Editing Pharmacology – RN Flashcards (section)

== Special Populations and Safety ==

;Name three Beers Criteria concerns in older adults.
:Benzodiazepines and other sedative hypnotics because of falls and delirium, first-generation antihistamines such as diphenhydramine and other strong anticholinergics because of confusion and urinary retention, and NSAIDs because of gastrointestinal bleeding and kidney injury. Reduced renal clearance and lower albumin also amplify drug effect.

;What replaced the lettered pregnancy risk categories, and name common teratogens?
:The Pregnancy and Lactation Labeling Rule, which uses narrative risk summaries. Teratogenic or contraindicated agents include warfarin, ACE inhibitors and ARBs, isotretinoin, methotrexate, statins, tetracyclines, and valproate.

;What is the correct sequence after discovering a medication error?
:Assess and stabilize the client first, provide indicated interventions, notify the provider, document the facts objectively in the medical record, and complete the occurrence report. The occurrence report is a quality improvement document and is not placed in or referenced in the chart.

[[Category:Pharmacology]]
[[Category:Registered Nurse (NCLEX-RN)]]
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