ATI project medications 1 PDF

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Scenario 0900

ATI NCLEX style case scenario: medication administration Group Project Learning objectives: 1. Identify the nursing actions essential to administer medications safely and what nursing actions are a priority if a medication error occurs. 2. Discuss how older adults can avoid polypharmacy and how the nurse can prevent polypharmacy. 3. Explain the physiological changes to consider when administering medications to older adults. Instructions: 1. After viewing the ATI video case studies on Medication Administration Safety, Polypharmacy and older adults, and Pharmacology Across the Lifespan complete the following questions using the Frandsen & Pennington pharm text, or Davis Drug Guide. 2. Cite your information in your answers. Include a reference section in APA format. Answers should be at least one to two paragraphs. 3. Post one completed project from your group in the Forums section of the Reggienet course. Each student should indicate what part of the assignment was completed. 4. The assignment is worth 18 points. Due Friday January 22 at 11:30pm. Medication Administration Safety: (Done by Piper Seglem) Scenario: The nurse is caring for a client who has a prescription for furosemide (Lasix) 40 mg PO at 7am and warfarin (Coumadin) 7.5 mg PO at 7 am. 1.

What nursing actions should the nurse take to administer these medications safely? According to Frandsen and Pennington in their textbook “Abram’s Clinical Drug Therapy: Rationales for Nursing Practice”, there are a few general principles on how to give accurate, or safe drug administration. This starts with knowing the “rights” of medication administration, which include, but are not limited to, right drug, right dose, right patient, right time and right route. It is important for the nurse to make sure all of the above rights are correct to the specific patient. Another principle listed is the importance of learning the essential information about the drug being given, such as indications for use, contraindications, adverse effects and therapeutic effects. It is also imperative that the nurse calculates and measures the medications accurately to avoid a toxicity of the medication or cause there to be no pharmacologic effect. When a nurse is giving two medications, it is also important to know how they interact with each other. There could be interactions that the nurse doesn’t need to worry about such as an additive or synergistic effect but there could be bad interactions such as interference or displacement. While there were many more principles mentioned, one of the last one’s mentioned by Frandsen and Pennington is the importance of staying up to date on skills for medication administration. Medicine is constantly changing, and it is in the nurse’s responsibility to stay up to date on their skills and knowledge. 2. What should the nurse do if a medication error occurs? According to Pence’s PowerPoint “Safety in Pharmacology”, if their happened to be a medication error, one of the first things the nurse should do is monitor the patient and take their vital signs. After making sure that the patient is physically well, the nurse needs to fill out an incident report. There are many components of an incident report such as patient’s ID, name and dose of medication, time and place of incident, who was notified, what actions were taken, your signature, and a fact-based account of what happened. It is important to only include facts, not opinions. Polypharmacy and older adults: (Done by Jack Borland) Scenario: The nurse is caring for an older adult client who has multiple prescriptions. 3.

How can older adults avoid polypharmacy?

“Knowing about all the medications they are taking and keeping a list of current medications to present to the primary provider managing their care” (Pence). By giving your primary provider a list of all medications, they should be able to choose a medication that will either not interfere with the medications you are currently taking or give a medication that not only doesn’t interfere, but also boosts the efficiency of the medications you are already taking. Or, a potential third option, you could be prescribed a new medication to replace a medication you are already taking because it does the same job but works better with a new medication if you are prescribed one. 4. What is the nurse’s role in preventing polypharmacy? “Complete the medication reconciliation process. Identify the adverse medication reactions and medication interactions and recognize the pharmacokinetic changes that puts older adult clients at risk for these outcomes. Access evidence-based tools to help identify medications older adults should not take, such as the Beer’s Criteria for Potentially Inappropriate Medication Use in Older Adults. Facilitate communication among members of the interprofessional team to make sure each client’s medication regiment is safe and best meets his/her individual needs” (Pence). Pharmacology Across the Lifespan: (Done by Desiree Mondragon) Scenario: The client is an older adult who is to undergo a total hip arthroplasty. 5. What physiological changes should the nurse consider when administering medications to the client? According to “Abrams’ Clinical Drug Therapy: Rationales for Nursing Practice” edition 12, there are at least a few things that a nurse should consider before administering medication to an older adult. One of first few things a nurse should consider is that “The decline in renal function inhibits the adequate clearance of a drug” (Frandsen and Pennington p. 79). Therefore, an older patient may have more trouble excreting drugs, so it is important to consider this also for a patient who is to undergo a total hip arthroplasty. Checking the condition of your patient's liver prior to a major surgery can help get a better understanding of how effectively medications are being absorbed and excreted. Another possible physiological change a nurse should consider is that “physiologic changes such as a reduced number of receptor sites for medications or affinity to receptors alter the medication’s ability to produce the desired effect” (Frandsen and Pennington p. 79). As one gets older, the number of receptors in our bodies needed for drug distribution declines so the desired outcome of a certain medication(s) would require some alteration that is most beneficial to the patient.

References Frandsen, G., & Pennington, S. S. (2021). Abram’s clinical drug therapy: Rationales for nursing practice (12th ed.). Wolters Kluwer. Pence, P. (2021). Safety in Pharmacology [PowerPoint slides]. PowerPoint Pence, P. (Director). (n.d.). ATI polypharmacy zoom_0.mp4 [Video file]. Retrieved January 19, 2021, from https://reggienet.illinoisstate.edu/access/content/attachment/eeb24c4f-ec34-4839-81cac2182605c14c/Forums/c2ed5d37-3745-4e1e-9ed0-df3fbdb1ef96/ATI%20polypharmacy%20zoom_0.mp4 Pence, P. (2021). Safety in Pharmacology [PowerPoint slides]. PowerPoint

Grading Rubric for ATI Projects Outcome Used proper citation format Shared responsibility Checked spelling/grammar Included pharm texts Submitted on time Accurate and thorough responses to questions

Criteria APA format Indicated role of each group member if group project < 3 spelling/grammar errors Included pharm texts in references Submitted by due date Addressed each question and supports with citation (s) Each part of question is addressed if has multiple questions One to two paragraphs written for each of the questions Note: points will be deducted if criteria is not met.

Points 3 points

Each question is worth 3 points...