Risks Associated with Medications in Mr. Michael Coleman

Running head: QUALITY USE OF MEDICINE
QUALITY USE OF MEDICINE
Name of the student:
Name of the university:
Author note:

1QUALITY USE OF MEDICINE
The two significant risks that are associated with the use of some medicines in Mr.
Michael Coleman.
The two significant risks that are associated with the medications that are
administered to Mr. Michael Coleman are GI bleeding and Hypotension.The provided
medications areatenolol, Ramipril, aspirin, Enoxaparin and sublingual glyceryl triturate
(GTN) for his health condition(Little et al., 2018). Some of these medications has aa nature of
inducing risk factors in patients. These medications are required to be administered with
proper judgment as these medications have severe complications if they are taken in
conditions where the patient is suffering from blockage in heart, diabetes or kidney disease
(Ko et al., 2015). Hypotension is one of the risk factors associate with the above mentioned
medication. Atenolol and Ramipril are medications that are used to reduce hypotension
conditions in patients which also help in reducing pressure from the heart (Ji et al., 2016). But
it has been observed that long term administration of these inhibitors may induce a risk of
hypotensionin older people which also has its sever effect on the patient’s kidney and liver
(Knollet al., 2016).
Atenolol and Ramipril increases risk for hypotension in patients and also decreases the
heart beat rate. Hypotension can also be induced due to various disorders such as Parkinson's
disease, diabetes and sever heart conditions (Ricci et al., 2015). Gastrointestinal (GI) bleeding
is often witnessed in patients who are being cured with the anticoagulant or the antiplatelet
medications such as Aspirin and Clopidogrelfor an any medical condition (McNeil et al.,
2018). It is a major problem in the elderly people or in multi-morbid patients, and it creates a
situation of dilemma for the healthcare facilities (Johnston et al., 2018). It is important to
discontinue any anticoagulant orantiplatelet administration in order to help the patient by
stopping the acute GI bleeding. On the other hand, it, may also happen that, discontinuing the

2QUALITY USE OF MEDICINE
medicationcansuggestively increase the risk for cardiovascular complications (Adams,
Tsang& Wright, 2015).
And it is known that it is not safe to use Clopidogrel andAspirin medication, as
administration of Aspirin andClopidogrel together in cardiac patient induces risk of GI
bleeding, as Aspirinis also known to interfere the function of Clopidogrel (Chan et al. 2016).
It might cause Peptic ulcer disease, cancer, inflammation and Oesophageal varices. Itis
suggested that these two drugs should not be administered together as it will increase the
chances of bleeding.Enoxaparin and Aspirin also increases the risk of GI bleeding in patient
as these two serves as anti-coagulation medications and it induces the bleeding if
administered together (Whitlocket al. 2016).
Strategies a nurse may implement to prevent or manage the risks identified:
The rights of medication administration: there are total five rights for the
administration of medicines to patients which including the correct patient, drug/
medicine/therapy, period, dosage and medication administration route and the last and
important is to have a right reason behind administration (Hayes et al., 2015). A nurse must
focus on the above mentioned complications mentioned factors in order to provide a correct
treatment and avoid medication error or the risk factors. The nurse should have a proper
knowledge of the patient’s case history and medical condition and the medications the patient
has been administrating. The nurse should also have the proper knowledge about the side
effects and dosage procedure of the particular medication. To reduce the risk of Clopidogrel,
Enoxaparin, Atenolol and Ramipril, the nurse should first study the medical history and
present condition ofMr. Michael Coleman and the side effects of these medications as he has
been administered with various types of medications at a same time, which might be the
reason behind his present health condition.it dosage of these medication should be lower and