Cefotaxime Case Study

Scenario: An elderly woman showed symptoms of near syncope and was admitted via ambulance to a small community hospital. She experienced an inability to move on her own and almost lost consciousness while watching her grandson play basketball. Her symptoms occurred during a visit to her daughter’s home, which is approximately 150 miles from Liza’s home. When Liza was admitted to the hospital, her daughter explained the numerous types and dosages of medications her mother was taking. She also mentioned that Liza had not been taking her Coumadin as directed by her physician for the past week or so. Liza was admitted to the intensive care unit for evaluation. Over the course of hospitalization, Liza’s condition worsened.

Rashes:- Rashes can be a side effect of taking medication if you have an allergy to the drug. This is because the body builds up antibodies that instantly release chemicals into the body which cause red itchy rashes.

Cetirizine is known for allergies, such as hay fever, treats the symptoms of inching, runny nose, watery eyes, sneezing. Side effects dizziness, drowsiness, tired feeling, dry mouth, sore throat, coughs, feeling sick, constipation, headache.

I remembered one time when the nurse was in the patient's room and ready to give the patient the medication, all of a sudden, the patient presented symptoms of a seizure. The nurse called the physician right away to check out. To my surprise, before the physician went into the patient's room, she invited pharmacist on the floor come with her. When they arrived at the patient room, the physician asked the pharmacist several questions and they both agreed on the medication use, the pharmacist called IV pharmacy immediate to be ready for this seizure medication order and verification. In the meantime, physician, pharmacist, and nurse helped the patient to calm down. I run to the tube station to received the IV bag. Everything finished within a very short period of time. These actions made by the pharmacist showed the collaboration between each healthcare providers, this valuable collaboration

As clinical site co-ordinator with many years of clinical experience I feel competent in the drug administration via a variety of routes. Generally the patients I attend have become acutely unwell with most prescriptions not having the third eye of a pharmacist and most drugs being delivered intravenously. It is imperative therefore that the prescription and drugs always be thoroughly checked which relies on good communication throughout. Furthermore, most emergency drugs have a protocol for administration developed by the hospital. However within this situation the nurse is generally the last defence before any medication error actually occurs, therefore it is the nurses responsibility to ensure the prescription is correct and to challenge prescription written

The nurse must verify the physician’s medication order, including the dose and time, and then the pharmacy is responsible for their own checks and balances via the BCMA system in order to complete the dispensing phase of the medication (Gooder, 2011). The nurse enters the BCMA system with a login and password and is able then to see a list of the virtual due list for a specific patient. The computer on wheels is then taken to that patient’s room and the five rights of medication administration begin. As nurses, we are taught to use the five rights of drug administration are (1) right patient (2) right medication (3) right dose (4) right route and (5) right time. By scanning the barcode on the patient’s hospital identification band, the nurse then asks for the patient to verbally state their name and date of birth, which can be verified by the nurse on the virtual due list and then choses the medication that are due for administration at that time. The medication is dispensed and the nurse is able to scan the barcode on the medication, the scanning triggers the automatic documentation of the medication given (Kelly, 2012).

After administering any drug or medication to a patient, there are certain steps a first responder must take to ensure legal protection. To begin, there must be clear and thorough documentation of the situation and the patient’s signs and symptoms, their indications, and their contraindications. There are also basics that

One of the most important steps in caring for hospitalized patients is medication administration. Patients come into the hospital to be treated so they will feel better, it does not matter what the physician does if the medications are not given to the patient they will not get better. According to McGonigle and Mastrian, the steps of administering medication have not changed in many years, they are “assessment of need, ordering, dispensing, administration, and evaluation” (McGonigle & Mastrian, 2012, p. 386). The purpose of this paper is explain the medication administration process that is used in my facility, to determine the technology used is effective.

Like everyone else, I was very nervous for my first simulation experience mostly because I wasn’t sure what to expect. Before the simulation started my partner agreed he would focus on administering medications and that I would focus on doing the assessment and helping with whatever else the patient needed at that time. After talking to the patient for a little, we discovered that he was having difficulty breathing. What we did first was elevated the head of the bed. He said he was still having trouble, so I ensured his nasal cannula was working properly and asked him to do some deep breathing exercises with me. That still wasn’t helping so I knew that albuterol, a fast-acting bronchodilator, would need to be administered before any other med.

However, this medication was not covered on the patients plan and required us to submit a prior authorization form. This task required me to contact the patient’s dialysis center where I got to discuss with the patients nurse about lab values, medication history, and health conditions. I was then able to gather enough information to form an adequate justification for the patient’s use of Veltassa instead of Sodium Polystyrene Sulfonate, and began a prior authorization submission. After submitting the form to the insurance, I had to once again contact the nurse so that they could then verify and complete their portion of the prior authorization form through the web site Covermymeds.com. This encounter provided a great example of inter-professional teamwork as both parties got to understand more about each other’s role in health care. On the pharmacy side, the nurses got to see how pharmacists could help provide their insight on medications to find alternatives for patients with special circumstances. On the nurse’s side, the pharmacist can see how nurses play an important role in helping patients get the specific care needed even as the patient steps out of their workplace.

My role for this simulation was to act as a family member of the patient. When the nurses went into the room, the patient just came back from a procedure. The patient stated that during the procedure, he was having light headed, feeling woozy and sweaty. The patient told the nurse that he did not finish all of his breakfast before the procedure. During my role, I asked to the nurse why the patient is having lightheaded, feeling woozy and sweaty. The nurses tested the patient’s blood sugar and did a vital. The patient blood sugar was low and below normal. I asked the nurses what does below normal mean. The nurses gave me an explanation and further discuss ways to help patients manage diabetes.

HEFMA /Ms. Augustin Doreus also collaborated with other hospital staff such as Patient Safety Specialist, Simulation Nurse Coordinator and Nurse Educators, Doctors, Pharmacists, and other discipline to be proactive in determining potential problem that may raise using simulation / training product in patient’s area if they are not properly labeled. Outcome After many group discussions, and findings from an article about a patient who die after receiving a simulated IV solution that was unlabeled, the recommendations were that all training/ simulation equipment must be properly labeled and there need to be a hospital policy about using simulation/training product so that expired/simulation/ training product are not inadvertently being used on

Some would say Celtel lost $750,000, but Ibrahim and Alan Rudge knew this sum was a sunk cost. There was no time to lose, they had to move on, and they could do so as their investors and board members shared the same anti-corruption beliefs.

The injured worker is a 56-year-old male who was injured in an industrial-related incident on 07/13/12. Due to multiple pain complained, he was recommended to undergo a trial of a spinal cord stimulator on 06/24/2017. He was then prescribed an antibiotic to prevent a possible postoperative infection. However, the most recent evaluation dated 07/03/2017, revealed no signs or symptoms of infection. Therefore, the request for continued use of Cefalexin is not supported.

What benefits have CEMEX and the other global competitors in cement derived from globalization? More broadly, how can cross-border activities add value in an industry as apparently localized as cement?