Medicine Management Skills for Nurses

280 Pages·2013·101.2 MB·English

by  Claire Boyd

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
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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