NOW WHAT (modifying future outcomes) At this level, the role of Anticoagulant team has its major part in treatment of Mr Moore plus NMC’s other patients, and also the colleagues of Anticoagulant management. This aspect makes sure the optimal level of Anticoagulant therapy by evading offensive risks of haemorrhage. The reflection case exemplifies to reflect the decision that I made is so perfect but in future if I had sufficient time I could ask patient’s general practitioner for the authorisation if he or she could fund new oral anticoagulants. The prescribed medicines influence patient’s behaviour by taking medicines and improve adherence. 7 steps of safe prescribing with respect to NMC standards It is stated that the entire process to prescribe or not is assumed as a complex aspect method that wants different many factors, which is considered before that all significant piece of paper that is all given to the patient by prescribing the pyramid of steps and process that may help in prescribing either nurse or midwifery, in that way he or she would be responsive of all bases, which has been enclosed (Stahl,
In the world today registered nurses are expected to know about the drugs they administer, their indications, contradictions and adverse effects and correct doses. Any RN can rattle off the correct procedure for safe drug administration. Although, despite this knowledge the incidence of drug errors remain high (Tindale, 2007). A common drug error that occurs is between Amphetamine, which is a CNS stimulant and Propranolol, which is a beta blocker. The drug Amphetamine, or more commonly known as Adderall is a CNS stimulant.
(Claffey, 2018) The best way to reduce the risk of medication errors is to enquire about which orders wouldn't be appropriate to give to the patient based on their condition. (Claffey, 2018) In addition to successfully completing a physical assessment on the patient, the practitioner must also view the patient holistically, and always report near-miss medication errors. (Claffey, 2018) Given that nurses are the ones administering the medication, they should be able to justify as to why the patient is receiving the drug and if it is safe for the patient to be given that specific dosage. (Claffey, 2018) As technology evolves, having an electronic entry for medication may perhaps help reduce the risk of many errors in a busy environment. (Claffey,
Bailey RSI Medication and intent Summary Rapid sequence intubation (RSI) is a standardized protocol that uses medications to facilitate endotracheal intubation of patients in emergency settings (Mason, Weant & Baker, 2013). Some indications for use of RSI include respiratory distress, trauma, or decreased airway patency (Mason et al., 2013). RSI medications include pretreatment medications such as fentanyl or lidocaine; acute paralytic agents and sedatives; and long term pain management, sedative or paralytic agents (Mason et al., 2013). Pretreatment medications in RSI are meant to mitigate effects of intubation and RSI. Atropine is typically used in pediatric patients to decrease the vagal response caused by use of the laryngoscope blade
c) Suitable dose • What is the recommended therapeutic dose range for each of the active ingredients? o Are the individual ingredients all present at active dose levels? o Is the dose spacing appropriate for each ingredient? o Is the recommended dose appropriate? (If not, discuss what dose / how much of the product would you recommend OR why it is not possible to recommend an appropriate dose.)
Research Questions and Objectives 2.1 Research Questions: What was the effect of utilizing the Electronic medical record system on medication safety improvement in Ambulatory Healthcare services in Emirates of Abu Dhabi? 2.2 Research Objectives are: To explore the advantages of having the electronic medical record in Ambulatory Healthcare services over the old manual medical record. To identify the tools that are used in Ambulatory Healthcare services to detect medication errors and analyze its effectiveness. To define the medication safety issues and types of medication errors that may occur during the process of ordering the drug till the patient receiving it. To explain how the electronic medical records system supported the ambulatory healthcare services to improve patient safety and detects medication errors.
Blood pressure measurement techniques Abstract: This essay will talk about the basic unit of blood pressure and also on how blood pressure is measured using the different types of measurement techniques. The techniques that are introduced in the essay are indirect and non-invasive which are safe to be used. The four methods are through auscultation, oscillometric, through the finger cuff and also through the wrist type method which falls in the oscillometric category. For each method, there will be given explanations on how to use the devices and how the different devices function to produce the blood pressure readings. 1.
Psychotherapeutic techniques tend to elicit the patient's symptoms, in a controlled manner, in order to heal the patient. Such is the case in cognitive, behavioral as well as psychoanalytic treatments. In his article Davidson discusses other points such as the self-healing principle, the microdose effect, disappearance of the symptoms in reverse order of their appearance, and diagnosis by pattern recognition of the symptoms. (Davidson,
Nursing consideration: Require regular monitoring of activated partial thromboplasitn time (aPTT) and needed frequent heparin dose changes (Brunner and Suddarth’s, et al, 2010: 765). Fibrinolytic therapy: This therapy is given to dissolve the thrombus in the artery and restore the blood flow. There are two fibrinolytic drugs which are streptokinase and Recombinant tissue plasminogen activators (r-TPA) which includes Alteplase, reteplase and tenecteplase (Brunner and Suddarth’s, et al, 2010: 772). Fibrinolytic therapy would be commenced within 4-6 hours of myocardial infarction to restore blood flow, reduce oxygen demand and reduce myocardial tissue damage (Silvestri,
The mental health status of a patient is very important when you are dealing with drug abuse and suicidality. Knowing if there is co-morbidity in the diagnosis will help determine the best treatment plan for the patient. However, not all hospitals are required to run mental health screening on their patients. Often this test is left up to the desecration of the medical staff on duty at the time of the patients intake. Data Analysis Plan I used a linear multiple regression to determine whether or not an association is present.
7. Which of the findings from the nursing assessment demonstrate possible adverse effects from amphotericin B? If respiratory distress occurs, discontinue infusion immediately; anaphylaxis may occur. Monitor patient closely during test dose and the first 1–2 hr of each dose for fever, chills, headache, anorexia, nausea, or vomiting. Renal function should be monitored frequently during Amphotericin B therapy.
In an acute care setting, I think is a beneficial to have interprofessional collaboration to optimize care. Most doctors have a specialty in a particular area, so I believe that they should be treating their area in a patient instead of having just one physician treating the patient. Also it think that it is important to have a pharmacist as part of the interprofessional team because they are experts in drug therapy so they can focus more on making sure that the patient is getting the correct drug, dose, and making recommendations to drug therapy if necessary. Including different professions into the healthcare team helps optimize patient care because dividing up the work allows each member can focus on their area of expertise. Every morning, I
These questions on the topic of how often Lovenox injections are required to be therapeutic versus how often heparin needs to be injected and the resulting patient satisfaction during the hospital stay. With the emphasis on patient satisfaction and the government guidelines for preventable hospital acquired problems, finding a solution to DVT prevention is important for nursing. One study by Arnold et al. (2010) directly compared the two drugs in question for this project and provided credible information to the development of an evidenced-based answer to the problem (Arnold et al., 2010). A second systematic review by Akl et al.