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Clayton's Basic Pharmacology for Nurses

18 EDITION

RCTC Nursing Instructor

Rochester Community and Technical College

Rochester, Minnesota

Samuel L. Gurevitz, PharmD, CGP

Associate Professor

College of Pharmacy and Health Sciences

Butler University Indianapolis, Indiana

Bruce D. Clayton, BS Pharm, PharmD, RPh

Professor of Pharmacy Practice

College of Pharmacy and Health Sciences

Butler University

Indianapolis, Indiana

Table of Contents

Instructions for online access

Cover image

Title Page Copyright

Dedication

Reviewers and Ancillary Contributors

LPN/LVN Advisory Board

Preface

Organization and Special Features

Special Features

New to This Edition

Teaching and Learning Package

For Instructors

Special Features

Study Guide

Unit I Applying Pharmacology to Nursing

Practice

1 Drug Definitions, Standards, and Information Sources

Drug Names, Standards, Legislation, and Development in the United States

Drug Names, Standards, and Legislation in Canada

Get Ready for the NCLEX® Examination!

2 Basic Principles of Drug Action and Drug Interactions

Basic Principles Related to Drug Therapy

Drug Actions

Drug Interactions

Get Ready for the NCLEX® Examination!

3 Drug Action Across the Life Span

Factors That Affect Drug Therapy

Factors That Influence Drug Actions

Therapeutic Drug Monitoring

Nursing Implications When Monitoring Drug Therapy

Get Ready for the NCLEX® Examination!

4 The Nursing Process and Pharmacology

The Nursing Process

Relating the Nursing Process to Pharmacology

Get Ready for the NCLEX® Examination!

5 Patient Education to Promote Health

Three Domains of Learning

Principles of Teaching and Learning

Strategies for Healthcare Teaching

Get Ready for the NCLEX® Examination!

Administration

6 Principles of Medication Administration and Medication Safety

Legal and Ethical Considerations

Patient Charts

Drug Distribution Systems

Disposal of Unused Medicines

Medication Orders

Medication Safety

Seven Rights of Drug Administration

Get Ready for the NCLEX® Examination!

7 Percutaneous Administration

Administration of Topical Medications to the Skin

Administration of Medications to Mucous Membranes

Get Ready for the NCLEX® Examination!

8 Enteral Administration

Administration of Oral Medications

Administration of Solid-Form Oral Medications

Administration of Liquid-Form Oral Medications

Administration of Medications by Nasogastric, Nasoduodenal, Nasojejunal Tube

Administration of Enteral Feedings via Gastrostomy or Jejunostomy Tube

Administration of Rectal Suppositories

Administration of a Disposable Enema

Get Ready for the NCLEX® Examination!

9 Parenteral Administration

Safe Preparation, Administration, and Disposal of Parenteral Medications and Supplies

Equipment Used for Parenteral Administration

Safety Systems for Parenteral Preparation, Administration, and Disposal

Parenteral Dose Forms

Preparation of Parenteral Medication

Get Ready for the NCLEX® Examination!

10 Parenteral Administration

Administration of Medication by the Intradermal Route

Administration of Medication by the Subcutaneous Route

Administration of Medication by the Intramuscular Route

Get Ready for the NCLEX® Examination!

11 Parenteral Administration

Equipment Used for Intravenous Therapy

Intravenous Dose Forms

Administration of Medications by the Intravenous Route

Basic Guidelines for the Intravenous Administration of Medications

Monitoring Intravenous Therapy

Get Ready for the NCLEX® Examination!

Unit III Drugs Affecting the Autonomic and Central Nervous Systems

12 Drugs Affecting the Autonomic Nervous System

The Central and Autonomic Nervous Systems

The Autonomic Nervous System

Get Ready for the NCLEX® Examination!

13 Drugs Used for Sleep

Sleep and Sleep Pattern Disturbance

Sedative-Hypnotic Therapy

Drug Therapy for Sleep Disturbance

Get Ready for the NCLEX® Examination!

14 Drugs Used to Treat Neurodegenerative Disorders

Parkinson's Disease

Drug Therapy for Parkinson's Disease

Alzheimer's Disease

Drug Therapy for Alzheimer's Disease

15 Drugs Used for Anxiety Disorders

Anxiety Disorders

Drug Therapy for Anxiety Disorders

Get Ready for the NCLEX® Examination!

16 Drugs Used for Depressive and Bipolar Disorders

Depressive and Bipolar Disorders

Depressive Disorder

Treatment of Depressive and Bipolar Disorders

Drug Therapy for Depressive and Bipolar Disorders

Drug Therapy for Depressive Disorders

Get Ready for the NCLEX® Examination!

17 Drugs Used for Psychoses

Psychosis

Treatment of Psychosis

Drug Therapy for Psychosis

Adverse Effects of Antipsychotic Drug Therapy

Other Adverse Effects

Get Ready for the NCLEX® Examination!

18 Drugs Used for Seizure Disorders

Seizure Disorders

Descriptions of Seizures

Antiepileptic Therapy

Drug Therapy for Seizure Disorders

Get Ready for the NCLEX® Examination!

19 Drugs Used for Pain Management

Pain Pain Management Get Ready for the NCLEX® Examination!

20 Introduction to Cardiovascular Disease and Metabolic Syndrome

Cardiovascular Diseases

Metabolic Syndrome

Get Ready for the NCLEX® Examination!

21 Drugs Used to Treat Dyslipidemias

Atherosclerotic Cardiovascular Disease

Treatment of Hyperlipidemias

Drug Therapy for Hyperlipidemias

Get Ready for the NCLEX® Examination!

22 Drugs Used to Treat Hypertension

Hypertension

Treatment of Hypertension

Drug Therapy for Hypertension

Get Ready for the NCLEX® Examination!

23 Drugs Used to Treat Dysrhythmias

Dysrhythmias

Treatment for Dysrhythmias

Drug Therapy for Dysrhythmias

Get Ready for the NCLEX® Examination!

24 Drugs Used to Treat Angina Pectoris

Angina Pectoris

Treatment of Angina Pectoris

Drug Therapy for Angina Pectoris

Get Ready for the NCLEX® Examination!

25 Drugs Used to Treat Peripheral Vascular Disease

Peripheral Vascular Disease

Treatment of Peripheral Vascular Disease

Drug Therapy for Peripheral Vascular Disease

Get Ready for the NCLEX® Examination!

26 Drugs Used to Treat Thromboembolic Disorders

Thromboembolic Diseases

Treatment of Thromboembolic Diseases

Drug Therapy for Thromboembolic Diseases

Get Ready for the NCLEX® Examination!

27 Drugs Used to Treat Heart Failure

Heart Failure

Treatment of Heart Failure

Drug Therapy for Heart Failure

Get Ready for the NCLEX® Examination!

28 Drugs Used for Diuresis

Drug Therapy With Diuretics

Get Ready for the NCLEX® Examination!

Unit V Drugs Affecting the Respiratory System

29 Drugs Used to Treat Upper Respiratory Disease

Upper Respiratory Tract Anatomy and Physiology

Common Upper Respiratory Diseases

Treatment of Upper Respiratory Diseases

Drug Therapy for Upper Respiratory Diseases

Get Ready for the NCLEX® Examination!

30 Drugs Used to Treat Lower Respiratory Disease

Lower Respiratory Tract Anatomy and Physiology

Common Lower Respiratory Diseases

Treatment of Lower Respiratory Diseases

Drug Therapy for Lower Respiratory Diseases

Get Ready for the NCLEX® Examination!

Unit VI Drugs Affecting the Digestive System

31 Drugs Used to Treat Oral Disorders

Oral Anatomy

Mouth Disorders

Drug Therapy for Mouth Disorders

Get Ready for the NCLEX® Examination!

32 Drugs Used to Treat Gastroesophageal Reflux and Peptic Ulcer Disease

Physiology of the Stomach

Common Stomach Disorders

Goals of Treatment

Drug Therapy

Get Ready for the NCLEX® Examination!

33 Drugs Used to Treat Nausea and Vomiting

Nausea and Vomiting

Common Causes of Nausea and Vomiting

Drug Therapy for Selected Causes of Nausea and Vomiting

Get Ready for the NCLEX® Examination!

34 Drugs Used to Treat Constipation and Diarrhea

Constipation

Diarrhea

Treatment of Altered Elimination

Get Ready for the NCLEX® Examination!

Unit VII Drugs Affecting the Endocrine System

35 Drugs Used to Treat Diabetes Mellitus

Diabetes Mellitus

Complications of Diabetes Mellitus

Treatment of Diabetes Mellitus

Drug Therapy for Diabetes Mellitus

Incretin-Related Antidiabetic Therapy

Get Ready for the NCLEX® Examination!

36 Drugs Used to Treat Thyroid Disease

Thyroid Gland

Thyroid Diseases

Treatment of Thyroid Diseases

Drug Therapy for Thyroid Diseases

Get Ready for the NCLEX® Examination! 37 Corticosteroids

Corticosteroids

Get Ready for the NCLEX® Examination! 38 Gonadal Hormones

The Gonads and Gonadal Hormones

Drug Therapy With Gonadal Hormones

Get Ready for the NCLEX® Examination!

Unit VIII Drugs Affecting the Reproductive System

39 Drugs Used in Obstetrics

Obstetrics

Drug Therapy in Pregnancy

Get Ready for the NCLEX® Examination!

40 Drugs Used in Men's and Women's Health

Vaginitis

Drug Therapy for Leukorrhea and Genital Infections

Drug Therapy for Contraception

Osteoporosis

Drug Therapy for Osteoporosis

Benign Prostatic Hyperplasia

Drug Therapy for Benign Prostatic Hyperplasia

Erectile Dysfunction

Drug Therapy for Erectile Dysfunction

Get Ready for the NCLEX® Examination!

Unit IX Drugs Affecting Other Body Systems

41 Drugs Used to Treat Disorders of the Urinary System

Urinary Tract Infections

Drug Therapy for Urinary Tract Infections

Drug Therapy for Overactive Bladder Syndrome

Get Ready for the NCLEX® Examination!

42 Drugs Used to Treat Glaucoma and Other Eye Disorders

Anatomy and Physiology of the Eye

General Considerations for Topical Ophthalmic Drug Therapy

Glaucoma

Drug Therapy for Glaucoma

Other Ophthalmic Agents

Get Ready for the NCLEX® Examination!

43 Drugs Used to Treat Cancer

Cancer and the Use of Antineoplastic Agents

Drug Therapy for Cancer

Get Ready for the NCLEX® Examination!

44 Drugs Used to Treat the Musculoskeletal System

Muscle Relaxants, Neuromuscular Blocking Agents, and Gout Agents

Drug Therapy for Musculoskeletal Disorders

Get Ready for the NCLEX® Examination!

45 Drugs Used to Treat Infections

Antimicrobial Agents

Drug Therapy for Infectious Disease

Get Ready for the NCLEX® Examination!

Unit X Drugs Affecting the General Health of the Body

Nutrition Principles of Nutrition Malnutrition Therapy for Malnutrition

Get Ready for the NCLEX® Examination!

47 Herbal and Dietary Supplement Therapy

Herbal Medicines, Dietary Supplements, and Rational Therapy

Get Ready for the NCLEX® Examination!

Classification of Substance Abuse

Substance Use Disorders

Signs of Impairment

Screening for Alcohol and Substance Abuse

Health Professionals and Substance Abuse

Principles of Treatment for Substance Abuse

Get Ready for the NCLEX® Examination!

Appendixes

Appendix A Nomogram for Calculating the Body Surface Area of Adults, Children, and Infants

Appendix B Template for Developing a Written Record for Patients to Monitor Their Own Therapy

Bibliography

Index

The Joint Commission's Official “Do Not Use” List

Copyright

CLAYTON'S BASIC PHARMACOLOGY FOR NURSES, EIGHTEENTH

EDITION ISBN: 978-0-323-55061-1

Copyright © 2020 by Elsevier, Inc. All rights reserved.

No part of this publication may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopying, recording, or any information storage and retrieval system, without permission in writing from the publisher. Details on how to seek permission, further information about the Publisher's permissions policies and our arrangements with organizations such as the Copyright Clearance Center and the Copyright Licensing Agency, can be found at our website: www.elsevier.com/permissions.

This book and the individual contributions contained in it are protected under copyright by the Publisher (other than as may be noted herein).

Notices

Knowledge and best practice in this field are constantly changing. As new research and experience broaden our understanding, changes in research methods, professional practices, or medical treatment may become necessary.

Practitioners and researchers must always rely on their own experience and knowledge in evaluating and using any information, methods, compounds, or experiments described herein. In using such information or methods they should be mindful of their own safety and the safety of others, including parties for whom they have a professional responsibility. With respect to any drug or pharmaceutical products identified, readers are advised to check the most current information provided (i) on procedures featured or (ii) by the manufacturer of each product to be administered, to

verify the recommended dose or formula, the method and duration of administration, and contraindications. It is the responsibility of practitioners, relying on their own experience and knowledge of their patients, to make diagnoses, to determine dosages and the best treatment for each individual patient, and to take all appropriate safety precautions. To the fullest extent of the law, neither the Publisher nor the authors, contributors, or editors, assume any liability for any injury and/or damage to persons or property as a matter of products liability, negligence or otherwise, or from any use or operation of any methods, products, instructions, or ideas contained in the material herein.

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