Red Man Syndrome

2. Scenario 2: A patient comes in and is out of refills for his diazepam, which he

Regardless of what type of medication the patient is asking for, Jerry is still limited by his LPN and medical assistant scope of practice. If Dr. Williams does not prescribe the medication, Jerry can't call in a refill for the medication. Factors that may influence Jerry's decision to refill this medication include that the patient states he is a

Daily drug dosages are given at specified times during a day, such as twice a day (b.i.d.), three times a day (t.i.d.), four times a day (q.i.d.), or every 6 hours (q6h), so that the plasma level of the drug is maintained at a therapeutic level. (BOOK )Medication timing also accounts for medication errors and is of the utmost importance while administering medication to a patient. Timing of medication delivery to patients is arranged strategically though pharmacy according to the physician’s orders. Attention is placed on the type of medication along with interaction a medication may have with other prescribed medication on a patients chart. Nursing are pulled in many different directions, answering physcians calls, admitting new patient and dealing with emergent situations that often times takes them off schedule. It is impossible to give every patient on the floor medication at the expected time charted on the electronic medication chart. Most facilities allot nursing staff the flexibility to pass medication one hour before and one hour after medication stated due on the electronic record. Performing the necessary research for hospital facility guidelines as regards to medication distribution and abiding by those, help illuminate medication time errors. Giving medication at the appropriate rate encompasses the appropriate time of delivery. Correctly determining how fast are slow a

8. Makes it mandatory that 48-hours (2 days) elapse after the patient makes a written request to receive the medication.

no further medication changes. K.N. is instructed to fi nish the remaining 2 days of

Bob is admitted to the mental health unit for 96 hours. The nurse reviews the routine admission lab and medication prescriptions, and notes that the client will resume the fluphenazine decanoate (Prolixin). The benztropine (Cogentin) has not been prescribed.

Dr. Jackson called back around 4:40 a.m. and ordered supplemental oxygen, blood work, and diuretic, and to maintain the patient’s oxygen saturation reading above 94 percent. Around 5:30 a.m., the patient’s respiration was still labored with 36-40 breaths per minute. Obeyesekere once again suctioned the patient that brought the patient’s oxygen saturation level at 95 percent. Meanwhile, at 5:30 a.m.,

First, the medical assistant should convert the doctor’s prescription into layman’s terms for Doris. Medication A is two teaspoons by mouth every four hours. Medication B is 2.5 milliliters by mouth three times daily (Fulcher, Fulcher, & Soto, 2012, p. 1b). Doris should be cautious of confusing her medication dosages as that could lead to possible overdose. If Doris is afraid of mixing her medications, the medical assistant should convert to the unit that Doris is more comfortable with. For example, if Doris prefers milliliters, she should take around 9.8 milliliters of medication A. Alternatively, medication B could be taken at .5 teaspoons (Fulcher, Fulcher, & Soto, 2012, p. 131). Patients taking multiple medications should have a medication

The staff assesses Jt and then asks his mother about his allergies and medical history. They then ask what medication he takes. She states he has environmental allergies so he always takes Equate Allergy and Sinus Headache. She says he takes two tablets every 4 hrs. She then proceeds to tell the staff that the dentist who removed his wisdom teeth prescribed him Percocet 5/325mg 1 tab every 4 hrs for his pain, which he has been taking routinely. The

The emergency department physician inserts a central venous catheter via the subclavian vein and prescribes Lactated Ringer's solution at 1,000 ml/hr via infusion pump.

The patient arrived on for his counseling session. Reports stability on his current dose and denies the need for a dose increase or decrease when offered by the writer. The patient was made aware that he will be reassigned to counselor, Scott effectively immediately as his new assigned counselor will schedule his next session. The patient reports of no update with his medical pertaining to a referral to another PCP as he is currently still seeing the same medical provider.

A nurse should maintain doses administration as per repeated cycle of frequencies every 4 hours or 3 hours per day. Guidelines that facilitate the administration of time-critical

D-This writer agreed to meet with the patient as he was placed hold to attend group. Reported stability on his current dose and denies the need for a dose increase when offered by this writer. This writer reviewed the patient's record and learned that he obtained his 3rd take home bottle on 01/04/2017. The patient is aware that he in order for him to obtained the 4th take home bottle, he must attend the take home bottle group. Addressing his medication, this writer noticed that the patient has not refilled the following medications:

6. The physician orders alendronate (Fosamax) 70mg/wk. what instructions should you give M.S. regarding alendronate?

Medications that can cause interactions include anticoagulants, probenecid, bisphosphonates, angiotensin-converting enzyme (ACE) inhibitors, anticoagulants (Warfarin), antiplatelet medicines (Clopidogrel), aspirin, corticosteroids (Prednisone), heparin, other NSAIDs (Ibuprofen), Rivaroxaban, or Selective Serotonin Reuptake Inhibitors (SSRIs) (Fluoxetine) due to the risk of stomach bleeding may be increased. Bisphosphonates (Alendronate), Cyclosporine, Hydantoins (Phenytoin), Lithium, Methotrexate, Quinolones (Ciprofloxacin), Sulfonamides (Sulfamethoxazole), and Sulfonylureas (Glipizide) side effects may be increased by Naproxen. The effectiveness of Angiotensin-converting enzyme (ACE) inhibitors (Enalapril), Beta-blockers (Propranolol), or diuretics (Furosemide, Hydrochlorothiazide) may be decreased by Naproxen (Lexi-Comp,