So, let's wrap this video up
and talking about, okay,
what is my specific role as
a nurse in pharmacology?
Well, first, you have to be really
good at assessment.
Want you to do appropriate assessment
before you give the medication,
during the administration of the medication,
and after administering the drug.
So what does that mean?
Well, if I'm going to give a medication,
like, let's say, digoxin,
that's a medication that directly
decreases your heart rate.
So, it'd be really important that
I take your blood pressure
and your pulse before I give
The general rule is if your pulse is < 60,
then I would hold that medication and
contact the health care provider.
So that's just one example of
before you give the medication.
Now, while the medication was being received,
if I was giving an IV, I'd want to watch
the patient and for any response
while I was giving the medication.
And then after I gave the drug,
If it was IV medication, I'd be watching
their heart rhythm strip
to make sure there weren't any weird
dysrhythmias or problems happening.
So that's just an example with
one type of medication,
the appropriate assessment a nurse
would do before, during, and after.
Next, our job is to evaluate the safety
of the drug for this unique client.
Some specific drugs are really hard
on the kidneys, or the liver.
So if I know the patient is elderly,
or no matter what their age, that
they're having renal problems,
there are certain antibiotics
that I would not want to administer
without having lab tests…
again, that's that assessment,
and having a detailed discussion
with the health care provider
to make sure they're aware of this
patient's unique characteristics,
because safety is always our
number 1 concern.
Now, minimizing and evaluating
is another important part of our role.
There are some antibiotics that you give
that can be just brutal to your patient.
They end up with this syndrome where
they have flushing and pain,
and we know that we can do some things
to minimize those effects.
When we talk about the antibiotics, we'll
talk about that more specifically.
But just know, if you knew you're going
to be flushed or have some pain,
there's things we can do to minimize
and evaluate those effects.
If we give the medication very slowly, IV,
that will minimize those adverse effects.
If we pre-medicate with something like some
acetaminophen, that will also help.
So that's another example of "I need to know
what those possible adverse effects are,
and do everything I can to minimize them
and evaluate if the patient's experiencing
them while we give it."
And finally, our job is to educate
the client and the family,
depending on who's involved
in the patient's care.
So here's the idea. You don't want
to run to the patient's room
as they're being discharged
and give them a stack of papers that are
printed off and call that patient education.
You have an opportunity to educate
your client and/or their family
every time you give a medication.
So everyone learns better in small
bites of information
that are repeated over time.
So that's the best way to
educate your patients.
Teach them about their medications
every time you give them.
Help your diabetic clients understand
the role of insulin
in their blood sugar management.
Help your hypertensive patients understand
the role of their blood pressure
medications and etc.
So there's your overall introduction
to what pharmacology is
and what your role is as a future nurse
in safe and effective medication