Understanding Pharmacology in Nursing Practice

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What is the primary focus of the pharmacology module for nursing students?

Understanding medications used during pregnancy and for newborns.

What is the significance of the placenta in drug transfer?

It allows substances to transfer quickly or slowly between mother and fetus based on various factors.

What hormone influences the liver's metabolism of drugs during pregnancy?

Stimulating hormones (steroids).

How does pregnancy affect glomerular filtration rate?

It increases glomerular filtration rate and renal perfusion, leading to more rapid renal excretion of drugs.

What is the recommended dietary allowance (RDA) of iron for pregnant women?

60 mg for pregnant, non-anemic individuals and 120 mg for anemic, pregnant individuals.

What is a potential toxic reaction from iron supplementation?

Pallor, hematemesis, shock, cardiovascular collapse.

What is folic acid essential for during pregnancy?

The production of red blood cells and development of the baby's neural tube.

What can a deficiency in folic acid lead to?

Spontaneous abortion, birth defects, premature birth, low birth weight, and abruptio placenta.

What is the RDA of folic acid for pregnant individuals?

400 – 800 mcg.

What are the risks associated with excessive intake of Vitamin A during pregnancy?

Fetal bone malformation, cleft palate, renal anomalies, and ear/eye anomalies.

What is the RDA of Vitamin D for pregnant individuals?

10 mcg/day.

What can excessive maternal intake of Vitamin D cause in the fetus?

Excessive calcium levels leading to cardiac defects (aortic stenosis).

What is the role of Vitamin C during pregnancy?

It helps tissue repair and development and is required for collagen formation.

What can a deficiency in Vitamin C lead to in neonates?

Rebound scurvy with muscle weakness, capillary hemorrhage, and progressive demise.

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Description

This module provides essential insights into pharmacology for nursing, focusing on medications during pregnancy and for newborns. It covers nursing responsibilities, drug administration, health assessments, and collaborative care strategies for effective patient outcomes.

1. What is the recommended daily allowance (RDA) of calcium for pregnant women?

A 70 mg B 1200 mg C 320 mg D 15 mg

2. Which drug is used to neutralize gastric acidity during pregnancy?

A Aluminum Hydroxide (Amphojel) B Meclizine Hydrochloride (Bonamine) C Ritodrine (Yutopar) D Acetaminophen (Tylenol)

3. What is a potential side effect of excessive vitamin B6 (pyridoxine) intake?

A Gait disturbances and sensory neuropathy B Anemia C Capillary hemorrhage D Hypotension

4. What is the primary role of folic acid during pregnancy?

A Prevents discoloration of teeth B Increases maternal blood volume C Helps the baby's neural tube develop into the brain and spinal cord D Promotes use of phosphorus and calcium

5. Which of the following substances decreases the absorption of iron supplements?

A Eggs B Ascorbic acid C Citrus juice D Coffee

6. What is the recommended daily allowance (RDA) of vitamin D for pregnant women?

A 25 mcg/day B 10 mcg/day C 50 mcg/day D 5 mcg/day

7. What is a potential consequence of excessive maternal intake of vitamin A during pregnancy?

A Premature rupture of fetal membrane B Rebound form of scurvy C Fetal bone malformation D Neonatal hypocalcemia

8. Which technique should be used for intramuscular (IM) injections of iron supplements to prevent discoloration of teeth?

A Z-track technique B Aspiration technique C Intravenous push D Subcutaneous injection

9. What is a common symptom of vitamin B2 (riboflavin) deficiency?

A Fissuring and dry scaling of the lips B Seizures C Constipation D Muscle weakness

10. Which non-pharmacologic method can help manage nausea and vomiting during pregnancy?

A Eating crackers, dry toast/bread B Using ice packs C Postural changes D Limiting the volume of food with each feeding

Study Notes

Overview of Key Concepts in Nursing and Pharmacology

This document synthesizes essential themes from modules focusing on representation, generational relationships, pharmacology, and nutritional guidelines for maternal health. Understanding these interconnected areas is vital for effective nursing practice and patient care.

Representation and Generational Relationships

  • Importance of Representation: Accurate representation fosters inclusivity and understanding among diverse groups.
  • Generational Dynamics: Exploring interactions between different age groups can enhance collaboration and address conflicts in healthcare settings.

Pharmacology Principles

  • Foundational Concepts: Nurses must integrate knowledge from anatomy, physiology, and health assessment to manage pharmacological care effectively.
  • Medication Safety: Understanding the effects of medications during pregnancy is crucial for ensuring safety for both mother and fetus.

Nutritional Guidelines for Maternal Health

  • Vitamin A & D Requirements: Essential for fetal development; excessive intake can lead to serious health risks. The RDA varies based on pregnancy status.
  • Calcium & Iron Needs: Balanced intake is critical to prevent complications like neonatal hypocalcemia or iron deficiency anemia.

Key Takeaways

  1. Holistic Care Approach: Effective nursing requires a comprehensive understanding of pharmacology, nutrition, and cultural competence to tailor care plans that meet individual patient needs.
  2. Collaboration in Healthcare: Teamwork among healthcare providers enhances service delivery and ensures safe medication practices.
  3. Continuous Education & Assessment: Ongoing evaluation of patient responses to treatment regimens is essential for optimizing care outcomes while adapting educational strategies to improve patient understanding.

By grasping these core concepts, healthcare professionals can better navigate the complexities of patient care during pregnancy while fostering an inclusive environment across various generational contexts.

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