Nursing Management in Drug Therapy / Edition 1

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This text's systematic organization, prototype approach, and effective pedagogy will help your students make sense of the complex world of pharmacology. Written by nursing pharmacology faculty, this text takes a totally fresh approach to the teaching of pharmacology. It is the first ever to fully integrate pharmacology with the nursing process and present it in a framework that encourages students to 'think' nursing pharmacology. Its goal is to maximize therapeutic effect and minimize adverse reactions; it accomplishes this through the use of a nursing management map to help students understand how to customize patient drug therapy, according to drug and patient variables. Units are organized by body system and chapters by drug classification and therapeutic uses; text uses the prototype approach to teach drug information. Adult, pediatric, geriatric and pregnant and lactating patient considerations. Concept Maps, Critical Thinking Clinical Scenarios, End-of-Chapter Questions for Study & Review, Illustrated Physiology Displays and Selected Drug Tables skillfully support the text discussions. A student workbook as well as a Booklink Web Site are also available.

Connection Website:

The book contains two-color illustrations.

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Editorial Reviews

Doody's Review Service
Reviewer: Diana J. Moxness, ARNP, MSN (Creighton University School of Nursing)
Description: This textbook provides students with a basic understanding of various medications as well as the nurse's unique role in the administration of these medications.
Purpose: A specific purpose statement is not offered. However, the editors state that "this text provides a systematic framework for evaluating patient responses," based on individual factors. It also "integrates nursing with pharmacology, to help the student apply nursing pharmacology knowledge to practice, safely administer drugs, educate patients...." These objectives reflect what a nursing student needs to know about pharmacology. The editors strive to create a link between the two disciplines of nursing and pharmacology. The systematic framework of this text assists the editors in meeting their stated objectives. Each chapter includes information about "core drug knowledge" and "core patient variables," along with a nursing process plan for managing the care of patients taking a particular medication.
Audience: The target audience is nursing students. I concur that this text is written in accord with a nursing student's level of knowledge and reading comprehension. The editors seem to be credible authorities on this subject matter.
Features: This text covers the majority of medications prescribed to clients in the acute and ambulatory care settings. Each chapter presents important information regarding patient and family education for community-based clients, where a majority of clients are found in today's health arena. Two areas covered well are pathophysiology and patient variables, which may affect a therapeutic drug response. The editors present disease pathophysiology and how the pharmacodynamic and pharmacotherapeutic properties of a drug assist in treating or managing major symptoms of the disease. This type of information is important for a nursing student to better understand why a certain drug is prescribed. Core patient variables, such as age, gender, ethnicity, or cultural practices can have a profound effect as to whether or not the patient will have a therapeutic response to a medication. The editors consistently address these issues in every chapter. The case study and nursing care plan approaches prove to be innovative methods that enhance student learning. The care plans present potential problems and explain how to manage potential adverse effects as well as maximize the chances for a therapeutic medication effect. The case studies serve to enhance a student's problem solving abilities and importantly address common situations in the acute care or community healthcare setting. This text has many unique features. "Memory chips" provide a helpful, brief overview of each drug. The Pharmacology Review Disk included should also prove useful for students to test their comprehension. The chapters on certain alterations in health status (pain, emotions) are also a helpful feature. A problem such as pain can greatly alter a client's therapeutic response to a medication, and I appreciate that the editors did not overlook this issue. One shortcoming identified is the nursing management maps provided in each chapter; I find these difficult to follow and rather unnecessary. I also would have appreciated more color variation in the text.
Assessment: I adopted this textbook for a nursing pharmacology course based on its emphasis on the link between each drug and a pathophysiological disease process as well as the inclusion of information regarding individual patient variables which may alter drug therapy. I have not found another text that addresses these issues in as much depth. I also feel that this textbook is easier for the nursing student to read and comprehend. The previous text used for this course was McKenry's Mosby's Pharmacology in Nursing, 20th Edition (Mosby-Year Book, Inc., 1998). That text was difficult to read in part because of repetitious information and the use of many complex terms. Additionally, the primary emphasis was on pharmacology-based facts about each medication rather than on the nurse's unique role in the management of drug therapy.
Presents a nursing management map for every prototype drug. Forty- three chapters present principles and process of nursing management in drug therapy; core drug knowledge; patient variables, such as health status, gender, age, diet, culture, environment, and lifestyle; drugs affecting various body systems; and anti-infective and anticancer drugs. Eight appendices present essential information on diagnostic agents, enzymes, and debridement products, enteral and parenteral supplements, antidotes, vaccines, and antimetic drugs. The included disk contains materials for self-testing and review. Annotation c. by Book News, Inc., Portland, Or.

3 Stars from Doody
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Product Details

  • ISBN-13: 9780397552443
  • Publisher: Lippincott Williams & Wilkins
  • Publication date: 12/28/1998
  • Edition description: BK&DISK
  • Edition number: 1
  • Pages: 1152

Table of Contents

1 Nursing Management in Drug Therapy 3
2 Historical Perspectives 19
3 Safeguards in Drug Development and Delivery 29
4 Drug Preparations and Administration 43
5 Pharmacotherapeutics, Pharmacokinetics, and Pharmacodynamics 57
6 Adverse Effects and Drug Interactions 79
7 Health Status: Pain 95
8 Health Status: Emotions 107
9 Life Span: Children 117
10 Life Span: Pregnant or Breast-Feeding Women 129
11 Life Span: Older Adults 139
12 Lifestyle: Substance Abuse 149
13 Environment: Self-Care Issues 171
14 Culture: Perspectives on Diversity 185
15 Drugs Affecting Cholinergic Function 201
16 Drugs Affecting Adrenergic Function 223
17 Drugs for Stimulating the Central Nervous System 247
18 Drugs for Depressing the Central Nervous System 261
19 Drugs for Treating Psychiatric Disorders 293
20 Drugs for Treating Seizure Disorders 333
21 Drugs for Treating Neuromuscular Function 361
22 Drugs for Treating Movement Disorders 383
23 Drugs Affecting Cardiac Output and Rhythm 403
24 Drugs Affecting Coagulation 441
25 Drugs Affecting Respiratory Disorders 473
26 Drugs for Treating Blood Pressure and Circulation 507
27 Drugs Affecting Diuresis 543
28 Drugs for Treating the Upper Gastrointestial Tract 569
29 Drugs for Treating the Lower Gastrointestial Tract 599
30 Drugs Affecting Pituitary, Thyroid, and Parathyroid Function 619
31 Drugs Affecting Hormone Levels: Corticosteroids and Their Antagonists 651
32 Drugs Affecting Blood Glucose Levels 677
33 Drugs Affecting Sexuality 707
34 Drugs Affecting Uterine Motility 729
35 Drugs for Modifying Biologic Response 747
36 Drugs for Treating Neoplastic Disorders: Cell Cycle-Specific Drugs 769
37 Drugs for Treating Neoplastic Disorders: Cell Cycle-Nonspecific Drugs 797
38 Drugs for Treating Inflammation and Fever 817
39 Major Antibacterial Drugs 857
40 Miscellaneous Antibacterial Drugs 897
41 Drugs for Treating Viruses and Fungi 927
42 Drugs for Treating HIV and AIDS 957
43 Drugs for Treating Parasites 981
App. A Nursing Management of Patients Receiving Diagnostic Imaging Agents 1011
App. B Nursing Management of Patients Receiving Enzyme or Debridement Therapy 1017
App. C Nursing Management of Patients Receiving Enteral Nutrition 1020
App. D Nursing Management of Patients Receiving Parenteral Nutrition 1024
App. E Nursing Management of Patients Receiving Antidotes 1027
App. F Nursing Management of Patients Receiving Immunizations 1031
App. G Nursing Management of Patients Receiving Antiemetic Drugs 1038
App. H Therapeutic and Toxic Levels of Selected Drugs 1040
Answers to Chapter Study and Review Questions 1043
Answers to Critical Thinking Scenarios 1061
Index 1069
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