Outcome 1 Understand legislation, policy and procedures relevant to the administration of medication
1. In the workplace there is a generic Medication Management Policy and Procedures for Adult Services (Issue 10, 2012) document. This is kept to hand in a locked cupboard, readily available to read. It requires that all Healthcare Staff are given mandatory training and refreshers are provided. Legislation which surrounds the administration of medication includes The Medicines Act 1968, The Misuse of Drugs Act 1971, The Data Protection Act 1998, The Care Standards Act 2000 and The Health and Social Care Act 2001
Outcome 2 Know about common types of medicine and their use.
1. Common types of medication used in the care setting, their uses and potential side effects are:
Sodium ValporateTreatment of epilepsy. Controls or stabilizes rapid activity that occurs in the brain. Prevents and controls seizures.
Tiredness, tremors, nausea, vomiting, hallucinations and sedation.
SennaTreating constipation, “cleanses the colon”, softens stools.
Abdominal pain and cramping, bloating, diarrhoea, gas and nausea.
OmeprazoleUsed to treat reflux and ulcers, reduces the amount of acid produced in the stomach.
Headache, diarrhoea and dizziness
EszopicloneHelps users fall asleep faster and stay asleep longer.
Unpleasant taste drowsiness and headache.
LoratadineUsed to treat a variety of allergy symptoms. It works by blocking the action of histamine receptors in the body, which prevents the immune system reactions that cause allergy symptoms.
Headaches, drowsiness and dry mouth.
CarbamazepineTreatment of epilepsy. Controls or stabilizes rapid activity that occurs in the brain. Prevents and controls seizures.
Dizziness, drowsiness and nausea
TerbinafineTreatment of finger nail and toe nail fungus. It enters the blood and moves into the skin and nails, it acts on certain types of fungi to either kill them or slow down their growth.
Rash, heartburn, diarrhoea, and headache.
Thyroxine Increases certain thyroid hormones in the body.
Hair loss, insomnia and heart palpitations.
2. Some medications demand the measurement of specific physiological measurements. These include Ramipril which treats hypertension- in this case the doctor may need to check blood pressure to determine the dose of the drug given. Another example is Insulin which treats diabetes- it is important that the user takes their blood sugar before injecting to determine how much insulin is required. A Ventolin inhaler treats asthma- the patient may use a peak flow to monitor their maximum speed of respiration in order to determine how many “puffs” they need on their pump. These readings may then be monitored on a chart.
3. When taking medication, reactions can vary from person to person, they may display side effects or even adverse reactions which are more severe - sometimes extreme enough to be life threatening. Common side effects include:- Rashes- Visible to the naked eye, Stiffness- the service user will inform staff however this will also be visible in their movements. Breathing difficulties - the service user may be blue around the lips or sound breathless. The service user may also be shaky or have swelling, again this will be a visible contra indication. They may have a headache, constipation or nausea which they will tell you about although if they have communication difficulties this will not be apparent. Weight gain is also a side effect of medication, this can be monitored through weighing the service user on a regular basis.
It is important to understand that reactions to medication may appear as one symptom or even a number of symptoms, in this case I would contact a GP; NHS Direct, if it was out of working hours; or an ambulance if the symptoms were severe enough to do so. I would stop...