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CU2624 Administer Medication to Individuals and Monitor the Effects

1) Health and Safety at Work Act, COSHH, the Medicines Act, the Misuse of Drugs Act, the Health and Social Care Act (Regulated Activities) and the Essential Standards, the RPS Handling Medicines in Social Care Guidelines. 2)

Paracetamol – Side effects of paracetamol are rare but can include: • A rash
• hypotension (low blood pressure) when given in hospital by infusion (a continuous drip of medicine into a vein in your arm)  • liver and kidney damage, when taken at higher-than-recommended doses (overdose)

Simvastatin can have side effects, although not everybody will have them. For the most part side effects have been mild and short lived. The following side effects were reported rarely (1 to 10 users in 10,000).

• Anaemia,

• Stomach upsets (such as sickness, constipation, abdominal pain, flatulence, nausea, indigestion, diarrhoea, vomiting),

• Inflammation of the pancreas (severe abdominal pain radiating to the back, nausea and vomiting),

• Headache, dizziness, weakness, numbness or loss of sensation in the arms and legs,

• Hair loss, rash, itchiness,

• Muscle aches and pains, tenderness, weakness or cramps, dark coloured urine, pale coloured stools (see below and section 2).

• Liver disease (possibly presenting as yellowing of the eyes and/or skin), liver failure (very rare),

• Increase in blood levels of liver enzymes,

• An allergic reaction that may include some of the following symptoms: sudden swelling of face, tongue or throat (angio oedema, see below), a certain skin disease (lupus-like syndrome) with rash, fever and joint pain, joint and blood vessel inflammation, high levels of white blood cells, (eosinophilia), joint pains, unusual bruising, skin eruptions, swelling, hives, skin sensitivity to the sun, a high temperature, flushing, difficulty in breathing or tiredness.

Two possible medications that demand the measurement of specific physiological measurements are insulin (blood glucose testing) to ensure the blood glucose is not too high (which prevents healing and increases the risk of damage to the nerve endings among many other effects) or too low (could induce a loss of consciousness for example) and warfarin (a blood thinner) which requires the blood be checked regularly to monitor how effective the drug is ie is it preventing the blood being too 'thin' (which could cause an internal bleed) or under anti-coagulated leaving the patient at risk of blood clots.

Every medication has a different reaction. It also depends on the person consuming it. You can find all types of reaction with the medicine in the information leaflet. By reading that you can compare the consumer's condition and take appropriate action, which is also given on the same paper. A common adverse reaction might be diarrhoea which can be caused by some type of antibiotics for example, if I noticed a service user had this side effect I would contact their doctor to notify them of the reaction and they would either prescribe something to stop the diarrhoea or maybe change the type of antibiotic.

A route of administration of medication is the path by which the drug is taken into the body. Routes of administration are generally classified by the location at which the substance is applied. Common examples include oral and intravenous administration. Routes can also be classified based on where the target of action is. Action may be topical (local), enteral (system-wide effect, but delivered through the gastrointestinal tract), or parenteral (systemic action, but delivered by routes other than the GI tract).

3) Different types of materials and equipment needed for the administration of medication via the different routes - • Oral e.g. tablets, capsules and liquids
• Ocular e.g. drops, ointments
• Nasal e.g. drops, sprays
• Rectal e.g....
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