Medication Reconciliation Assignment
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Assignment name: Medication Reconciliation Assignment
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File name: MEDICATION RECONCILIATION VU
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Running head: MEDICATION RECONCILIATION 1
Medication Reconciliation Assignment
Vu Phung
University of Texas Arlington
Professor Davis
Nurs 3365
9/15/2021
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MEDICATION RECONCILIATION 2
MEDICATION RECONCILIATION
Explain the medication reconciliation process
The process of medication errors results in many adverse drug events and death. “The process of
medication reconciliation obtaining, verifying, and documenting a list of the patient’s current
medicines and then comparing the list with the medication order and the patient condition to help
identify and resolve any discrepancies” (Vallerand, & Sanoski, 2020). Erroneous drug histories
may lead to undesired patient outcomes or leading to adverse consequences. The patient must
continue all the home medication except metformin; however, there is no substitute for this
medication which puts the patient in great danger of increased blood sugar.
Analyze the client scenario for any omissions, additions, or duplications of medications and
discuss the implications to the client.
In this case, the patient is required to continue all the home medication except metformin.
Therefore, metformin is omitted in this case. This vital medication may be used alone or together
with other medicines in treating type 2 diabetes. This drug helps control glucose in the blood by
decreasing the amount of glucose that a person absorbs from the food taken. This medication,
therefore, reduces the symptoms and the risks of high blood sugar. This means that stopping this
medication may have adverse effects on this patient. The short and long-term impact on the
blood sugar going up until the drug is not substituted with anything else.
Analyze the client scenario for potential risks associated with the client’s current condition
and currently prescribed home medications
I. Insulin subcutaneous based on sliding scale B in patients with type 2 diabetes may lead to
enhanced glycaemic control in the short term. Still, they may, in the long term, increase
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MEDICATION RECONCILIATION 3
the risk for severe hypoglycaemic episodes. This increases the risk of dementia for the
patient.
II. Omission of metformin may lead to increased blood sugar which puts the patient at an
increased risk of blurred vision, fatigue, and thirst.
III. The patient is also at an increased risk of anxiety and depression due to high blood sugar.
Identify potential drug interactions and prioritize the drug interactions that are most
concerning to you.
I. Drug interactions are reported among people taking metoprolol and piperacillin. Some of
the effects include chest pains, dehydration, chronic kidney disease, anemia, and cerebral
infarction (Bailie, 2021).
II. Another possible drug interaction is Enoxaparin and Metropol. The common drug
interactions include fatigue in females and vomiting among male patients.
III. There is another possible drug interaction of Enoxaparin and garlic. These two increase
the risk of side effects to the patient and may also cause bleeding.
IV. Enoxaparin and Piperacillin increases the risk of blood albumin among the females and
diarrhea among the males
V. The drug interaction that is very concerning to me is metoprolol and piperacillin. This is
because the two drugs have the potential for severe interaction and require regular
monitoring. The healthcare provider may be necessary to use alternative medication to
avoid this kind of interaction.
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MEDICATION RECONCILIATION 4
Identify actions that the nurse should implement and provide a reason for each action.
a. To prevent drug interaction, the nurse should review the medication guide,
prescription information, and drugs fact labels with every new prescription.
Review the information frequently is very important because the labeling may
change with new medication information. By learning about the possibility of
drug interaction, the nurse should talk with other healthcare providers about the
possibility of an alternate medication. With proactive efforts, drug interactions are
usually preventable.
b. It is also essential for the nurse to ensure a free and effective flow of information
from one healthcare provider to the other. Communication is vital between the
nurses, pharmacists, and other healthcare workers involved in this case.
Therefore, the nurse should ensure effective communication that will help ensure
minimal or no medical errors.
c. It is also essential that the patient is educated about the various effects of the
drugs and the drug interactions. Safe medication administration will help to
enhance patient outcomes and reduce adverse effects.
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MEDICATION RECONCILIATION 5
References
Bailie, G. R. (2021). Med facts pocket guide of Drug Interactions. retrieved from: drug
interaction us (upertis.ac.id)
FADavis: Davis's Drug Guide for Nurses (vitalsource.com)
Vallerand, A. H., & Sanoski, C. A. (2020). . FA Davis.Davis's Canadian Drug Guide for Nurses
retrieved from: Davis's Canadian Drug Guide for Nurses - April Hazard Vallerand,
Cynthia A Sanoski - Google Books
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7 https://smw.ch/en/archives/article/?tx_ezmjournal_articledetail%5Bidentifier%5D=smw.2017.14408 1.15%
8 https://kclpure.kcl.ac.uk/ws/files/116230125/2019_Dolman_Clare_1066645_ethesis.pdf 1.15%
Library sources 163
1 Student submission File ID: 61853849 Institution: The University of Texas at Arlington 65.5%
2 Student submission File ID: 61513980 Institution: The University of Texas at Arlington 40.3%
3 Student submission File ID: 61894952 Institution: The University of Texas at Arlington 12.3%
4 Student submission File ID: 61361297 Institution: The University of Texas at Arlington 10%
5 Student submission File ID: 61889705 Institution: The University of Texas at Arlington 2.58%
6 Student submission File ID: 61895428 Institution: The University of Texas at Arlington 2.29%
9 Student submission File ID: 61886472 Institution: The University of Texas at Arlington 1.15%
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Quotes Quotes 2
1 “The process of medication reconciliation obtaining, verifying, and documenting a list of the patient’s current medicines and then comparing the list with the medication order and the patient condition to help identify and resolve any discrepancies” (Vallerand, & Sanoski, 2020)
2 Some of the effects include chest pains, dehydration, chronic kidney disease, anemia, and cerebral infarction (Bailie, 2021).
References 1
1 Bailie, G. R. (2021). Med facts pocket guide of Drug Interactions. retrieved from: drug interaction us (upertis.ac.id) FADavis: Davis's Drug Guide for Nurses (vitalsource.com) Vallerand, A. H., & Sanoski, C. A. (2020). Davis's Canadian Drug Guide for Nurses. FA Davis. retrieved from: Davis's Canadian Drug Guide for Nurses - April Hazard Vallerand, Cynthia A Sanoski - Google Books
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