Re: 1st semester at HFCC
Hello, Heidi!
Every semester will begin with a medication calculation exam. Most dosage calculations are not tricky at all. The ones we had to carefully calculate were DIGOXIN and pediatric dosages. But the DIG and pediatric calculations will come later in the program, so don't worry about it now.
Tell me a little more about the pharmacology exam you are referring to. Is this the one you have to take at that EDGT website? This is the only time you will have to take the pharm test at EDGT (unless HFCC changed the program). Drug questions will then appear in your regular exams for the remainder of the program.
When EOs and instructors introduce drugs, it is important to learn:
generic/Brand names: metoprolol/Lopressor
pharmacology class: beta 1 blocker (~olol endings = b blockers)
therapeutic class: antihypertensive, MI
chemical effect: decreases--contractility, heart rate, myocardial 02 demand, blood pressure, renin release
therapeutic effect: decreases BP/angina; prevents damage to myocardial tissue
side effects: hypotension, bradycardia, wheezing, depression, sexual dysfunction
note on s/e: pay attention to the s/e your instructor points out.
there are too many s/e to remember but read it once through but
memorize the ones your instructor gave.
safe dosage: 50-100 mg by mouth once daily initially, then look at YOUR patient's prescribed dosage. your instructor WILL ask you if this is a safe dosage.
the SN must: take BP before/after administration; take apical pulse for one full minute/if pulse less than 60, withhold and notify MD; etc...
special consideration: monitor as patient taking other antihypertensives.
Hmmm...this looks like your pharmacology sheets you'll be completing for each patient! Your instructors will be asking questions, so even if the pharm sheets take a lot of time, you'll learn about the drug.
Why is your patient on this drug?
Is this a safe dosage?
What time, how often, and by what route is the drug given?
Is the drug given on an empty stomach? with meals? after meals?
Should the medication be given or witheld?
ex: BP 100/75 or apical pulse 58
What do I need to teach this patient about this drug?
Personally, I made pharmacology cards with index cards, punched a hole in one corner, and placed a ring to hold it together. I would include the information I wrote above. Then I would take them from rotation to rotation. Instead of looking it up in the drug book each time, all I had to do was find the drug in my own set of cards.
I probably gave too much information, but soon you will begin clinicals and start passing medications. This IS a good time to start!
When do clinicals start? Who are your instructors?
Enjoy this holiday weekend!