Integrated Nursing Practice Paper 2022

Running head: INTEGRATED NURSING PRACTICE
INTEGRATED NURSING PRACTICE
Name of the Student
Name of the university
Author’s note

INTEGRATED NURSING PRACTICE
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Introduction
Medicine documentation is an integral part of nursing and an indicator of a high standard
of care. The documentations and the histories had been useful drug errors.
This paper will provide a discussion over the validation of the medical order in a medical
record, followed by the indications and the contraindications following the administration of the
medicines. Lastly, it will discuss about process of medicine documentation and administration of
an IV push medicine.
Discussion
Validation of a medical order
Patients with atypical pneumonia can be used alone when Streptococcus pneumonia is the
probable suspected pathogen. It has been provided to the patient after he had been diagnosed
with pneumonia. It is normally administered intravenously due to its poor oral absorption.
Patients with pneumonia are more receives prophylaxis against VTE more frequently than those
effected by the other respiratory infections (Medication services Queensland, 2017). Hence,
Warfarin has been provided as the VTE prophylaxis. Warfarin is used as VT prophylaxis, as it
interferes with the hepatic synthesis of the vitamin K dependent coagulation factors (Dager,
2012). The medication order is valid as the prescribing medical officer has listed the medicines
properly as per the date. All the information, including the names of the drugs that has been used
are written in printed words. A separate order has been used for each of the medicines. A
separate order has been used for each of the different route of a medications. No whiteners or

INTEGRATED NURSING PRACTICE
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erasers has been used. The chart, however, does not contain any information about the presence
of any past allergic reactions of the patient.
Therapeutic interaction of the charted medicines
Benzyl penicillin is indicated in most of the bacterial infections or pyogenic infection of
the skin. High doses of the medicine should be given via intravenous medicines or infusions. The
dosages of the medicine should be decided carefully in order to avoid any irritation of the central
nervous system (Baillargeon et al., 2012). Again, nurses should be careful about the fact that
high doses of the medicine can also result in the formation of hypernatremia and hypokalemia
unless the sodium content is measured properly for Mr. Smith. It is necessary to reconsider the
condition of the heart of the patient, as in case of patients with cardiovascular issues
benzylpenicillin should not be reconstituted in the sodium-containing liquids like sodium
chloride injection or Ringers solution (Toussaint & Gallagher, 2014). It can be clearly seen from
the medication chart, that using Warfarin with the benzylpenicillin can increase the risk of
bleeding. Concomitant use of the antibiotics among the warfarin users and is associated with
higher risk of overanticoagulation (Baillargeon et al., 2012). It should be remembered that Mr.
Smith is an elderly patient and might be suffering from several comorbidities and other
medication which further can increase the risk of breathing. Warfarin reacts with the antibiotics
primarily by the disruption of the intestinal flora which synthesizes Vitamin K and inhibits the
cytochrome p450 isozymes that metabolizes Warfarin (Baillargeon et al., 2012). The interaction
between the antibiotic agents and warfarin has been assessed widely, primarily via case reports
and case series studies or pharmacodyanamics.