NURS 615 PHARMACY EXAM 1 MARYVILLE |WITH ACTUAL QUESTIONS AND VERIFIED ANSWERS|100% GUARANTEED TO PASS What factors are associated with clinical judgment when prescribing medications? Prescribing a drug is based on a thorough assessment of the patient and the patient's environment. The determination of potential medical and nursing diagnoses, a review of the potential alternative therapies, specific knowledge about the drug chosen, and the disease process it is going to treat, known as patient centered care. The best therapy is usually the least invasive, least expensive, and the least likely to cause adverse reactions What are the criteria for choosing an effective drug? Multiple drugs may be able to treat a specific condition. You must consult nationally recognized guidelines for disease management to determine the most effective drug. How does hypoalbuminemia affect the process of prescribing? Many drugs that carry an electric charge are bound to albumin in the blood. The distribution of the drug to target tissues may be affected if hypoalbuminemia is present. Altered Drug Distribution Increased Free Drug Concentration-more unbound free drug leads to toxicity Volume of Distribution (Vd)-increased Vd because more free drug leaves the bloodstream into tissues Enhanced Drug Effects and Toxicity Dosage less due