PHARMA 1000: CASE STUDY3
The initial dose suggested for this medicine is 50 mg, so the dose is safe. However,
this medicine can lower or raise blood sugar. So it is essential to maintain caution as Mrs Kim
has diabetes. Amitriptyline can make destabilise blood sugar (nhs.uk, 2020).
3. Right time:
The prescribed time is correct (before sleep) as this medication can make the patient
feel sleepy.
4. Right route:
Amitriptyline is recommended to be taken orally. (po means ‘per os’ or ‘by opening’)
and at night before sleep (hs means ‘hora somni’ or ‘at bedtime’).
5. Right patient:
Mrs Kim can be identified because she is 150 cm in height and 57 years old with
depression. The nurse must check the patient’s name and medication name on the log book
multiple times.
6. Right documentation:
At the time of administering the medication, it must be documented properly with all
the necessary information including patient name and medication name and doses.
7. Right assessment:
For Priority pre-assessment, blood sugar and BMI of the patient must be checked.
For priority post-assessment, the blood sugar must be checked again.
8. Right patient education
The patient should be told to refrain from smoking as using narcotics with the
medication may cause CNS depression (Wolters Kluwer, 2019).

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