Medication Major Drug Group

Question: Discuss about theMedicationfor Major Drug Group. Answer: Introduction The table below summarizes the following five points relating to the drugs as: Glyceryl Trinitrate Warfarin Actrapid Insulin The five points below are thus indicated in a table form summary below: Major drug group or class these brand names come under What are the drugs prescribed for besides their common routes e.g. IV, imi, sc, po etc. How do these drugs work (mode of action) Common side effects alongside possible adverse interactions with other drugs Nursing implications DRUG Major drug group/class Common routes for administration Mode of action (how they work) Common side effects. Possible adverse interactions with other drugs Nursing implication and Consideration (what you need to know as a nurse administering this drug, both for you and the client) Glyceryl Trinitrate Nitrate Vasodilators Tablets Relaxing the body vessels of the heart. Reduce the heart strain making it easier to pump blood (Bullock, Manias Galbraith, 2007). Chest pain, angina symptoms, breathing difficulty, blue coloring of lips, eye blindness, speaking difficulty, slurred speech (Bullock, Manias Galbraith, 2007). Reacts with apormorphine, sildenafil and n-acetyl cysteine (Crisp Taylor, 2009). Not taken against sugar intolerance, alcoholic, effects on pregnancy (Bullock, Manias Galbraith, 2007). Ask whether on is under other drugs as acetylcysteine. Warfarin Vitamin K Antagonists Tablets and oral Liquids An anticoagulant hence reduce blood clot formation in veins and arteries through the blocking the formation of Vitamin K-dependent clotting factor Hives, breathing difficulty, swelling of face, lips, tongue or throat, pain, dizziness, nausea, vomiting, bloating, altered sense of taste (Crisp Taylor, 2009). Reacts with citalopram, paroxetine, vilazodone, venlafaxine Should not be taken under pregnancy unless the doctor measures Prothrombin frequently, ask if patient is under other drugs for treatment of TB, prevent blood clots, supplements containing vitamin K and antidepressant (Crisp Taylor, 2009). Actrapid Insulin Drug used in diabetes Oral Liquid Binding to insulin receptors on cells in the body by making cells in liver, muscles and fat tissues to raise the uptake of glucose from the bloodstream and reduce the production of glucose by the liver hence controlling the glucose level (Bullock, Manias Galbraith, 2007). Hypoglycaemia (common), skin thickening or pitting, redness, swelling at injection site, Excessive fluid retention (oedema), visual challenges and skin reactions such as itching, hives or rash (Bullock, Manias Galbraith, 2007). May be affected by ACE inhibitors like captopril, anabolic steroids e.g. stanozol, disopyramide, fibrates e.g. germfibrozil (Crisp Taylor, 2009). Not used in hypertensive to human insulin, pregnancy and breastfeeding The most Important Aspects of the Drug Administration Process? Correct computation of Dosage I will have to proactively prevent the occurrence of errors arising from miscomputation of incorrect dosages by making sure that I double check my computations. I always infer from the dosage information of the drug and where it is extreme, I will open up for consultation with a colleague (Crisp Taylor, 2009). In addition, I will always brush up my dosing knowledge and skills to achieve competency. Check the medication I have to remain certain of the expiry date of drugs and ascertain that it is yet to expire. I always scrutinize the labels against the order. I will ensure that I have proactively scrutinized medication features. I will always discard the unclear medication always found to appear cloudy and replace effectively (Crisp Taylor, 2009). Scrutinize Drug Interactions I will always remain keen to note that patients are prescribed a range of drugs simultaneously. Prior to administering a given drug, I will make sure I check the drug interactions for each medication as subsequently validate with the patients chart to gauge contraindications or special precautions to be altered. In addition I will be concerned with noting the history of patient preceding anaphylactic reactions (Crisp Taylor, 2009). Right Patient Checking the name on both order as well as the patient. Using two identifiers. Asking the patient to identify herself. Using technology like bar-code system if available Right Medication Checking the label of medication. Checking the order effectively. Right Dose Checking the order effectively. Confirmation of the does appropriateness based on the present reference of drug Calculating the dose alongside having another nurse calculating the dose concurrently (Bullock, Manias Galbraith, 2007). Right Route Checking the order as well as the route ordered appropriateness. Confirming if a patient can take as well as receive the medication based on the ordered route. What does A.P.I.N.C.H.S. stands for? A: Anti-infective P: Potassium and other electrolytes I: Insulin N: Narcotics and other Sedatives C: Chemotherapeutics agents H: Heparin and Other anticoagulants S: Systems References Bullock, S., Manias, E. Galbraith, A. (2007). Fundamentals of Pharmacology, (5th ed.). Sydney, Australia: Pearson Education. Read Shelf Life of Preparations?, Table 7.19, p 76 Crisp, J Taylor C. (2009). Pharmacokinetics as the basis of medication actions? pp. 730-731. (p. 821 823. 2013 version) Crisp, J Taylor C. (2009). Types of medication actions? through to the end of Medication dose responses?, pp. 732-734.(p. 823 824. 2013 version) Crisp, J Taylor C. (2009), "Complications of Intravenous Therapy", p. 1049 1056. (P.1242-1243. 2013 version) https://www.safetyandquality.gov.au/our-work/medication-safety/medication-alerts/high-risk-medicines/