Medication2 Polypharmacy

Question 1

In au

Answer 1

30 percent have poly pharmacy
Increased risk of falls
Have adverse medication effects

Question 2

Reasons for poly pharmacy

Answer 2

Continue meds after ceased
Patients need multiple med to manage health
Use med interact with each other
Meds ( same name)- so 2 meds
Meds to manage effects from important drugs
Dont take meds prescribed

Question 3

Risk of poly pharmacy

Answer 3

Side effects
High cost
Medication non-adherance
Falls
Urinary incontinence
Cognitive impairment 
Functional decline
Poor nutritional status

Question 4

5 types

Answer 4

50 percent interaction

Question 5

8 or more meds

Answer 5

100 percent chance of interaction

Question 6

Prevent/ cure poly

Answer 6

This may constitute to unnecessary treatment if no immediate benefit

Question 7

Medication reconciliation

Answer 7

Provider lists all current meds and use
Medication assessment
List compared at each transition of care
Include herbal therapy

Question 8

Medication adherence problems

Answer 8

Missed dosage
Incorrect dosage
Incorrect timing
Depression
Poor communication 
Illiteracy 
Cognitive impaired 
Low health

Question 9

Others related to medication adherance

Answer 9

Sensory loss
Cognitive impairment 
Limited finances
History of inappropriate med
Lack of knowledge

Question 10

Med risk assessment

Answer 10

Use of prescription from other
2 or more meds for the same disorder
Use of med in original packaging
Understand of med

Question 11

Basic rights med

Answer 11

The rights re always adhered
What if the person doesn’t know who they are
(Pic)
Always evaluate your patient once med is given

Question 12

Cutting med

Answer 12

Altered conditions
Cant swallow
Prefer
(Scored meds csn be cut, unsocred cant)

Question 13

Coated meds

Answer 13

Cant be crushed
Coating for special release
If med altered can affect absorption and released

Question 14

Enteric coated

Answer 14

Protects fro gastric acid and absorbs bowel

If enteric med are chewed / crushed it cancmelt in the stomach and no effect

Question 15

Crushing meds

Answer 15

Some can be crushed
Different ways to crush
Clean the tool before and after crushing

Question 16

If can swallow/not

crushing med

Answer 16

• put it in food water, jam

Peg(add water and flish it before and after with water)

Question 17

Medication errors

Answer 17

Common in au
Increase cost
Problem
Death

Question 18

Strategy with med errors

Answer 18

Good relationship with gp and pharmacy 
Aim for simplest drug regime 
Discontinue order
Consider any new symptoms 
Use lowest dose
Provide simple instructions

Question 19

Inclusion meds

Answer 19

All planning with meds involve a discussion and buy in with the patient
Health care should be viewed as team effort
reflection of 7 national standards

Question 20

Legislation

Answer 20

Registered nurses are required to comply with relevant legislation in making decisions
To provide safe and quality care