MEDICATION DIARY Assignment Help

MEDICATION DIARY Assignment Help

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The purpose of the VU Nursing and Midwifery student led ‘drug diary’ is to assist students in their understanding of medication administration and management.  Registered Nurses and Midwives are legally obligated, as regulated health professionals, and are accountable to the Nursing and Midwifery Board of Australia (NMBA) https://www.nursingmidwiferyboard.gov.au/Codes-Guidelines-Statements/Professional-standards.aspx .  Additionally, the safe and effective use of medications is clinically governed by the National Safety and Quality Standards to support medication management https://www.safetyandquality.gov.au/standards/nsqhs-standards

The fundamental six (6) Rights of medication administration are to be adhered to at all times.  Some hospitals may implement to up to 11 rights of medication administration and it is your professional obligation to be aware of the policies of the institution in which you are working and to adhere to their requirements. RIGHT PERSON, RIGHT DRUG, RIGHT DOSE, RIGHT ROUTE, RIGHT TIME, RIGHT DOCUMENTATION

Medications can be grouped by how they affect our bodies so it is important to have an understanding of this.  For example analgesics relieve pain, antihypertensives reduce blood pressure, antidepressants assist in reducing depression etc… These medications are then further divided by their individual therapeutic actions.  For example you may have two different medications classified as antihypertensives however Drug A may work differently to Drug B to reduce this BP.  It is important to be aware of how medications work as nurses are accountable for the drugs they administer. 

When using this ‘Drug Diary’ it is advised that you place any drugs that are unfamiliar to you into this diary and take the time consolidate the information you have included.  Through this you will then become familiar with the medications you administer.  Try to paraphrase which will assist you in understanding the medication in your own words.  If you like try grouping drugs together on the same page eg. Analgesics, Anti-Emetics etc…

*BE SURE TO USE AUSTRALIAN GENERIC & BRAND NAMES*

Utilising updated Australian text books will assist you with this drug diary:

McKenna, L., & Mirkov, S. (2019).  McKenna’s Drug Handbook for Nursing and Midwifery Australia and New Zealand. Wolters Kluwer is a great little handbook that can be easily carried with you to clinical.  This also includes nursing care implications.

Supplementing this is a much larger, in depth text, should you wish to learn more in depth information:

McKenna, L., & Gigi Lim, A. (2020).  McKenna’s Pharmacology for nursing and health professionals (2nd ed revised.).  Wolters Kluwer.

Symons, K., & Ermer, J.  (2020). Australian injectable drugs handbook (8th ed.).  Society of Hospital Pharmacists of Australia is what we refer to as the ‘yellow bible’ in nursing.  This will be found in every acute hospital and access is readily available either electronically (a log in is required) or through hard copy.  There is no need to purchase this handbook. 

KEY TERMS/ABBREVIATIONS  MEANING
Pharmacokineticsthe absorption, distribution, metabolism and excretion of drugs  
Pharmacodynamicsthe scientific interactionsbetween the chemistry of the living systems and the foreign chemicals that have been introduced to those systems  
Loading Dosesome medications need an initial higher dose to obtain the desired effect in a timely manner  
Half Lifethe time it takes for a medication to reduce to half of its peak level  
Peak Levelhighest concentration of the medication in the bloodstream  
Generic Namethe original medication name that receives approval for use (eg. PARACETAMOL)  
Brand Namethe name given to the generic medication by the company making it (eg. PANADOL, PANAMAX, DYMADON)  
DailyOnce a day, at the same time each day  
ManeIn the morning  
NocteAt night  
BdTwice a day, usually 12 hours apart  
TdsThree times a day, usually eight hours (8/24) apart  
QIDFour times a day, usually six (6/24) apart  
PRNWhen necessary or as required  
SRSlow or sustained release
IRImmediate release  
KEY TERMS/ABBREVIATIONS  MEANING
PO Per oral (by mouth)  
PRPer Rectum  
NEBNebuliser  
MDIMetered Dose Inhaler  
TOPTopical (on the skin)  
BEBoth Eyes  
S/LSub Lingual (under the tongue)  
BuccalBetween the cheek and gums  
S/C:Sub cutaneous  
IMIntramuscular  
IVIntravenous  
NGNasogastric  
PEGPercutaneous Endoscopic Gastrostomy tube  

Please refer to the Recommendations for terminology, abbreviations and symbols used in medicines documentation:

ANALGESICS    
GENERIC MEDICATION NAME ( and brand names) & DRUG CLASS (include drug schedule)ACTIONS (link to patho) & INDICATIONSADVERSE REACTIONS (most common) and INTERACTIONS (including drug interactions if any)METHODS OF ADMINISTRATION.  IS THERE AN ANTIDOTE?NURSING CONSIDERATIONS/PATIENT EDUCATION
eg.  PARACETAMOL (Panadol, Panamax, Dymadon) Analgesia & Antipyretic (S4)    Used for mild pain and fever.  Blocks pain impulses: it prevents prostaglandin synthesis in CNS or other substances that sensitise the pain receptors.  Reduces fever by acting on the hypothalamusLiver damage with toxic doses. Increases anticoagulation if on warfarin, alcohol may increase the risk of liver damage, caffeine may increase analgesic response, barbiturates/carbamazepine/ hydantoins/ rifampicin/ sulfinpyrazone: may ↓ therapeutic effect & ↑liver toxicity with high doses or long term use: DO NOT USE TOGETHERPO (tablets, capsules, syrup, elixir, chewable, soluable, IV, PR     N-Acetylcycteine (NAC) can be used in overdoseBe careful if liver disease, be careful of other medications that contain paracetamol, for short term use only, seek dr advice if being used for high temps    
                       
                           
ANTI EMETICS    
GENERIC MEDICATION NAME ( and brand names) & DRUG CLASS (include drug schedule)ACTIONS (link to patho) & INDICATIONSADVERSE REACTIONS (most common) and INTERACTIONS (including drug interactions if any)METHODS OF ADMINISTRATION.  IS THERE AN ANTIDOTE?NURSING CONSIDERATIONS/PATIENT EDUCATION
eg. ONDANSETRON (Zofran, Onsetron) 5-HT₃ -receptor blocker (S4)                  
             
                 
                   
           
     
GENERIC MEDICATION NAME ( and brand names) & DRUG CLASS (include drug schedule)ACTIONS (link to patho) & INDICATIONSADVERSE REACTIONS (most common) and INTERACTIONS (including drug interactions if any)METHODS OF ADMINISTRATION.  IS THERE AN ANTIDOTE?NURSING CONSIDERATIONS/PATIENT EDUCATION
                   
             
                 
                   
       
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