rig h t © M Want to learn more? c G ra w -H We hope you enjoy this ill G lo McGraw-Hill eBook! If ba l E d you’d like more information about this book, u c a tio its author, or related books and websites, n H o please click here. ldin g s, L L C . N o t to b e re d istrib u te d o r m o d ifie d in a n y w a y w ith o u t p e rm issio n . For more information about this title, click here D o w n lo a d e d b y [ F a c u lty o f N CONTENTS ursin g , C h ia n g m a i U n iv e rsity 5 .6 2 .1 5 Introduction xiii 6.8 6 ] a CHAPTER 1 An Inside Look at Pharmacology 1 t [0 7 /1 What Is Pharmacology? 2 8/1 6 The Source of Drugs 4 ]. C o p y Drugs Names 6 rig h Prescription versus Over-the-Counter Drugs 7 t © M c Drug Effects 7 G ra w Drug Safety 8 -H Locating Drug Information 11 ill Glo b a Drug Orders 12 l E d u The “Five Rights” Way of Drug Administration 16 ca tio n Summary 20 H o ld Quiz 21 in g s, L L CHAPTER 2 Drug Action and Drug Interactions 23 C . N o Drug Actions 24 t to b The First Pass Effect 33 e re d Pharmacodynamics 33 istrib u Categories of Drug Action 35 ted o Therapeutic Index and Therapeutic Range 35 r m o d Side Effects 36 ifie d in Summary 38 a n y Quiz 39 wa y w ith o u t p e rm v issio n . D o vi CONTENTS wnlo a d e d b y [ F a c u CHAPTER 3 Pharmacology and the Nursing Process 41 lty o f N The Nursing Process 42 u rsin Nursing Diagnosis 47 g , C h Patient Care Plan 48 ia n g m Teaching the Patient About Drugs 50 a i U n Impact of Cultural Influences in iv e Drug Administration 52 rsity 5 .6 Mother and the Fetus 54 2 .1 5 6 Pediatrics 54 .8 6 ] a Elderly 55 t [0 7 Summary 57 /18 /1 6 Quiz 58 ]. C o p y rig CHAPTER 4 Substance Abuse 61 ht © Drug Misuse and Abuse 61 M c G Behavioral Patterns of Addiction 63 raw -H Healthcare Professionals and ill G lo Substance Abuse 64 ba l E Detecting Substance Abuse 65 du c a Delayed Action 67 tion H o Substances That Can Be Abused 71 ld in g Dependence versus Tolerance 71 s, L L Pathophysiologic Changes Occurring in C. N o Substance Abuse 72 t to b e Cultural Aspects of Substance Abuse 72 re d Commonly Abused Substances 73 istrib u Nursing Assessment 77 ted o Summary 78 r m o d Quiz 79 ifie d in a n y CHAPTER 5 Principles of Medication Administration 81 w a y The Nursing Process and with o Medication Administration 82 ut p e rm issio n . D o CONTENTS vii wnlo a d e d b y [ F a c u Assessment Required for Specific Drugs 84 lty o f N Administering Medication 87 u rsin Evaluating the Patient After g , C h Administering Medication 92 ia n g m Controlling Narcotics 93 a i U n Summary 94 iv e Quiz 94 rsity 5 .6 2 .1 5 6 CHAPTER 6 Route of Administration 97 .86 ] a Medication and Routes 97 t [0 7 /1 Z-Track Injection Technique 107 8/1 6 Tips for Minimizing Pain 109 ]. C o p Summary 110 yrig h Quiz 111 t © M c G ra w CHAPTER 7 Dose Calculations 113 -H ill G The Metric System and Medication 113 lo b a Converting Metric Units 116 l E d u c Formulas for Calculating the Desired Dose 117 atio n Parenteral Medications 119 H o ld Summary 121 ing s, L Quiz 122 L C . N o t to CHAPTER 8 Herbal Therapy 125 be re d Inside Herbal Therapy 125 istrib Forms of Herbal Therapies 127 ute d o Hazards of Herbal Therapeutics 128 r m o d Herbals Therapy and the Nursing Process 129 ifie d The Do’s and Don’ts about Herbs 130 in a n y Commonly Used Herbs 131 w a y Summary 135 with o Quiz 135 ut p e rm issio n . D o viii CONTENTS wnlo a d e d b y [ F a c u CHAPTER 9 Vitamins and Minerals 137 lty o f N Vitamins 137 u rsin Vitamins and the Nursing Process 148 g , C h Summary 154 ia n g m Quiz 154 a i U n iv e CHAPTER 10 Fluid and Electrolyte Therapy 157 rsity 5 Body Fluids 158 .6 2 .1 5 Electrolytes 158 6 .8 6 Fluid Concentration 159 ] a t [0 7 IV Fluids 160 /1 8 /1 Blood and Blood Products 161 6]. C o Fluid Replacement 161 p y rig Summary 180 ht © Quiz 181 M c G ra w -H CHAPTER 11 Nutritional Support Therapies 183 ill G Nutrition 183 lo b a Nursing Process 189 l Ed u c a The Nursing Processing and tio n H Parenteral Nutritional Therapy 192 o ld in Summary 193 g s, L Quiz 194 LC . N o t to CHAPTER 12 Inflammation 197 b e re AConm Inbasitdineg L oInofkl aamt mInaftliaomnmation 119997 distribu te d Summary 201 or m o Quiz 201 d ifie d in a CHAPTER 13 Antimicrobials—Fighting Infection 203 n y w Microorganisms—A Small Formidable ay w Opponent 204 itho u t p Medication—A Formidable Defender 204 e rm issio n .

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