Medication Management Lecture PDF

MEDICATION MA NA GEME N T PART III(REVISED) BY THE END OF THIS LECTURE STUDENTS WILL BE ABLE TO: Describe psw role as it relates to Identify key safety...

MEDICATION MA NA GEME N T PART III(REVISED) BY THE END OF THIS LECTURE STUDENTS WILL BE ABLE TO: Describe psw role as it relates to Identify key safety Describe the psw medication side guidelines related Identify drug role related to effects, allergies, to medication classifications specific drug adverse reactions management classifications and anaphylactic reactions Explain factors that Define abbreviations Apply knowledge of affect how drugs related to medication how to read labels work management and otc medication MEDICATION SAFETY: INTRO Always follow employer policy Use “safe” environment: i.e. wash hands, well lit area, avoid distractions Review care plan Follow the 10 rights of assisting with medication Read labels carefully Compare container labels to Care Plan AND Medication Administration Record (MAR) This Photo by Unknown Author is licensed under CC BY-SA-NC MEDICATION SAFETY: INTRO Know correct dose of each medication Give glass of water (or other liquid) with oral meds Proper storage important * more soon Do not leave meds at client's bedside Remain with client until medication taken This Photo by Unknown Author is licensed under CC BY-SA-NC MEDICATION SAFETY: INTRO Do not remove med labels from containers Never let client take med from unlabeled medication or with label that cannot be read Do not use discolored or deteriorated medication Check expiry dates on labels before giving If you notice medication running low- tell supervisor This Photo by Unknown Author is licensed under CC BY-SA-NC MEDICATION SAFETY: INTRO Check with supervisor before discarding any used medications. Listen to client – if the client questions something about medication- STOP- call supervisor to clarify This Photo by Unknown Author is licensed under CC BY-SA-NC STORAGE OF MEDICATION Keep client's medication separate from others in the home Cool, dry place (not in bathroom medicine cabinet) Out of reach of children or adults with dementia In original labelled container With lids tightly closed Follow special storage instructions (i.e., in refrigerator) This Photo by Unknown Author is licensed under CC BY-SA-NC MEDICATION SAFETY: REPORTING TO THE SUPERVISOR Report the following to your supervisor: If client does not take medication correctly If client does not understand why the medication should be taken If client refuses to take medication If client forgets or omits a dose (no double dosing) If client shows adverse affects (i.e. rash, vomiting, difficulty breathing, itchiness or diarrhea) This Photo by Unknown Author is licensed under CC BY-SA MEDICATION SAFETY: REPORTING TO THE SUPERVISOR Client wants to take medications that are not listed on MAR or Care Plan (i.e.: herbal medicine) Client takes other meds like recreational drugs or alcohol Client complains that medication is no longer working licensed under CC BY-SA This Photo by Unknown Author is  DRUG CLASSIFICATIONS Medications are classified according to how they work Example: Anti-hypertensive medication is taken to decrease high blood pressure Analgesics are given to alleviate pain This Photo by Unknown Author is licensed under CC BY-SA-NC  Generic name of a drug Also referred to as the “official name” When a drug is first discovered, it is given a chemical name Describes the atomic or molecular structure of the drug DRUG When approved by government agency it is given a CLASSIFIC generic name ATIONS: Generic names are usually more complicated and PSW ROLE harder to remember than brand names EXAMPLES acetaminophen Ibuprofen Pseudoephedrine  Trade name of a drug Known as the brand name, the proprietary or trademark name Trademarked name given by the DRUG manufacturer (they own the rights) CLASSIFICA EXAMPLES TIONS: PSW ROLE Tylenol (acetaminophen) Motrin, Advil (Ibuprofen) Sudafed (Pseudoephedrine)  DRUG CLASSIFICATIONS Most generic drugs, although less expensive than the comparable brand-name drug, are as effective and of the same quality as the brand-name drug Generic drug makers manufacture many brand-name products for companies that control the brand names. Sometimes, more than one generic version of a drug is available. For example, many manufacturers sell versions of acetaminophen or ibuprofen.  INDEPENDENT REVIEW DRUG CLASSIFIC Table 45-2 from the ATIONS: PSW textbook PSW ROLE Let's review COMMON MEDICATION CLASSIFICATIONS Alzheimer’s Disease Medications Analgesics (nonnarcotic) Analgesics (narcotic) Antacids Anti-anginals Antifungals Anti-anxiety Medication Refer to Table 45-2 for full list. This Photo by Unknown Author is licensed under CC BY COMMON MEDICATION CLASSIFICATIONS Antibiotics Diuretics Anticoagulants Hypoglycemic agents Anti-emetics Insulin Anti- hypertensives Laxatives Anti-Parkinsonian Agents Nonsteroidal anti inflammatory drugs Bronchodilators (NSAIDS) Thyroid replacements Refer to Table 45-2 fo full list. This Photo by Unknown Author is licensed under CC BY  DRUG CLASSIFICATIONS Medication can exert its effects on different areas of the body Medications can have localized, topical, or systemic effects This Photo by Unknown Author is licensed under CC BY-  All medication has some side effects (effects that are not the desired effect, in addition to the intended effect) SIDE Usually a large list, but some are more common- be aware of these EFFEC - Nausea - Vomiting TS - Diarrhea - Constipation - Dry mouth - Drowsiness  Adverse Effect: is a ADVERSE dangerous or unwanted side effect EFFECTS AND THE RESPONS IBILITY Important for the PSW to OF THE know the most common medications and to PSW observe for the most common adverse effects on the client and provide appropriate care  DRUG ALLERG Y Abnormal response to a drug resulting in the body attacking the drug The drug is called an antigen and the body releases chemical antibodies to attack the antigen This Photo by Unknown Author is licensed under CC BY  DRUG ALLERG Y Produces symptoms ranging from mild (skin rash, itchy eyes) to moderate (fever, wheezing) to severe anaphylaxis shock, cardiac arrest) This Photo by Unknown Author is licensed under CC BY  ANAPHYLA XIS A severe allergic reaction Occurs rapidly Causes a life threatening This Photo by Unknown Author is licensed under CC BY-NC-ND response in the whole body ANAPHYLAXIS: SIGNS AND SYMPTOMS Severe restlessness Low blood pressure Increased anxiety Irregular pulse Combativeness (due to struggling Respiratory congestion to breathe) Swelling of larynx Sweating Hoarseness This Phot Shortness of Breath (SOB) o by Dyspnea (difficulty breathing) Unkno wn Autho r is licen sed under CC BY -SA-N C FACTORS AFFECTING DRUG ACTION No two people are alike, and no drug will affect every human body in exactly the same way. Some of the factors affecting a drugs action are: Age Size Gender Genetic inheritance Physical/emotional condition  MEDICATIION MANAGEMENT: ABBREVIATIONS Very important to know medical abbreviations and how to use military time You will see abbreviations on drug labels, on charts, and in care plans Do not make up your own abbreviations (these are standardized) Following is an introduction to some of the abbreviations you need to memorize (related to medication management)  INSTITUTE FOR SAFE MEDICATION PRACTICES HTTPS://WWW.ISMP.ORG/RECOMMENDATIONS/ERROR-PRONE- ABBREVIATIONS-LIST  MEDICATIION MANAGEMENT: ABBREVIATIONS Abbreviation meaning PO by mouth TOP topically Sub Cut subcutaneous IM intramuscular IV intravenously NG nasogastric PR per rectum  MEDICATIION MANAGEMENT: ABBREVIATIONS ABBREVIATION MEANING  Cap Capsule  Tab. Tablet  Gtt. Drop  Sol. Solution  Susp. Suspension  Elix. Elixir  Ung. Ointment  MEDICATIION MANAGEMENT: ABBREVIATIONS  ABBREVIATION MEANING  a.c. before meals  p.c. after meals  Stat immediately  qhs at bedtime  prn as needed/when necessary  b.i.d. twice a day  t.i.d. three times a day  q.i.d. four times a day  MEDICATIION MANAGEMENT: ABBREVIATIONS  every hour q1h  every two hours q2h  every three hours q3h  every four hours q4h  every six hours q6h  every 8 hours q8h  every twelve hours q12h MEDICATIION MANAGEMENT: MEDICATIION MANAGEMENT:  READING LABELS Each time you take (OTC) medicine or a prescription (Rx) medication, take time to read the label. Every medicine has specific instructions for safe use that should always be followed precisely. Instructions tell you what amount of medicine to take, how to take it, when to take it, and when not to take it. Always keep your medicine in the original packaging so that you have proper dosage information on hand.  PSW ROLE: OVERVIEW Know the drug classification of the medication The main side effects Adverse affect to look for Monitor for signs of allergic or anaphylactic responses Overall Response Rate  CLASS ACTIVITIES TO PROMOTE LEARNING BREAK UP INTO GROUPS, 4 STUDENTS PER GROUP AND COMPLETE IN CLASS ACTIVITIES FOUND IN THE BRIGHTSPACE FOLDER YOU WILL NEED AN OTC MEDICATION AND A PRESCRIPTION LABEL (I POSTED THE LABELS ON BRIGHTSPACE)  INDEPENDENT ACTIVITIES TO PROMOTE LEARNING ACTIVITY 1- GO TO THE NEXT SLIDE AND COMPLETE ACTIVITY 2- GO TO SLIDE 35 AND COMPLETE LITTLE QUIZ (10 QUESTIONS- NOT FOR MARKS)  READING MEDICINE LABELS: ACTIVITY 1 HTTPS://WWW.WEBMD.COM/A- TO-Z-GUIDES/SS/SLIDESHOW- HOW-TO-READ-DRUG-LABELS READING MEDICINE LABELS: ACTIVITY 2 HTTP://WWW.TV41 1.ORG/READING/U NDERSTANDING-WHA T-YOU-READ/READI NG-MEDICINE-LABE LS/ACTIVITY/1/1  PREPARING FOR UPCOMING ASSIGNMENT LET’S TAKE A LOOK AT THE COURSE OUTLINE INDEPENDENT DRUG CARD ASSIGNMENT DUE WEEK 11 GROUP ASSIGNMENT DUE WEEK 13