Reducing the medication related errors Discussion 2022

Running head: NURSING 1
Nursing
Student name:
Student ID:
Author’s note:

NURSING
2
Describe the clinical manifestation
Following are the clinical manifestations of Mrs. J, shortness of breath, coupled
with blood tinted sputum, flu like symptoms, difficulty in breathing. Increased in pulse
rates and blood pressure with decrease in oxygen saturation level are the few common
causes of concern arising due to issues such as COPD and even cardiovascular issues.
The other manifestations include increase in weight that can contribute towards the
morbid factors
Nursing intervention with rationale
The use of diuretic is often termed as a matter of concern for cardiac individuals.
Administration of diuretics can be termed as an engendering cause for increasing the
level of potassium in blood causing irregular heartbeats. Thus, it can be conclusively
stated the mentioned intervention could have been improved. In similar regards,
administration of oxygen through nasal cannula was right as the patient exhibited
symptoms of breathlessness. Similarly, the patient had previous medical history of COPD
making the administration of oxygen as the right nursing intervention (Möhler, Köpke &
Meyer, 2015)
Describe four cardiovascular conditions that may lead to heart failure and ways to
prevent them
Previous medical history of cardiovascular problems can be termed as a leading
cause of cardiovascular problem in near future. Genetic history is additionally seen to
increase the possibility of cardiac problems. In both the cases patient has no control other
than ensuring timely checkup. In case of Mrs. J it would be fair enough to state that she
needs to quit smoking as smoking can lead to narrowing of arteries thereby increasing the

NURSING
3
chances of poor blood flow and tired heart muscles as they tend to pump more blood. The
increasing body weight was additionally termed to be a leading cause of cardiac
problems. The increase in weight is often linked with the events such as dyslipidemia,
glucose intolerance and even hypertension (Rosenthal et al. 2016) Thus the major
contributor to the cardiovascular problems that can be addressed through aerobic
exercises as Mrs. J needs to lose weight
Nursing interventions for multiple drug interactions in older patients with
justification
It is of prime importance to inform the patient about the medicines being used for
treating the chronic conditions. It becomes important to note the fact that older
individuals are seen to react differently to drugs as compared to younger individuals. It
should be taken into consideration that there remains no significant change in regards to
drug absorption, the composition of fat and water storage is seen to differ making it
difficult for the water and fat soluble medicines to act properly. In case of Mrs. J, it
would be fair enough to state that the chances of polypharmacy are on the higher side.
The use of drugs such as Morphine is seen to have infra-additive interaction drug. Thus,
following nursing interventions are required for reducing the medication related errors
among the older adults:
Reducing the medication related errors
Information
Discuss with Mrs. J about the importance of:
Keeping accurate list of the medications being consumed by the patient, inclusive