OTC Medication Analysis

This is a complex medication visit. This is a young woman who I have treated for (lipastimea) and depression last seen a year ago. She returns now complaining of increasing depression over the past several months culminating an emergency room visit.

Goal 1: Identify your patients correctly. Using two patient identifiers ensures that you provide the right care to your patients.

While the use of barcode technology has had many applications in hospitals for quite some time it has only recently been used to address patient safety. Mitch Work (2005) views bar code technology as a particularly promising advance in the effort to reduce medical errors. Barcodes provide a valuable verification of medication administration by assuring that the "five rights" are confirmed: right patient, right medication, right dose, right time, and right route of administration. The use of barcode technology at the patient's bedside has shown notable gains in reducing medication administration errors, which may account for as many as 7,000 deaths per year in U.S. hospitals.

Step1: Physician or nurse practitioner order a new medication in Epic. Time spent: 5 minutes

In the Electronic Medication Administration Record (EMAR) D.B informed me that they would scan the patients’ identification band and then the medication. A medication match is made to deliver the medication safely to the patients. Additionally, there are timeframe lockouts in place, and the high alert medications require a dual sign out. Customarily, like most institutions the Narcotics remaining volume is handoff with the oncoming and off going nurse. Their bedside safety checks are done at the change of shift and office visits flows into the patients’ electronic health record as well as medication review. According to D.B, “Blood sugar and insulin are scanned and the nurses have to attest to the ELearning’s which at times they felt are

The American society has taken many steps in the positive direction to ease the pressure on local law enforcement by limiting the amount of opiates doctors prescribe to patients through a system called the Prescription Drug Monitoring Program (PDMP). PDMPs allow doctors universal access to patients drug prescription history to make informed decisions on their prescription habits. However, this system only works if the doctors use the system before writing a prescription. According to the Center of Disease Control and Prevention, “Prescription drug monitoring programs (PDMPs) continue to be among the most promising state-level interventions to improve opioid prescribing, inform clinical practice, and protect patients at risk.” When doctors

NH Board of Pharmacy has oversight over the Prescription Drug Monitoring Program in New Hampshire and the aforementioned annual report is posted on the Board of Pharmacy, Prescription Drug Monitoring Program webpage5 in Adobe Portable Document Format (PDF). The report is located on the webpage under the ‘General Information’ section.

Pt.'s urine drug screen results at the time of discharge reflect a pattern of heavy opiates use since his admission to the program. Pt. is heading down an unhealthy path likely to lead to legal issues and serious emotional and physical complications due to sudden discontinuation of treatment services. At the present time Patient is aware of some pros and cons of substance abuse but feels ambivalent about change unless he has entered another substance abuse program. Pt. also failed to deal with the stress that occurs due to his financial difficulties. Pt. discontinued attending without warning or

Step1: Physician or nurse practitioner order a new medication in Epic. Time spent: 5 minutes

Drugs are a double-edged sword by providing therapeutic effects with the potential to be toxic when it is not used properly. Medication safety has become a concern, especially with the rise in chronic illness and the aging population leading to polypharmacy, where a patient take multiple medications, increasing risk of drug related problems (Kwan & Farrell, 2013). As a solution, the Government of Ontario introduced and funded a pharmacist led medication review program called MedsCheck. Started in 2007, patients who take over three chronic medications are eligible for an annual 30 minute one-to-one medication consultation with the pharmacist to make sure medications are taken properly and safely. This program was expanded in 2010 to include

When it comes to classifying drugs, the government has established five schedules of controlled substances, to be known as Schedules I, II, III, IV, and V. Each of these schedules refers to the varying degrees of danger certain aspects of the drug have. Schedule I “has a high potential for abuse. The drug has no currently accepted medical use in treatment in the United States and there is a lack of accepted safety for use of the drug under medical supervision” (Cornell). Schedule II refers to all substance with at least one accepted form of medical use and each schedule afterwards contains less severe qualifications for the drug all the way down to Schedule V which has low susicabtabily for abuse, accepted medical uses and low chance of physical or psychological dependence.

Great post. I too took away the message from our text that no medication is without risks or side effects, and that is something that is going to stay with me. I believes it becomes easy to forget this notion when one takes a medication and maybe do not experience the severe side effects or even minor side effects. As a result have the person has a sense of false security view of the medication because a medication which may not always be in the case in the future. To me this view of medication applies to both over the counter medication and prescription medicine. I once knew someone who’s daughter was in the ICU because she took too many aspirin and had liver damage as a result. Next, I really like your realistic example of when

Does antidiabetic medication create a possible risk for increased cognitive decline in older adults? In 2013, over 5 million older adults were estimated to have some form of cognitive decline, and it was estimated that 29.5 million older adults have type 2 diabetes. This is the largest increase for adults 65 and older in the United States (Alzheimer’s, 2015). As people continue to live longer the increase of type 2 diabetes in skilled nursing facilities has also grown from 16 to 23 percent (Zhang, 2010). Although, medications are used and needed for both conditions, type 2 diabetes can be a self-care and controllable disease through diet and increased exercise, yet cognitive decline only worsens over time.

I do believe taking over the counter medication can help with pain. However, I also feel that with out plenty of fluid intake the medication is just acting as a bandage. I have been told by a doctor one of the best things to do is drink beer, which promotes urination and helps numb the pain just a bit.

Therapeutic drug levels or therapeutic drug monitoring are lab test to look for the presence and the amount of a drug in the blood. To perform this test a blood sample is needed. Blood is drawn from a vein located on the inside of the elbow or the back of the hand. 1