Assisting with Medications PDF

5 Case Study #2 You arrive a week later in the evening and see that the DOT has been changed. Ms. P’s prescription cream has been discontinued but she has since developed a flu virus, has an ear infection a productive cough and her asthma is exacerbated. There is a new DOT for: Polysporin (...

5 Case Study #2 You arrive a week later in the evening and see that the DOT has been changed. Ms. P’s prescription cream has been discontinued but she has since developed a flu virus, has an ear infection a productive cough and her asthma is exacerbated. There is a new DOT for: Polysporin (antibiotic) ear drops to each ear daily for 7 days in the evening, Amoxil antibiotic “suspension” 30mls QID (4 times a day) Advair Diskus medication to replace the Ventolin at bedtime. Document on the MAR immediately following. Special Considerations: Advair is a combination of Ventolin and Fluticasone (steroid). Shake Amoxil Suspension before pouring Provide oral care after diskus administration Complete the above DOT skills with a partner and then switch. Then complete the questions together and submit: 1. What is the classification and action of each of these drugs? (Table 45-2 p.1064 in your text) 2. What is your responsibility with each medication? - Polysporin ear drops: Administer daily in the evenings, ear hygiene when needed. - Amoxil suspension: Shake before pouring, make sure the amount of 30 ml was giving, 4 times a day. - Advair Diskus medication: Make sure to use Advair Diskus instead of Ventolin, assist her with one dose at bedtime, and provide a cup of water for her to rinse her mouth after every use to prevent side effects due to the medicine stuck in the mouth. 5  6 3. What do you need to do with a “suspension”? - Shake well before pouring. - Use oral syringe or medicine cup. - Make sure she finishes the full prescription. (Don’t stop or skip a does even the symptom was gone) 4. What observations do you need to make with each medication? - Polysporin ear drops: observe for swelling and redness that indicate allergic reaction. - Amoxil suspension: observe for rash, swelling, breathing issues, nausea, diarrhea - Advair Diskus: observe for white patches in her mouth which shows the sign of oral thrush. Watch for any increased heart rate, shakiness or sleep disorder. 5. What is the difference between an adverse drug reaction and a side effect? ADR, Adverse drug reaction, is an unintended reaction to a drug. ADR can be harmful or severe, and sometimes it’s life threatening. Side effects usually not so harmful. It’s usually manageable such as, dizziness and drowsiness. 6. How long is a diskus good for once activated? Usually 30 days. 7. Do you shake the diskus? Rationale? No, we don’t shake the diskus before or after use. The medicine int the Diskus is dry powder not liquid. 8. How long should the client hold their breath for once they have inhaled the medication? The client should hold his/her breath for 10 seconds. (To give time for the lungs to absorb the medicine) 9. How do you position Ms. P for her ear drops? What do you do with her ear prior to the drops and after? - Have her lie on her side of the unaffected ear. Affected ear facing up. - Prior the drops, clean the ear if needed with cotton ball gently. Pull the ear auricle up and back for adult. For kids under 3, pull the ear lobule down and back. - After the drops, have Ms. P stay lying for at least 5 minutes, and gently massage the tragus. 10. Ms. P asks if you could help organize her pills for the week into a dosette that her daughter bought, as it would be much easier for her to manage than opening the bottles. How would you respond? As an HCA, I cannot place the dedications in a dosette. I will respond her nicely and explain to her my role is not allowed or authorized to do so. But I’m able to ask her nurse or pharmacist to pre-fill the dosette for a week for her. 6