Case Study: Quality Use of Medicines and Nursing Implications

This case study examines the complexities of medication management through the lens of a patient, Mr. Michael, who is at risk of renal failure and digoxin toxicity due to a combination of prescribed drugs. The analysis delves into the mechanisms of these risks, specifically the 'triple whammy' effect of diuretics, ACE inhibitors, and NSAIDs on kidney function, and the factors contributing to digoxin toxicity. The study explores the nurse's crucial role in mitigating these risks, including the re-evaluation of medication charts, employing non-pharmacological interventions, monitoring vital signs, and educating patients on potential complications. It also emphasizes the importance of recognizing the signs and symptoms of adverse effects, such as irregular breathing and heartbeat, and the necessity of prompt medical intervention. Furthermore, the case highlights the significance of drug level monitoring and the use of supplements or antibodies in severe cases, providing a comprehensive overview of nursing interventions to ensure safe and effective medication use.