DRUG MOA RIGHT REASON RIGHT RIGHT EDUCATION

(Why is the patient on ASSESSMENT (Side effects/precautions)

this mediation) (What to assess prior
to medication
administration) -
ALLERGIES
HEPARIN (SUBCUT An anticoagulant Heparin in used for ALLERGY-We want - SORE SITE
FOR DVT medication that preventing and to asses for signs and - CHEST PAIN
PROPHYLAXIS) works by enhancing treating blood clots in symptoms of - SOB
the activity of conditions such as bleeding, bruising / - FEVER/CHILLS/FATIGUE
antithrombin protein DVT prophylaxis and GI bleed. We also - DIZZINESS
that prevents the pulmonary embolism want to monitor for - RESTRICT FROM ANY
formation of blood as well as medical low platelet count INTENSTE PHYSICAL
clots. It does this procedures to prevent and CBC, which can ACITIVTY AND
blocking the clotting. This is why be a side effect of MOVEMENT-USE ALL
conversion of for DVT patients this heparin therapy BELL FOR ASSISTANCE
prothrombin to medication is which could indicate - RESTRICT
thrombin and prescribed if there is blood loss. SMOKING/ALCOHOL
fibrinogen to fibrin, We also want to INTAKE
which ultimately monitor aPTT, INR,
prevents the and assess VS such as
formation of blood looking for out Low
clots BP, High HR,
back/abdominal
pain/headaches which
could indicate a side
effect of medication
ERYTHROPOIETIN It is a Glycoprotein ERYTHROPOIETIN ALLERGY-Before - SORE SITE
(SUBCUT FOR hormone that is used and given to administering - Ensure education for
CHRONIC RENAL stimulates the patients to treat ERYTHROPOIETIN importance of education
FAILURE (ON production of RBC anemia associated – we want to monitor adherence
DIALYSIS)) in the bone marrow. with chronic renal and assess patient’s - Side effects such as
When the kidneys failure on dialysis. hemoglobin and hypertension, NVD,
are unable to hematocrit levels. We Fatigue, fever/chills
produce enough also want to monitor - Refrain from intense
endogenous BP as erythropoietin workout/ physical activity
erythropoietin, this therapy can increase - Slow movements – use call
mediation works as risk of hypertension. bell for assistance
a therapy by We will also monitor - RESTRICT
stimulating I/O and also regularly SMOKING/ALCOHOL
erythropoiesis monitor their INTAKE
which increases the hemoglobin and - Diet- Ensure you eat a
production of RBC BP/HR/ RR healthy nutrient diet
which are especially iron rich to
responsible for maintain adequate iron
carrying oxygen in levels for erythropoietin
our body and therapy to be effective.
ensuring all organs
tissues function
properly.
THIAMINE (IM FOR Thiamine is a water- Wernicke's ALLERGY - SORE SITE
WERNICKE’S soluble vitamin B1, Encephalopathy: - GI upset -nausea, vomiting,
ENCEPHALOPATHY) that plays a crucial Thiamine is used to or stomach discomfort.
Regularly monitor
role in metabolizing treat and prevent the - Sweating, restlessness,
vital signs, including
carbohydrates. In neurological itching, hives, weakness,
BP, HR, RR.
Wernicke's symptoms associated Nausea
Encephalopathy, with Wernicke's - Educate the patient about
there's often a Encephalopathy, Monitor the the importance of
deficiency of which is typically patient's neurological maintaining a balanced diet
thiamine, leading to caused by thiamine status closely, rich in thiamine-containing
impaired energy deficiency, often seen including mental foods, such as whole grains,
production in the in chronic alcoholics, status, level of lean meats, legumes, nuts,
brain. Thiamine acts malnourished consciousness, and seeds.
as a cofactor for individuals, or those cognitive function,
several enzymes with poor dietary confusion,
involved in the intake /disorientation
conversion of
glucose to energy,
particularly in the
form of ATP.
Supplementing
thiamine helps
restore normal
cellular function and
energy metabolism
in the brain

DEXAMETHASONE Dexamethasone is a Dexamethasone is ALLERGY - SORE SITE

(IM FOR glucocorticoid with indicated for the - Increased appetite and
ARTHIRITIS) potent anti- management of weight gain
- Assess for any
inflammatory and various forms of - Fluid retention and swelling
Pain/inflammation
immunosuppressive arthritis. It is useful in in hands, face, feet, ankles
such as joint
properties. It works inflammation and pain - Elevated Blood Glucose
swelling, tenderness,
by modulating gene levels
and stiffness.
transcription and - GI Disturbances may
inhibition of pro- include stomach irritation,
inflammatory We will monitor VS indigestion
cytokines and including BP,HR,
mediators. This RR, T Changes which - Increased risk of infections
leads to suppression may indicate and delayed wound healing
of the inflammatory complications such as due to immunosuppression
response, reducing fluid retention or also. It is also important to
any edema, and hypertension. We will practice good hygiene,
alleviation of pain also monitor Blood avoid close contact with
associated with glucose as this individuals who are sick,
arthritis mediation can and receive recommended
increase blood sugar vaccinations to reduce the
levels, and risk of infections while on
monitoring helps to glucocorticoid therapy.
detect hyperglycemia
early and adjust - Refrain from Alcohol and
treatment as needed. Smoking

Also monitor
Electrolyte Levels: to
detect imbalances
such as hypokalemia
or hypernatremia.