HNN215: Quality Use of Medicines - Pharmacology Assessment Answer

TASK:

Purpose of assessment task
Nurses have an active role in medication management, including safe administration practices, knowledge of risks such as medication errors, adverse effects and drug interactions.
Patient participation in medication management and patient education are also essential to patient safety.
Assignment case study:
Ms Candice Tong, a 56 year old female, was admitted to Deakin Hospital yesterday, the 14th of July, 2019 with upper abdominal pain, nausea and vomiting. Ms Tong has a past history of hypertension, hyperlipidaemia, and is currently being treated with medication for depression. While she was in the emergency department yesterday morning, Ms Tong vomited fluid with a small amount of blood in it. She had an endoscopy and biopsy of her stomach yesterday, and the surgeon has explained to Ms Tong that she has two peptic ulcers as a result of an infection with the bacteria Helicobacter pylori (H. pylori).

QUESTIONS
Q1. Assess Ms Tong’s medication chart and identify and explain two (2) significant risks that may be associated with the use of these medicines.
Q2. Describe the strategies a nurse may implement to prevent/manage the risks identified in Question 1.

Q3. When you assist Ms Tong to find fresh clothes, you notice that there are bottles of the medications ibuprofen and St John’s wort in her bag. These medications are easily purchased from pharmacies and supermarkets. Ms Tong informs you that she takes one of these medications for headaches, and the other because she feels “flat”. Identify and describe one
(1) significant risk that each of these medications may contribute to when used in combination with Ms Tong’s currently prescribed medications (a total of two risks to be identified). 
Q3b. Identify and explain three (3) key points for education you will provide Ms Tong in relation to the general use of over-the-counter medications prior to Ms Tong’s discharge.

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