begins during nursing history (focused med hx) continues during and after med admin
current and past drug use, med schedule, response to meds, attitude about drugs, compliance, storage
ID's pt problem and suggest expected pt outcomes; etiology directs interventions
plan with MOSTR goals
ex: therapeutic effects demonstrated; ther. blood levels maintained; change in symptoms; pt knowledge of symptoms
stay with pt till med taken; offer drugs separately; never leave meds by beside; record right after taking
the cause or origin of a disease or disorder as determined by diagnosis
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