Patients suffering from conditions such as community acquired pneumonia are highly vulnerable to cardiovascular diseases as the bacteria could penetrate the heart cells which can ultimately lead to death of the cells and conditions of cardiac failure (Restrepo and Reyes, 2018). It is important to prevent such conditions as it can highly impact the survival of a patient. Aim of this assignment is to investigate IV medication administration for preventing patients from developing pneumonia. The assignment will first discuss validation of a medication order, followed by the therapeutic interactions of the medication charted with a discussion about the administration of the IV medication via push. Ultimately, it will discuss the importance and process of documenting the IV medicines.
A medication order is valid only if it meets the WA poisons regulations 1965 and it should be reviewed regularly in order to identify any drug interactions and to check if the medicine needs to be continued or discontinued (Watkins et al., 2018). A medication order is valid only if it include complete name of the patient, date and time of the medication being ordered, name of the medication, the amount of dosage that has been ordered and the form of the medicine in which the medication is to be administered (Alsaidan et al., 2018). The medication order must also include information about the route of administration, frequency and time of administration followed by the signatures of the licensed physician (Alsaidan et al., 2018). It is very important for a nurse to check if the medication is to be administered orally or intravenously in order to prevent any case of medical negligence. For example: patients with acquired pneumonia are often prescribed with Warfarin which is an oral drug. So, his medicine cannot be administered intravenously. Medicine such as Moxifloxacin should be administered because it can be administered intravenously.
Moxifloxacin is an intravenous medicine that exists to have number of drug reactions (Higdon, Twilla & Sands, 2017). It acts as a fluoroquinolone and is active against a number of gram positive and gram negative bacteria. It acts to inhibit DNA gyrase that inhibits DNA replication in the bacteria (Higdon, Twilla & Sands, 2017). However, this drug can have a number of side effects which cannot be reversed. Taking Moxifloxacin with some NSAIDS can increase the risk of aggressive involuntary movements (McGavock, 2017). Taking this medicine with any form of heart medicine such as the sotalol, dofetilide, or amiodarone can increase the heart beats which can also lead to some serious cardiovascular problems (McGavock, 2017). The medicine is much effective if administered intravenously in the form of injections even though it can also be administered orally. 400 mg intravenous injection every 24 hours for 7-14 days can help a physician cure patients with pneumonia. The patient in the case study must be validated for a 400 mg intravenous dose of Moxifloxacin while avoiding any type of NSAIDs or heart medicines such as sotalol, dofetilide, or amiodarone.
Intravenous administration of IV medicine via push require rapid administration of a small amount of IV medicine through an already inserted IV catheter (Kim et al., 2017). This medicine is followed only in case where active and fast response is needed. There are a total of three steps of IV medicine administration and the first step of the IV medicine administration involve medication checks. It require the medical nurse to check the medication label. The medication label include all the information about the route of medication administration, followed by the patient name, adverse drug reactions, and medical status of the patient. The patient in the case study exhibited adverse drug reactions with NSAIDs so the drug must not be combined with any type of NSAIDs while administration. After checking the suitability of the medicine other medical IV supplies are collected (Schutijser et al., 2019). These medical supplies include supplies such as 2 saline syringes, disinfectant cap, heparin syringe, sterile wipes and medication syringe. Further the time for drug infusion is calculated. The Moxifloxacin is administered every 24 hours with slow push for 7-14 days till the patient feel cured. The IV push medicine is administered intravenously and pushed in the blood stream followed by the flushing of the IV line (Peloquin, 2017). It is important to flush the IV tube so that the tube does not block. The syringe is discarded and the patient data is documented and monitored.
Patient-centered effective care require the nurses or the physicians to document all the data that is necessary for the patients. The standard 1 of NMBA registered nurse standards for practices suggest that effective and safe nursing practice require the nurses to document all the actions made by the nurses for patient’s safety (NMBA, 2017). The documentation for the patient’s IV medication is done in the patient report and IV infusions are maintained accordingly. The documentation involve all the information about the time, length and gauge of the catheter followed by the time of IV administration. The document also include the information about the name of the patient, diagnosis of the patient, any type if adverse drug reactions or the response of the patient toward the medicine. It is important for the nurse to monitor and include all this data in the patient report because it can ensure patient safety at the time of patient handover (Wong et al., 2019). It can ensure that the patient data is handled properly and no negligence is shown by the nurses. The patient documentation is done at the time of fluctuations, IV infusion, medication administration and timely monitoring of the patient condition.
It has been concluded that IV administration of medicine is very effective in treating and managing conditions that require immediate action and concern. Medicine such as Moxifloxacin can be used to treat and mange conditions such as pneumonia. However, they exhibit some adverse drug reactions with NSAIDs as they increase involuntary aggressive actions and increase in the heart beat which can increase the risk of CVD. Proper administration of the IV medicine involve administration of the medicine by all preventive measures followed by proper flush of the IV tube and then documentation.
Alsaidan, J., Portlock, J., Aljadhey, H. S., Shebl, N. A., & Franklin, B. D. (2018). Systematic review of the safety of medication use in inpatient, outpatient and primary care settings in the Gulf Cooperation Council countries. Saudi Pharmaceutical Journal, 26(7), 977-1011.
Higdon, E., Twilla, J. D., & Sands, C. (2017). Moxifloxacin-induced visual hallucinations: A case report and review of the literature. Journal of pharmacy practice, 30(3), 375-377
Kim, U. R., Peterfreund, R. A., & Lovich, M. A. (2017). Drug infusion systems: technologies, performance, and pitfalls. Anesthesia & Analgesia, 124(5), 1493-1505.
McGavock, H. (2017). How Drugs Work: Basic Pharmacology for Health Professionals. CRC Press.
NMBA. (2017). Registered nurse standards for practice. Retrieved from https://www.nursingmidwiferyboard.gov.au/Codes-Guidelines-Statements/Professional-standards/registered-nurse-standards-for-practice.aspx
Peloquin, C. (2017). The role of therapeutic drug monitoring in mycobacterial infections. Tuberculosis and Nontuberculous Mycobacterial Infections, 119-127.
Restrepo, M. I., & Reyes, L. F. (2018). Pneumonia as a cardiovascular disease. Respirology, 23(3), 250-259.
Schutijser, B. C. F. M., Jongerden, I. P., Klopotowska, J. E., Portegijs, S., de Bruijne, M. C., & Wagner, C. (2019). Double checking injectable medication administration: Does the protocol fit clinical practice?. Safety Science, 118, 853-860.
Watkins, K., Trevenen, M., Murray, K., Kendall, P. A., Schneider, C. R., & Clifford, R. (2016). Implementation of asthma guidelines to West Australian community pharmacies: an exploratory, quasi-experimental study. BMJ open, 6(8), e012369.
Wong, X., Tung, Y. J., Peck, S. Y., & Goh, M. L. (2019). Clinical nursing handovers for continuity of safe patient care in adult surgical wards: a best practice implementation project. JBI database of systematic reviews and implementation reports, 17(5), 1003-1015.
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