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Nursing Process
• -A decision-making, problem-solving process-to provide efficient and effective care
• ● Assessment
• ○ First step of the nursing process
• ○ Gathering subjective and objective information
• ○ Two major aspects:
• ■ History
• ● Chronic conditions
• ○ Can affect the pharmacokinetics and pharmacodynamics of the drug
• ● Drug Use
• ○ Such as prescription drugs, OTC, and street drugs can have an effect
• ● Allergies
• ○ Past exposure to a drug or other allergens can provoke a future reaction
• ● Level of Education and Understanding
• ○ Determines the appropriate teaching type
• ● Social Supports
• ○ Discharge planning and education regarding drug therapy, as well as referral to appropriate community resources
• ● Financial Supports
• ○ Financial problem may cause a patient not to follow the drug regimen
• ● Pattern of Health Care
• ○ Knowing how a patient seeks health care provides the nurse with valuable information to include when preparing the patient’s teaching plan
• ■ Physical Examination
• ● Weight
• ○ The recommended drug dose typically is based on a 150-pound adult man
• ● Age
• ○ Dose adjustments are based on the functional level of the liver and kidneys as well as other organs
• ○ Child’s age and developmental level will also alter the nurse to possible problems with drug delivery such as the ability to swallow pills or follow directions related to other delivery methods

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