Question

prodo PN 200 Fundamentals of Nursing II Medication Error Prevention - OTC's WE SAW Bela Jeff Voss, a 29-year-old graduate student is at the student health center for a physical examination required before going on research trip out of the country. Upon completion of the paperwork, he asks the nurse "The form is asking if I take prescription medications? I do not take prescription medications but I take herbal products and over the counter drugs. Do you tood to know about these? 1. How would you as the nurse answer the patient (Do not list a simple yes-state your rationale) Jeff has listed the following on the form: 1 baby aspirin each day to prevent blood clots "Sleep Well herbal product at night with valerian if needed for sleep Benadryl, primarily at night, allergies "Stress Away" herbal product with ginseng as needed Ibuprofen 3-4 tablets three times a day for muscle aches because "I work out" "Memory Boost" herbal product with gingko every morning to help with my studies Jeff tells you that he has multiple bruises on his arms and knees and asks why he seems to bruise so easily. 2. Examine the products on Jeff's list and state if you have any concerns with interactions and/or adverse effects of this combination of herbal products. 3. What do you think has happened? As you question Jeff, he remembers that he had a problem with acid stomach" last year and also takes Prilosec OTC as needed. 4. What concers do you have about this, if any? Reviewed 1/20

Answer 1

1)Nurse answer is YES,Because in most cases taking medication sholdn't stop the patient from going outside the country....It may be essential to have a letter from the doctor stating the need for the medication.In case if patient will lose medicine and need more ,and particularly if you are visiting a country with strict drug controls.

2)Herbal medicines can have dangerous side effects,reserch revels.Herbal medicines can cause kidney failure and liver damage in some consumers because they contain toxic chemicals or heavy metals ,or react harmfullywith other drugs.The products of jefi's list Ibuprofen 3-4 tablets three times a day he is taking ,using these type of pain killers can cause kidney failure

3)Aspirin,anticoagulant medications and anti-platelet agents reduce blood's ability to clot. As a result, the bleeding from capillary damage might take longer than usual to stop -which allows enough blood to leak out to cause a bigger bruise.

4)The first concern is that he  should not take Prilosec OTC along with blood thinners and he is already taking aspirin and other concern is that he has the problem with stomach acid ,he must avoid heartburn foods.