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Nursing Key Topics Review: Pharmacology - E-Book

Nursing Key Topics Review: Pharmacology - E-Book

(2017)

Additional Information

Book Details

Abstract

Study efficiently with Nursing Key Topics Review: Pharmacology. This quick review and accompanying mobile web app focus on the most critical, practical, and relevant pharmacology information to prepare you for success on course exams. Concise coverage includes chapters on respiratory drugs, central nervous system depressants, endocrine medications, women’s and men’s health drugs, and much more! Summary tables and quick, bulleted lists make it easier to glance through and remember concepts. Mobile web app audio summaries reinforce content when you are on the go. Best of all, it’s easy to assess your understanding as you go along — because key topics are always immediately followed by review questions with correct answers and rationales.

  • Emphasis on critical, practical, and relevant information helps you study and learn pharmacology in the most time-efficient way possible.
  • Audio summaries on a mobile web app make it easy to review anytime, anywhere.
  • NCLEX® exam-style review questions include answers and rationales, allowing you to assess your understanding and retention of the material.
  • Mnemonics included to help you retain key information.
  • Bulleted lists let you see key content at a glance, allowing for quick comprehension.
  • Summary tables and illustrations make learning and review easier.
  • Quick-access format reflects what you want — quality content sprinkled with review questions.

Table of Contents

Section Title Page Action Price
Front cover Cover
Front matter i
Nursing key topics review i
Copyright ii
Reviewers iii
Preface iv
1 Pharmacologic principles 1
Medication administration 1
Definitions of terms 1
Factors influencing dosage and response 2
Drug factors 2
Patient factors 2
Application and review 3
Patterns of health care 4
Cultural considerations 4
Nursing responsibilities related to medication administration 4
Application and review 4
Answer key: Review questions 8
2 Analgesic drugs, muscle relaxants, and local anesthetics 12
Pain 12
Overview 12
Types 12
By duration 12
By origin/mechanism 12
Terminology 12
Review of physiology 12
Treatment of pain 13
Nonpharmacologic pain management strategies 13
Pharmacologic pain management 14
Application and review 16
Nonopioid analgesics 16
Acetaminophen 16
3 Central nervous system depressants 36
Introduction to sleep disorders 36
Basic information 36
Etiologic factors 36
Types of sleep disorders 36
Primary 36
Secondary 37
Behavioral/clinical findings 37
Therapeutic interventions 37
General nursing care of clients with sleep disorders 38
Application and review 38
Sedative and hypnotic agents 39
Overview 39
Types 40
Precautions 40
Barbiturates 40
Mode of action 41
4 Antiepileptic drugs 52
Introduction to epilepsy 52
Etiology and pathophysiology 52
Clinical findings (tonic-clonic seizures) 52
Therapeutic interventions 52
Application and review 53
Antiepileptic agents 54
Barbiturates 54
Mode of action 54
Adverse/side effects 54
Nursing care 55
Hydantoins 55
Mode of action 55
Adverse/side effects 56
Nursing care 56
Application and review 56
Iminostilbenes 57
Mode of action 58
Adverse/side effects 58
Nursing care 59
Application and review 59
Other antiepileptic agents 59
Mode of action 60
Adverse/side effects 62
Nursing care 62
Application and review 62
Answer key: Review questions 63
5 Psychotherapeutic drugs 67
Introduction to mental health disorders 67
Affective disorders 67
Overview of anxiety 67
Generalized anxiety disorder (GAD) 68
Overview of bipolar disorder 69
Depressive episode of bipolar disorder 70
Manic episode of bipolar disorder 70
Major depressive disorder (MDD) 71
Psychotic disorders 71
Schizophrenia 71
Delusional/paranoia disorders 73
Schizoaffective disorder 74
6 Adrenergic and adrenergic blocking drugs 103
Introduction to adrenergic & adrenergic blocking drugs 103
Adrenal glands 103
Adrenal hormones 103
Autonomic nervous system 103
Adrenergic drugs 104
Application and review 106
Application and review 108
Inhibitors of catecholamine metabolism 109
Monoamine oxidase inhibitors (MAOIs) 109
Mode of action 109
Adverse/side effects and nursing care 109
Selected receptor agonists 109
Mode of action 110
Adverse/side effects 112
Nursing care 112
Selected receptor antagonists 112
Mode of action 113
Adverse/side effects 115
Nursing care 116
Application and review 116
Answer key: Review questions 116
7 Cholinergic and cholinergic-blocking drugs 121
Introduction to cholinergic and cholinergic-blocking drugs 121
Central nervous system (CNS) 121
Peripheral nervous system (PNS) 121
Autonomic nervous system (see chapter 6) 121
Acetylcholine 121
Major disorders of parasympathetic nervous system 121
Cholinergic drugs 122
Cholinergic agonists 123
Mode of action 123
Adverse/side effects 123
Nursing care 123
Cholinergic antagonists 124
Mode of action 124
Adverse/side effects 124
Nursing care 124
Acetylcholinesterase inhibitors 125
Treatment of myasthenia gravis 125
Mode of action 125
Adverse/side effects 125
Nursing care 126
Application and review 126
Treatment of mild to moderate dementia 127
Mode of action 127
Adverse/side effects 127
Nursing care 128
Answer key: Review questions 128
8 Antihypertensive drugs and diuretic 130
Overview of hypertension (fig. 8.1) 130
Overview of heart failure 132
Clinical findings 132
Diagnostic tests 132
Therapeutic interventions 133
Assessment/analysis 133
Planning/implementation 133
Evaluation/outcomes 133
9 Antianginal drugs 156
Introduction to coronary artery diseases (CAD) 156
Etiology and pathophysiology 156
Clinical findings 157
Therapeutic interventions 158
Application and review 159
Antianginal agents 160
Nitrates 160
Mode of action 160
Adverse/side effects 161
Nursing care 161
Application and review 161
Beta blockers 162
Mode of action 162
Adverse/side effects 163
Nursing care 164
Application and review 164
Calcium channel blockers (dihydropyridines) 165
Mode of action 165
Adverse/side effects 165
Nursing care 166
Calcium channel blockers (non-dihydropyridines) 167
Mode of action 167
Adverse/side effects 167
Nursing care 167
Application and review 168
Piperazineacetamides 168
Mode of action 168
Adverse/side effects 169
Nursing care 169
Answer key: Review questions 169
10 Antihyperlipidemic and antidysrhythmic drugs 173
Introduction to antihyperlipidemic and antidysrhythmic drugs 173
Overview of hyperlipidemia 173
Antihyperlipidemic drugs 174
Overview of dysrhythmia 174
Antidysrhythmic drugs 176
Bile acid sequestrants 176
Mode of action 177
Adverse/side effects 177
Nursing care 177
Application and review 177
Hmg-coa reductase inhibitors 178
Mode of action 178
11 Drugs affecting the blood 198
Overview of the blood 198
Common disorders of the blood 200
Venous disorders 200
Anemias 200
Disseminated intravascular coagulation (dic) 203
Hemophilia 203
Overview of anticoagulants 204
Overview of blood transfusion 204
Application and review 205
Drugs used to treat blood disorders 206
Anticoagulants 206
Mode of action 206
12 Antidiabetic drugs 222
Introduction to diabetes mellitus 222
Etiology and pathophysiology 222
Clinical findings 223
Therapeutic interventions 224
Application and review 226
Antidiabetic agents 228
Insulin 228
Mode of action 228
Adverse effects/side effects 230
Nursing care 230
Application and review 231
Sulfonylureas 231
Mode of action 231
Adverse effects/side effects 233
Nursing care 233
Other antidiabetic agents 234
Mode of action 234
Adverse effects/side effects 237
Nursing care 237
Application and review 237
Answer key: Review questions 237
13 Endocrine drugs 243
Review of the endocrine system 243
Structures of the endocrine system (fig. 13.1) 243
Pineal gland 243
Thymus gland 243
Pituitary gland 243
Thyroid gland 245
Parathyroid gland 245
Testes and ovaries 245
Adrenal glands 245
Pancreas 246
Growth hormone agonist 246
Hypopituitarism 246
Therapeutic interventions 246
Adverse effects/side effects 247
Nursing care of clients with hypopituitarism 247
Assessment/analysis 247
Planning/implementation 247
Evaluation/outcomes 247
Growth hormone antagonists and somatostatin analogs 248
Hyperpituitarism 248
Therapeutic interventions 248
Adverse effects/side effects 249
Nursing care of clients with hyperpituitarism 249
Assessment/analysis 249
Planning/implementation 249
Evaluation/outcomes 250
Antidiuretic hormone replacement 250
Diabetes insipidus 250
Types of diabetes insipidus 250
Therapeutic interventions 250
Adverse effects/side effects 251
Nursing care of clients with diabetes insipidus 251
Assessment/analysis 251
Planning/implementation 251
Evaluation/outcomes 252
Antidiuretic hormone antagonist 252
Syndrome of inappropriate antidiuretic hormone secretion (SIADH) 252
Therapeutic interventions 252
Adverse effects/side effects 253
Nursing care of clients with syndrome of inappropriate antidiuretic hormone secretion 253
Assessment/analysis 253
Planning/implementation 253
Evaluation/outcomes 253
Oxytocin 254
Nursing care associated with oxytocics 254
Application and review 255
Thyroid hormones 255
Hypothyroidism 255
Therapeutic interventions 256
Adverse effects/side effects 256
Nursing care of clients with hypothyroidism 257
Assessment/analysis 257
Planning/implementation 257
Evaluation/outcomes 258
Antithyroid agents 258
Hyperthyroidism (Graves’ disease, Thyrotoxicosis) 258
Therapeutic interventions 258
Adverse effects/side effects 259
Nursing care of clients with hyperthyroidism 260
Assessment/analysis 260
Planning/implementation 260
Nursing care of patients receiving antithyroid medications 261
Evaluation/outcomes 261
Vitamin D analogues 261
Hypoparathyroidism 261
Therapeutic interventions 261
Adverse effects/side effects 262
Nursing care of clients with hypoparathyroidism 262
Assessment/analysis 262
Planning/implementation 262
Evaluation/outcomes 263
Calcitonin and calcimimetics 263
Hyperparathyroidism 263
Therapeutic interventions 263
Adverse effects/side effects 264
Nursing care of clients with hyperparathyroidism 264
Assessment/analysis 264
Planning/implementation 264
Evaluation/outcomes 264
Application and review 264
Diabetes mellitus 265
Aldosterone antagonist 265
Adrenal disorders: Primary aldosteronism (conn syndrome) 265
Therapeutic interventions 265
Adverse effects/side effects 266
Nursing care of clients with primary aldosteronism 266
Assessment/analysis 266
Planning/implementation 266
Evaluation/outcomes 267
Glucocorticoids and mineralocorticoids 267
Addison disease (primary adrenal insufficiency) 267
Therapeutic interventions 267
Adverse effects/side effects 269
Adverse effects/side effects 270
Nursing care of clients with addison disease 270
Assessment/analysis 270
Planning/implementation 270
Evaluation/outcomes 271
Adrenal disorders: Cushing syndrome 271
Nursing care of clients with cushing syndrome 272
Adrenal disorders: Pheochromocytoma 273
Nursing care of clients with pheochromocytoma 273
Nursing care 274
Application and review 274
Answer key: Review questions 274
14 Womens and mens health drugs 280
Introduction to reproductive system drugs 280
Female reproduction (fig. 14.1) 280
Ovaries: Female gonads 280
Fallopian tubes (oviducts) 280
Uterus 280
Vagina 281
Vulva (external genitalia) 281
Breasts (mammary glands) 282
Menstrual cycle 282
Pregnancy 283
Male reproduction 284
Glands 284
Ducts 284
Supporting structures 284
Reproductive system pathogens 284
Contraceptive methods 285
Major disorders of reproductive system 286
Perimenopause 286
Osteoporosis 286
Infertility/sterility 287
Low testosterone 287
Erectile dysfunction 287
Hormone replacement therapy (HRT) 288
Application and review 288
Women’s health drugs 288
Estrogen replacement agents 288
Mode of action 288
Adverse effects 289
15 Respiratory drugs 304
Introduction to respiratory disorders 304
Structures and functions of the respiratory system 304
Physiology of respiration 304
Mechanism of breathing 304
Control of respiration 305
Amount of air exchanged in breathing 305
Diffusion of gases between air and blood 305
Normal breath sounds 306
Adventitious breath sounds (fig. 15.2) 307
Obstructive airway diseases 308
Asthma 308
Application and review 309
Upper respiratory tract agents 310
Antitussives 310
Mode of action 310
Adverse effects/side effects 311
Nursing care 311
Decongestants 311
Adrenergic (sympathomimetic) decongestants 311
Mode of action 311
Adverse effects/side effects 312
Nursing care 312
Anticholinergic decongestants 313
16 Antiinfective drugs 331
Overview of immunity 331
Overview of infectious process 332
Types of pathogens 333
Antibiotics (table 16.1) 335
Antituberculars 335
Antifungals 335
Sulfonamides 335
Mode of action 335
Adverse effects/side effects 336
Nursing care 337
Application and review 337
Penicillins 337
Mode of action 337
Adverse effects/side effects 339
Nursing care 339
Application and review 339
Nitroimidazole antibiotics 340
Mode of action 340
Adverse effects/side effects 340
Nursing care 341
Cephalosporins 341
Mode of action 341
17 Antiviral drugs 358
Introduction to antiviral drugs 358
Virus replication 358
Major disorders 358
Human immunodeficiency virus (HIV)/acquired immunodeficiency syndrome (AIDS) 358
Hepatitis B and C 360
Influenza A and B 360
Herpes 360
Cytomeglavirus 360
Antiviral agents 362
Nucleoside reverse transcriptase inhibitors (NRTIs) 362
Mode of action 362
Adverse effects/side effects 363
Nursing care 364
Nonnucleoside reverse transcriptase inhibitors (NNRTIs) 364
Mode of action 364
Adverse effects/side effects 365
Nursing care 365
Protease inhibitors 366
Mode of action 366
Adverse effects/side effects 368
Nursing care 368
Fusion inhibitors 369
Mode of action 369
Adverse effects/side effects 370
Nursing care 370
Application and review 370
Ccr5-receptor antagonists 370
Integrase inhibitors 370
Nucleotide reverse transcriptase inhibitors 373
Interferons 374
Antiretroviral nucleoside reverse transcriptase inhibitor 375
Nucleotide analog polymerase inhibitor 376
Virus proliferation inhibitors 377
Neuramidase inhibitors 378
Nucleoside analogs 379
Pyrophosphate analogs 381
Application and review 382
Answer key: Review questions 382
18 Antineoplastic drugs 385
Introduction to antineoplastic drugs 385
Classification of neoplasms 385
Antineoplastic agents 388
Alkylating agents 389
Mode of action 389
Adverse effects/side effects 390
Nursing care 390
Antimetabolites 391
Mode of action 391
Adverse effects/side effects 392
Nursing care 392
Antineoplastic antibiotics 392
Mode of action 392
Adverse effects/side effects 394
Nursing care 394
Mitotic inhibitors 394
Mode of action 394
19 Immunomodulating and immunosuppressant drugs 410
Review of physiology (immunity) 410
Nonspecific immune response 410
Specific immune response 410
Types of immunity 411
Application and review 411
Selected disorders treated with immunomodulators 413
Rheumatoid arthritis (RA) 413
Multiple sclerosis 413
Neoplastic disease 413
Immunomodulating drugs 413
Interleukin receptor agonists 413
Mode of action 413
Adverse effects/side effects 414
Nursing care 414
Monoclonal antibodies for immunomodulation 414
Mode of action (fig. 19.1) 415
Adverse effects/side effects 415
Nursing care 416
Interferons 416
Mode of action 417
Adverse effects/side effects 417
Nursing care 418
Miscellaneous immunomodulators 418
Mode of action 418
Adverse effects/side effects 419
Nursing care 419
Application and review 419
Immunosuppressant drugs 420
T-cell suppressors 420
Mode of action (fig. 19.2) 420
Adverse effects/side effects 423
Nursing care 423
Interleukin receptor antagonists 423
20 Gastrointestinal drugs 430
Introduction to gastrointestinal disorders 430
Structures and functions of the gastrointestinal system 430
Structures (fig. 20.1) 430
Functions 430
Sources of energy 431
Types of diets 432
Review of microorganisms 433
Major disorders of the gastrointestinal system 434
Acid controlling agents 435
Systemic antibiotics 435
Mode of action 435
Adverse effects/side effects 436
Nursing care 436
Histamine₂2-receptor antagonists 436
Mode of action 436
Index 461
A 461
B 465
C 466
D 468
E 470
F 471
G 471
H 472
I 474
J 475
K 475
L 475
M 476
N 478
O 479
P 480
Q 482
R 482
S 483
T 484
U 486
V 486
W 486
X 486
Y 486
Z 486
Bibliography 459