Nursing2021 Drug Handbook (Nursing Drug Handbook)
Genres: Medical
Book Preface
How to use Nursing2021 Drug Handbook®
The best-selling nursing drug guide for 41 years, Nursing Drug Handbook is meticulously reviewed and updated annually by pharmacists and nurses to include the most current, relevant information that practicing nurses and students need to know to administer medications safely in any health care setting. As in previous editions, Nursing2021 Drug Handbook emphasizes nursing and safety aspects of drug administration without attempting to replace detailed pharmacology texts. Only the most essential information is included, and helpful graphic symbols, logos, and highlighting draw special attention to critical details that can’t be overlooked.
New and outstanding features
The 41st edition provides a wealth of the latest drug information right at your fingertips:
• Tabbed “New Drugs” section—ensures quick access to all 25 complete drug monographs introduced in this edition
• Thoroughly updated text featuring thousands of generic, brand, and combination drugs; 645 comprehensive drug monographs; and 63 generic drugs newly approved by the FDA
• Pregnancy-Lactation-Reproduction header in each monograph—captures all relevant information in one convenient place
• Drug safety always at the forefront—includes a special chapter with updated information on the safe administration of opioid analgesics; in addition, you’ll find numerous appendices covering drug safety guidelines, dosage alerts, best practices to avoid medication errors, pediatric drugs commonly involved in drug errors, and elder care medication tips
• Addition of ISMP-recommended Tall Man letters to look-alike drug names
• Appendices on Prescription drug abuse: Identifying and treating toxicity; Understanding biosimilar drugs; and Safe disposal of unused drugs: What patients need to know
• Appendices covering Canadian drugs and safety concerns—Do Not Use list (ISMP Canada), decision tree, and the official Canadian National Drug Schedules
• Easy-to-spot icons and logos—Canadian drugs (maple leaf) and Do Not Crush logo—as well as Black Box Warnings and other special alerts
• Genetic icon throughout to highlight the key genetic considerations used to select and guide drug therapy
• Biosimilar drug banner highlighting FDA-approved biosimilar drug monographs
• Dialyzable drug logo under Contraindications & Cautions—indicates if drug levels can be reduced by hemodialysis and, if so, the percentage reduced
• Photoguide of 450 full-color, actual-sized tablets and capsules.
Introductory chapters
Chapter 1, “Drug actions, interactions, and reactions,” explains how drugs work in the body. It provides a general overview of drug properties (absorption, distribution, metabolism, and excretion) and other significant factors affecting drug action (including protein binding, patient’s age, underlying disease, dosage form, and route and timing of administration).
Also discussed are drug interactions, adverse reactions, and toxic reactions.
Chapter 2, “Drug therapy across the lifespan,” discusses the danger associated with indiscriminate use of drugs during pregnancy and breastfeeding and the special precautions women should take when medications are necessary. This chapter also covers the unique challenges of giving drugs to children and elderly patients and offers practical suggestions on how to minimize problems with these special populations.
Chapter 3, “Safe drug administration,” explores the ongoing involvement of governmental and nongovernmental organizations weighing in on drug safety issues and the necessary measures nurses must take to prevent medication errors from occurring.
Chapter 4, “Selected therapeutic drug classifications,” summarizes the indications, actions, and contraindications and cautions of more than 60 drug classes represented in Nursing2021 Drug Handbook. Generic drugs within each class are also listed, allowing nurses to quickly identify and compare similar drugs when patients can’t tolerate or don’t respond to a particular drug.
Drug monographs
Each generic drug monograph in Nursing2021 Drug Handbook includes the most pertinent clinical information nurses must know to administer medications safely, monitor for potential interactions and adverse effects, implement necessary care measures, and provide appropriate patient teaching. Entries are arranged alphabetically, with the generic drug name prominently displayed—along with its “tall man” lettering (if applicable), pronunciation, corresponding brand (or trade) names, therapeutic class, and pharmacologic class—on a shaded background for quick and easy identification. Banners or symbols to identify drugs that warrant a special safety alert, designate biosimilar drugs, or indicate drugs that appear in the color photoguide are also included in this highlighted area.
Specific information for each drug is then systematically organized under the headings below. Special icons and logos may be used throughout, as warranted, to point out the drug’s safety concerns. For example, a clinical alert logo ( ) provides important advice about life-threatening effects associated with the drug or its administration; a black box warning (Black Box Warning) represents a specific warning issued by the FDA. A special icon ( ) indicates oral drug forms that shouldn’t be crushed or chewed. (See Anatomy of a monograph, on the inside book cover, for a visual guide to the various symbols that may appear within a drug entry.)
Available forms
This section lists the preparations available for each drug (for example, tablets, capsules, solutions for injection) and specifies available dosage forms and strengths. Dosage strengths specifically available in Canada are designated with a maple leaf ( ). Preparations that may be obtained over the counter, without a prescription, are marked with an open diamond ( ). Liquid formulations that contain alcohol are indicated with an asterisk (*).
Indications & dosages
General dosage information for adults and children is found in this section. Dosage instructions reflect current trends in therapeutics and can’t be considered absolute or universal. For individual patients, dosage instructions must be considered in light of the patient’s condition.
Indications and dosages that aren’t approved by the FDA are followed by a closed diamond ( ). It should be noted that only highly evidence-based off-label uses are included in this edition. An Adjust-a-dose logo appearing within this section indicates the need for a special dosage adjustment for certain patients, such as elderly patients or those with renal or hepatic impairment. In some cases, a dosage adjustment may apply to all patient populations for all of the indications listed; this is marked accordingly.
Administration
Here, readers will find guidelines for safely administering drugs by all applicable routes, including PO, IV, IM, subcut, ophthalmic, inhalational, topical, rectal, vaginal, transdermal, and buccal. A special screened background highlights IV administration guidelines (including specific instructions on how to reconstitute, mix, and store IV medications) and the major potential IV incompatibilities.
Action
This section succinctly describes the mechanism of action—that is, how the drug provides its therapeutic effect. For example, although all antihypertensives lower BP, they don’t all do so by the same process. Also included, in table form, are the onset, peak (described in terms of effect or peak blood level), and duration of drug action for each route of administration, if data are available or applicable. Values listed are for patients with normal renal function unless otherwise specified. The drug’s half-life is also provided when known.
Adverse reactions
In this section, adverse reactions that are known to occur at a frequency of 1% or greater are listed according to body system. Life-threatening reactions appear in bold italic type.
Interactions
Within this section, readers can find each drug’s confirmed, clinically significant interactions (additive effects, potentiated effects, and antagonistic effects) with other drugs, herbs, foods, beverages, and lifestyle behaviors (such as alcohol use, sun exposure, or smoking). Interactions with a rapid onset are highlighted in color; interactions with a delayed onset are in bold type.
Drug interactions are listed under the drug that’s adversely affected. For example, because magnesium trisilicate, an antacid ingredient, interacts with tetracycline to decrease tetracycline’s absorption, this interaction is listed under tetracycline. To check on the possible effects of using two or more drugs simultaneously, refer to the interaction section for each drug.
Effects on lab test results
This section lists increased and decreased levels, counts, and other values in lab test results that may be caused by the drug’s systemic effects. It also indicates false-positive, false-negative, and otherwise altered results of lab tests a drug may cause.
Contraindications & cautions
This section outlines any conditions or special circumstances, such as diseases or conditions, in which use of the drug is undesirable or for which the drug should be given with caution. When applicable, specific signs and symptoms of drug overdose are listed as the last bulleted item under this heading and highlighted by a special logo ( Overdose S&S:) for easy identification.
Pregnancy–lactation–reproduction
This section provides nurses with targeted, easy-to-understand safety information about each drug’s use during pregnancy and breastfeeding. It also provides information about fertility effects, contraception recommendations, and enrollment information for registries that monitor drug safety during pregnancy.
Nursing considerations
Within this section, readers can find practical information on patientmonitoring techniques and suggestions for the prevention and treatment of adverse reactions as well as helpful tips on promoting patient comfort
Contents
Anatomy of a monograph
Contributors and consultants
How to use Nursing2021 Drug Handbook®
Quick guide to special symbols, logos, and highlighted terms
Guide to abbreviations
General information
1. Drug actions, interactions, and reactions
2. Drug therapy across the lifespan
3. Safe drug administration
4. Selected therapeutic drug classifications
Alphabetical listing of drugs by generic name
New drugs
Appendices
1. Avoiding common drug errors: Best practices and prevention
2. Pregnancy risk categories: The FDA’s Final Rule
3. Controlled substance schedules
4. Abbreviations to avoid (The Joint Commission)
5. Pediatric drugs commonly involved in drug errors
6. Elder care medication tips
7. Prescription drug abuse: Identifying and treating toxicity
8. Understanding biosimilar drugs
9. Nursing process: Patient safety during drug therapy
10. Serotonin syndrome: What you should know to protect your patient
11. Tumor lysis syndrome: A life-threatening emergency
12. Antidiarrheals: Indications and dosages
13. Antidotes: Indications and dosages
14. Selected biologicals and blood derivatives: Indications and dosages
15. Common combination drugs: Indications and dosages
16. Vaccines and toxoids: Indications and dosages
17. Vitamins and minerals: Indications and dosages
18. Antacids: Indications and dosages
19. Laxatives: Indications and dosages
20. Additional OTC drugs: Indications and dosages
21. Selected ophthalmic drugs: Indications and dosages
22. Do not use: Dangerous abbreviations, symbols, and dose designations
(ISMP Canada)
23. Decision tree: Deciding about medication administration
24. Canadian National Drug Schedules
25. Safe disposal of unused drugs: What patients need to know
26. Therapeutic drug monitoring guidelines
27. Less commonly used drugs: Indications and dosages
28. Additional new drugs: Indications and dosages
Index
| Download Ebook | Read Now | File Type | Upload Date |
|---|---|---|---|
| Download here
|
Read Now | October 7, 2021 |
How to Read and Open File Type for PC ?
