Nursing Pharmacology introduces the principles of pharmacology and explores various classes of medications and their effects on the body. The textbook emphasizes the use of the nursing process to safely administer medications, ensuring patient-centered care. While it is not intended to serve as a drug reference, it provides links to DailyMed, a trusted U.S. National Library of Medicine resource, for detailed information on prototype medications within each class. Recognized for its excellence, the first edition of Open RN Nursing Pharmacology won an Award for Excellence from OE Global in 2020. This resource is an essential guide for nursing students, equipping them with the foundational knowledge and critical thinking skills needed to safely and effectively manage medication administration in clinical practice.
Course Competency 1: Apply basic pharmacology principles to medication management
Learning Objectives:
- Explain the processes of pharmacokinetics and their impact on medication absorption, distribution, metabolism, and excretion
- Apply pertinent medication information from multiple credible professional resources to inform safe medication management
- Explain the principles of pharmacodynamics and how they relate to medication effects in the body, including mechanisms of action, receptor interactions, and dose-response relationships
- Discuss how pharmacodynamic responses vary across the life span and influence medication selection and dosing
- Utilize appropriate medical terminology when discussing and documenting medication therapy
- Evaluate prescription medications, over-the-counter products, herbals, and dietary supplements in terms of regulation, safety, and therapeutic use
Course Competency 2: Examine legal, ethical, social, and cultural issues related to medication administration
Learning Objectives:
- Apply the medication administration guidelines from the State Nurse Practice Act to ensure safe and legal nursing practice
- Explain nursing responsibilities for preventing and responding to medication errors, including common strategies and best practices
- Explain the nursing responsibilities associated with the handling and administration of controlled substances, including common strategies and best practices
- Outline steps for ethically managing and reporting medication errors in nursing practice
- Explain the client’s rights and responsibilities in relation to medication therapy
- Apply knowledge of a clients' gender, psychosocial, and cultural needs to provide client-centered medication administration
- Summarize key nursing responsibilities that contribute to safe medication administration practices
- Explain the essential components and nursing responsibilities associated with client medication education
Course Competency 3: Apply the nursing process to the administration of antimicrobial medications
Learning Objectives:
- Explain the major classifications of antimicrobial medications and their mechanisms of action
- Describe safe administration practices for antimicrobial medications, including appropriate timing, method, and client selection
- Recognize common side effects and special nursing considerations when providing antimicrobial therapy
- Discuss how age-related factors influence the use, dosage, and monitoring of antimicrobial medications
- Apply laboratory test results related to antimicrobial therapy and explain their significance in guiding treatment decisions
- Discuss the impact of resistant organisms on health care
Course Competency 4: Apply the nursing process to the administration of autonomic nervous system medications
Learning Objectives:
- Explain the major classifications of autonomic nervous medications and their mechanisms of action
- Describe safe administration practices for autonomic nervous system medications, including appropriate timing, method, and client selection
- Recognize common side effects and special nursing considerations when administering autonomic nervous system medications
- Discuss how age-related factors influence the use, dosage, and monitoring of autonomic nervous system medications
- Apply laboratory test results related to autonomic nervous system medications and explain their significance in guiding treatment decisions
Course Competency 5: Apply the nursing process to the administration of respiratory system medications
Learning Objectives:
- Explain the major classifications of respiratory system medications and their mechanisms of action
- Describe safe administration practices for respiratory system medications, including appropriate timing, method, and client selection
- Recognize common side effects and special nursing considerations when administering respiratory system medications
- Discuss how age-related factors influence the use, dosage, and monitoring of respiratory system medications
- Apply laboratory test results related to respiratory system medications and explain their significance in guiding treatment decisions
Course Competency 6: Apply the nursing process to the administration of cardiovascular and renal systems medications
Learning Objectives:
- Explain the major classifications of cardiovascular and renal system medications and their mechanisms of action
- Describe safe administration practices for cardiovascular and renal system medications, including appropriate timing, method, and client selection
- Recognize common side effects and special nursing considerations when administering cardiovascular and renal system medications
- Discuss how age-related factors influence the use, dosage, and monitoring of cardiovascular and renal system medications
- Apply laboratory test results related to cardiovascular and renal system medications and explain their significance in guiding treatment decisions
- Explain how cardiac output, peripheral resistance, blood volume, and the RAAS system regulate blood pressure
- Explain the roles of sodium (Na), potassium (K), and calcium (Ca) ions in the cardiac conduction system and their impact on cardiac function
Course Competency 7: Apply the nursing process to the administration of gastrointestinal system medications
Learning Objectives:
- Explain the major classifications of gastrointestinal system medications and their mechanisms of action
- Describe safe administration practices for gastrointestinal system medications, including appropriate timing, method, and client selection
- Recognize common side effects and special nursing considerations when administering gastrointestinal system medications
- Discuss how age-related factors influence the use, dosage, and monitoring of gastrointestinal system medications
- Apply laboratory test results related to gastrointestinal system medications and explain their significance in guiding treatment decisions
Course Competency 8: Apply the nursing process to the administration of central nervous system medications
Learning Objectives:
- Explain the major classifications of central nervous system medications and their mechanisms of action
- Describe safe administration practices for central nervous system medications, including appropriate timing, method, and client selection
- Recognize common side effects and special nursing considerations when administering central nervous system medications
- Discuss how age-related factors influence the use, dosage, and monitoring of central nervous system medications
- Apply laboratory test results related to central nervous system medications and explain their significance in guiding treatment decisions
Course Competency 9: Apply the nursing process to the administration of endocrine system medications
Learning Objectives:
- Explain the major classifications of endocrine system medications and their mechanisms of action
- Describe safe administration practices for endocrine system medications, including appropriate timing, method, and client selection
- Recognize common side effects and special nursing considerations when administering endocrine system medications
- Discuss how age-related factors influence the use, dosage, and monitoring of endocrine system medications
- Apply laboratory test results related to endocrine system medications and explain their significance in guiding treatment decisions
Course Competency 10: Apply components of the nursing process to the administration of analgesic and musculoskeletal system drugs
Learning Objectives:
- Explain the major classifications of analgesic and musculoskeletal system medications and their mechanisms of action
- Describe safe administration practices for analgesic and musculoskeletal system medications including appropriate timing, method, and client selection
- Recognize common side effects and special nursing considerations when administering analgesic and musculoskeletal system medications
- Discuss how age-related factors influence the use, dosage, and monitoring of analgesic and musculoskeletal system medications
- Apply laboratory test results related to analgesic and musculoskeletal system medications and explain their significance in guiding treatment decisions
- Discuss the importance of a thorough pain assessment and the role of non-pharmacologic and multimodal approaches to pain management
- Describe the nurse’s role in anesthetic drug administration, including comparisons between local and general anesthetics and identify the four stages of general anesthesia
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First edition funded by U.S. Department of Education Open Textbooks Pilot grant Second edition funded by State of Wisconsin, Wisconsin Technical College System funding for Open Educational Resources
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