Cormier Andie Assignment 2 PDF

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Drug Information Introduction Learning Objectives   

LO 02.04 - Identify drug schedules according to federal and state level scheduling LO 02.05 - Demonstrate competency in using electronic health record drug information, drug monographs, and the PDR site to identify medication information LO 03.04 - Accurately document medication administration and sample patient reaction notes using an electronic health record system

For this assignment, you will work through the worksheet to build your foundation knowledge drug information topics.

Part 1 – Drug Schedules The ability to identify medication schedules as classified by the DEA will allow you to be prepared for reporting and administration guidelines. Schedu le I

II

III

IV

V

Meaning and Examples Schedule I chemicals are considered the most highly addictive and without a medical use.  PCP  Marijuana  Heroin Schedule II substances are still highly addictive with a medical use. The medications are in this schedule include analgesics.  Morphine  Fentanyl  Oxycodone  Cocaine Schedule III substances are perhaps not as potent as Schedule I or II but still have high addiction potential.  Tylenol with Codeine  Anabolic Steroids Schedule IV substances are less addictive than schedule III and often include medications used hypnotics and anxiolytics.  Xanax  Valium  Ativan  Halcion Schedule V are the least addictive out of the classifications for addiction potential. The medications in this schedule include antitussives and antidiarrheal agents.

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Phenergan with Codeine

DEA drug schedules are updated as new information becomes available and medications can move up or down in schedule as per state law. Resource: https://www.dea.gov/drug-scheduling

What does it mean? If you see a “C” with a roman numeral on a medication bottle, that means it is a controlled substance.

It’s your turn to practice identifying medication schedules. Identify the schedule for the following

examples: 1. LSD - lysergic acid diethylamide ☒ Schedule I ☐ Schedule II ☐ Schedule III ☐ Schedule IV ☐ Schedule V 2. alprazolam

☐ ☐ ☐ ☒ ☐

Schedule Schedule Schedule Schedule Schedule

I II III IV V

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3. Lomotil

Retrieved from Medlibrary.org

☐ ☐ ☐ ☐ ☒

Schedule Schedule Schedule Schedule Schedule

I II III IV V

4. Retrieved from Medlibrary.org

☐ ☒ ☐ ☐ ☐

Schedule Schedule Schedule Schedule Schedule

I II III IV V

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5. Carisoprodol

Retrieved from Medlibrary.org

☐ ☐ ☐ ☒ ☐

Schedule Schedule Schedule Schedule Schedule

I II III IV V

Part 1I – Drug Information The ability to identify medication details will help you determine the proper storage and administration requirements for medications.

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Options for obtaining medication information: Drug Information Sites – Healthcare facilities can contract with sites to host information on an internal server or EHR system, as well as make the site accessible via the internet. o Examples: Medline Plus and Physicians’ Desk reference o o

Pro – Easier to keep up to date and free options are available for sites such as Drugs.com Con – Can be expensive if you purchase licensed access and requires internet access

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Apps– You can download applications onto your phone or company device to look up medication information. o Examples: Physicians Desk Reference has an app for tablets and smartphones o Same Pros and Cons as Internal sites

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Medication Monograph – This is a paper that is sent with the medication from the manufacturer. This includes all information current at the time of distribution.

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o

Pro – Information is accessible with the medication regardless of technology

o

Con - This information can be easily thrown away and only 1 copy is provided What can we find in drug information?

Drug name – Brand, generic, and chemical name Example 1: Lipitor (Brand name), atorvastatin calcium (generic name)

Example 2: amoxicillin (generic name)

Image from: https://www.drugs.com/monograph/amoxicillin.html

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Indications and Usage classification information.

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How the medication should be used, along with drug

Dosage and Administration – therapeutic dosage considerations and recommendations for administration

Dosage Forms and Strengths – the forms and strengths available

Contraindications – Common contraindications or when the medication should not be prescribed/administered

Warnings and Precautions – Most commonly reported (potential) complications and/or administration warnings

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All Lipitor images from: Image from: http://labeling.pfizer.com/ShowLabeling.aspx?id=587

Adverse reactions – commonly reported reactions (more than 1% of the sample population)

Post marketing Experience – Events reported after the drug entered the market

Drug Interactions – known major drug interactions

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Special/Specific Population Use – Instructions, dosing changes, or considerations for use in populations such as kidney or liver failure

It’s your turn to review a drug monograph.  Access the Pfizer drug monograph site: o https://www.pfizermedicalinformation.ca/en-ca/productmonograph 

Select that you are a healthcare professional 8

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Select Aldactone form the drug list

6. What is the brand name? ALDACTONE 7. What is the generic name? (spironolactone) 8. What is first contraindication? Patients who are hypersensitive to spironolactone, or to any ingredient in the formulation 9. What is the black box warning for the Aldactone? Avoid potassium supplements, salt substitutes and foods containing high levels of potassium (e.g.,bananas, prunes, raisins and orange juice).Follow your doctor's directions for a low-salt or low-sodium diet and daily exercise program. 10.What is one of the drug-drug interactions for the Aldactone? Alcohol, barbiturates or narcotics Potentiation of orthostatic hypotension may occur. Avoid alcohol, barbiturates or narcotics, especially with initiation of therapy. It’s your turn to research and review what you have learned. 11.Research a medication that you have in your medicine cabinet. What did you learn about the medication? What is the Brand and Generic name? CELEXA (CITALOPRAM HYDROBROMIDE) Celexa® (citalopram HBr) is an orally administered selective serotonin reuptake inhibitor (SSRI) with a chemical structure unrelated to that of other SSRIs or of tricyclic, tetracyclic, or other available antidepressant agents. The efficacy of Celexa in maintaining an antidepressant response for up to 24 weeks following 6 to 8 weeks of acute treatment was demonstrated in two placebo-controlled trials (see CLINICAL PHARMACOLOGY). Nevertheless, the physician who elects to use Celexa for extended periods should periodically re-evaluate the long-term usefulness of the drug for the individual patient. Celexa is contraindicated in patients with a hypersensitivity to citalopram or any of the inactive ingredients in Celexa.

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Part 3 - Skills Activity: Adding Orders Student instructions

1. If you have questions about this activity, please contact your instructor for assistance. 2. You will review the chart of Lateef Ledbetter to complete this activity. Your instructor has provided you with a link to the Adding Orders activity. Click on 2: Launch EHR to review the patient chart and begin this activity. 3. Refer to the patient chart and any suggested resources to complete this activity. 4. You will complete documentation in EHR Go as instructed below. When you complete this activity, you will download your Progress Report in EHR Go under 3: Download Work, save the Progress Report to your device, and then upload the Progress Report to your Learning Management System (LMS). Suggested resources

1. Review the guides below found under Help/Guides on ehrgo.com:  EHR Go Guide to Patient Orders (Non-Medication)  EHR Go Guide to Medication Orders The activity

Patient Lateef Ledbetter has presented to the urgent care clinic with right flank pain, nausea and vomiting. The patient has been registered and will be under the care of Dr. Kerry West. Dr. West has requested the paper orders below be added to the patient’s EHR as soon as possible, each with a status of ACTIVE, a Start on Date/Time of today’s date and time, and an End on Date/Time for 2 hours later. List Dr. West as the Provider and leave the author as yourself. a) Open the patients chart by clicking HERE or copy/paste the following link into your browser:

https://web21.ehrgo.com/rd/?courseActivityId=43483 b) Enter the patient orders below under the Health/Orders section of the patient’s EHR.

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Category Scheduled Meds

Scheduled Meds

Medication Phenergan 25 MG/ML Injectable Solution 1 ML Morphine Sulfate 4 MG/ML Prefilled Syringe

Dose 25 mg

Route IV Push (IVP)

Order Details Give 1 dose stat.

Frequency STAT

4 mg

IV Push (IVP)

Give every 15 minutes as needed for pain 6-10 on a scale of 1-10. Max 10 mg in one hour. Monitor respiratory status. Notify

AS DIRECTED PRN

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physician if RR...