Hospital Acetaminophen Report

Breeding, et al. (2013) states that there are a number of published documents addressing the quality, safety, and explicitly medication safety within ICUs worldwide. A large proportion of these studies focused on specific interventions such as: (1) creating “No interruption zones”; (2) addressing drug incompatibilities; (3) implementing automatic drug dispensing systems or electronic prescription of medications; or (4) implementing an ICU pharmacist role (Breeding, et al., 2013, p. 59). It is essential for multidisciplinary teams to be formed for medication safety promotion within this population. These teams would include physicians, pharmacists, and nurses (to also include advanced practicing nurses [APRN], such as nurse practitioners [NPs] or clinical nurse specialists

Safe medication practices are key to every nurse since it results to safe medication administration. When medication is not administered correctly it results to adverse drug event which refers to harm to the patient that includes mental harm, physical harm, or loss of function which is as a result of a medication error (practices, 2017). Medication errors occur when a mistake is committed by a person administering medication and in order to avoid these errors safe medication practices need to be adhered to. Some of these

o prepare Acetaminophen a water bath was set up in a 400-mL beaker and then placed onto a hotplate where it reached a boil. During the time it took for the water bath to boil, a 125-mL Erlenmeyer flask was obtained. P-aminophenol (1.5g) was weighed and then placed inside the Erlenmeyer flask. Deionized water (25 mL) was added to the flask followed by 35 drops of concentrated phosphoric acid. An additional 15 drops were added to the solution, since the initial 20 drops of concentrated phosphoric acid was not dissolving the p-aminophenol. Phosphoric acid was added to the reaction mixture because it acted as a catalyst for the reaction. The flask was then swirled gently until all of the p-aminophenol had dissolved. Once the water bath came to

The periodic table has 118 elements. The compound we are going to focus on is acetaminophen. What is the drug acetaminophen? It is an over-the-counter drug that serves as a painkiller and a fever reducer. It is used to treat various conditions such as muscle aches, backache, toothaches, headaches, and arthritis. Although it is considered an analgesic because it is a pain reliever, it has no anti-inflammatory properties. Also, because it contains no anti-inflammatory properties, it is not a member of the non-steroidal anti-inflammatory drugs, also known as NSAIDs.

The striking of the patient at presentation are; Recent history of seizures secondary to cocaine abuse and ED/hospital admission findings of unresponsiveness to verbal and deep pain stimuli with dilated and fixed pupils and no gag reflex. Furthermore, striking laboratory results are, decreased CO2, increased BUN, creatinine, and alkaline phosphatase concentrations, markedly increased AST, ALT, total and direct bilirubin, and CK concentrations; multiple abnormal coagulation tests with results getting worst over time; modestly increased serum acetaminophen concentration at presentation and high phenytoin concentrations at 24hr; and a positive urine drug screen for tri-cyclic antidepressants (TCA).

In order to prevent this adverse drug event regarding wrong route administration of DSPI it is vital that there be proper training with regard to the inventory of medication. When the staff is properly trained beforehand, there is less chance of incorrect route administration. Another key element is to keep communication open. If a provider prescribes Dexamethasone and the nurse goes to the medication supply room and only finds the injectable solution of Dexamethasone, it is imperative that the nurse asks questions before assuming they are to inject the medication. The nurses play a highly significant role and are presented with an opportunity to be active in correcting problems identified.

Analyzing the acute care context is crucial when critiquing the many activities that nurses carry out during their shifts. This analysis ensures that these activities are being performed correctly, while also maintaining that the patient and his or her needs are at the centre of care. In particular, when examining the medication administration process (MAP), nurses must explore many factors, including the practice standards and guidelines that accompany this activity, the positive and negative aspects associated with current as well as best practice, barriers and facilitators associated with best practice, and how one can maintain his or her best practice within this activity. For the purpose of this

Ibuprofen and Acetaminophen are synthetic mixes created to treat a collection of agony conditions. Ibuprofen can be utilized as a torment executioner and lessens irritation. The historical backdrop of ibuprofen can be followed back to 400BC times when Hippocrates utilized the willow leaf tea as a torment reliever for ladies amid labor. In 1763 Revererend Edward Stone uses willow bark to treat rheumatic fever. It wasn't until 1823 when the dynamic fixing, salicin, is separated from willow. The dynamic fixing was likewise found in 1838 by Swiss and German analysts in meadowsweet bloom. French researchers in 1853 makes salicylic corrosive from salicin. In any case, they understood an annoyed stomach is an unanticipated symptom of ingesting salicylic

(2011). Multifactorial influences on and deviations from medication administration safety and quality in the acute medical/surgical context. Worldviews on Evidence-Based Nursing, 8(1), 15-24. doi:10.1111/j.1741-6787.2010.00212.x

( 2014), studies done in the United States, Australia, United Kingdom, New Zealand, Canada, the Netherlands and Sweden, it was found that 2,9 to 16,6% of hospitalized patients were victims of adverse events, most of them 50% avoidable. The main events leading to patient injury,

Second study was set in Bon Secor, Atlantic Health, Cleveland Clinic, and the University of Kentucky the sample size was 86 hospitals reviewed 2837 charts.Used list of triggers like(Diphenhydramine , Vitamin K , Flumazenil , Droperidol , Naloxone , Antidiarrheals , Sodium polystyrene , PTT >100 seconds , INR >6 , Serum glucose < 70 mg/dL, INR > 4.5, K+ ≥ 5.5 mmol/L, K+ ≤3.5 mmol/L, Platelets < 75,000/mm3,, aPTT > 100, ALT/AST ≥3x ULN, Na+ < 130

Only 33.2% of patients instructed (only by nurses) on how to use their medications with respect to meal. Surprisingly, patients who instructed by nurses were also at high risk for potential food-drug interactions. Despite recommendations all these patients had consumed their medications at the not appropriate time with respect to meal. Due to lack of dispersion, patient instruction was excluded from the further analysis.

This paper seeks to look at the drug ketamine; a sedative commonly used in pain management, combined with two other commonly used drugs in hospitals, vancomycin; an antibiotic, and tramadol; an analgesic. It will also seek to define incompatibility before looking at the importance of drug compatibility and limitations of guides following the administration of Y-site infusion in pain management of pediatrics.

In a study conducted by Jung, Couldry, Wilkinson, & Grauer (2014) 864 nurses were surveyed before and after the implementation of a standardized dosing system for intravenous (IV) medications. According to the nurses present they agreed that a standard measure for IV dosing units greatly reduced the chance of a medication error occurring. The nursing staff agreed upon the use of micrograms per kilogram per minute for measuring IV doses. The nurses in question underwent training/education to better familiarize themselves with the dosing unit and improve their speed and accuracy of performing calculations using those units. After the training it was found that the new standardized dosing unit resulted in better consistency and a reduced risk

Since the perception of patient safety has arisen, many medical organizations were striving to improve medication safety. Emory Healthcare, the largest and most comprehensive health care system in Georgia, was one of them who were seeking ways to prevent medication errors. In recent years, some