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Anonymous Survey: Medication and adverse effects

By: John Choi and Vince Escajeda Per. 4

Heather Pastrana

on 3 January 2014

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Transcript of Anonymous Survey: Medication and adverse effects

Anonymous survey: Campus faculty/students on Medication and Adverse Effects.
Thanks For Watching!
The survey which our group collectively questioned Everest University faculty and or students provided an opportunity for us as student nurses to speak with individuals in reference to the medications they are taking as well as educating them on possible adverse effects. Adverse effects of medications are described as any abominable effects which occur as a direct response to a drug and or drugs. Out of the ten anonymous individuals whom our group interviewed we discovered a wide variety of medications being consumed in a safe educated manner as well as some individuals who required more education.
I interviewed an anonymous individual who stated that he is currently taking Atenolol 50 mg tabs PO QID concurrently with Naproxen 500 mg tabs PO BID. The individual explained the reasoning for taking each medication; Atenolol for treatment of hypertension and Naproxen as pain relief from rheumatoid arthritis. I proceeded to question his knowledge in regards to adverse effects of these medications. He expressed that he has a safe knowledge of the drugs. I continued to question if he has experienced bradycardia, hypotension, dizziness, depression, hypo/hyperglycemia, or dyspnea (Lilley, Collins, & Snyder, 2014)(Pearson, 2013), from Atenolol and he explained "not that I can remember". I questioned if he had experienced GI beeding, gastritis, jaundice, fever, chills, or bronchospams from the Naproxen. He again stated that he had not. I encouraged him to pay close attention to theses signs and symptoms from his medications especially his BP levels because Naproxen may decrease the effects of Atenolol (Pearson, 2013). My second individual is currently on Penicillin V 1 tab QID for a tooth infection as well as Bactrim 1 tab BID for personal reasons. I questioned if she has experienced any anaphylaxis or superinfections (Pearson, 2013)from the penicillin and she expressed that she has not. I questioned her on any rash, fever, sore throat, or shortness of breath (Pearson, 2013) with the bactrim and she said she had not but would pay closer attention from now on.
The members within our group selected two individuals who anonymously provided medications which they are taking. While speaking with the anonymous individuals’ our group members spoke about the medications and gained insight as to the reasoning for the medication and which, if any adverse effects they may have experienced. The questions which our group asked anonymous individuals were as follows: Which medications are you currently taking? Do you have a good understanding of why you were prescribed this medication? Are you aware of the potential adverse effects and or symptoms resulting from adverse reactions which are associated with this medication?
I interviewed an anonymous individual who is currently taking Spironolactone, Furosemide, as well as Nadolol. I questioned her to see if she has a safe understanding of her medications and she states that she has experienced no signs of adverse effects. When the interviewer asked her if she has experienced any adverse effects of Spironolactone such as hyperkalemia, nausea, vomiting, dizziness, and muscle weakness (Wilkins, 2008), she did express that she does have to take a potassium supplement for her muscle weakness. Upon further review, the interviewer asked her if she has experienced any adverse effects from Furosemide such as fatigue, dizziness, hypokalemia, or rash (Wilkins, 2008). She explained that she has not experienced any adverse effects as listed earlier. I expressed to her that she may want to contact her prescriber in reference to the use of her potassium supplements. I educated the individual on the fact that her medication, Spironolactone is a potassium-sparing diuretic which holds onto potassium, and may be used concurrently with Furosemide to enhance the effects of Furosemide which is potassium wasting thus gets rid of potassium (Zerwekh, Claborn, & Gaglione, 2012). The fact that she is taking a potassium supplement indicated for muscle weakness may increase the risk of hyperkalemia when taken with Spironolactone (Wilkins, 2008). My second individual is currently taking Xifaxan as well as Dexilant for GERD (Drugs.com). The individual denies any adverse effects such as a superinfection with Xifaxan, but does express pain in his stomach if he does not take it. I explained this as being an occasional side effect of Xifaxan (Pearson, 2013).
Mary Joice
I interviewed an individual who is currently taking Simvastatin for lowering LDL cholesterol levels as well as Lisinopril for hypertension. My anonymous individual expressed a safe understanding of her adverse effects. When I questioned her about any symptoms such as headache, dizziness, blurred vision, fatigue, constipation, nausea, or skin rashes (Lilley, Collins, & Snyder, 2014), she indicated that she has not experienced any of these symptoms from Simvastatin. I also asked her if he has experienced any signs of ALS such as difficulty walking or standing, difficulty with fine motor skills, atrophy of tongue and hand muscles, dysphagia, or muscle paralysis (Pharmacology, 2013) which she stated "she does have difficulty with walking". I inquired about symptoms such as excessive hypotension, angioedema, or hyperkalemia (Pearson, 2013) while using Lisinopril, and she stated "no, nothing of the kind". My second patient is currently taking Azelastine (anti-histamine), Fluticasone (corticosteriod) all for allergies. I questioned if he has experienced any symptoms such as dry mouth, vision changes, or constipation (Lilley, Collins, & Snyder, 2014) and he stated "I do not really experience any of those symptoms".
I interviewed an individual who is taking Levothyroxine for hypothyroidism, and Losartan for hypertension. When I questioned my individual in reagards to adverse effects of Levothyroxine and the symptoms of tachycardia, palpitations, hypertension, insomnia, and anxiety(Lilley, Collins, & Snyder, 2014), she stated " no". I provided her with the symptoms of Losartan such as fatigue, dizziness, mood changes, headache, hyperkalemia, and anemia(Lilley, Collins, & Snyder, 2014) she stated "the only thing I feel I experience would be changes in my mood and attitude". My second individual is currently taking Amoxicillin for personal reasons, Fluconazole for a yeast infection, as well as Ampicillin for a sore throat. I questioned if she has experienced any anaphylaxis or super infections (Pearson, 2013) from the antibiotics and she indicated that she did get the yeast infection from the antibiotic. I educated her on eating yogurt while taking antibiotics help to decrease the change in normal flora (Lilley, Collins, & Snyder, 2014). I questioned any symptoms such as skin disorders (Pearson, 2013) while taking Fluconazole and she said "none".
Retrieved from Google Images (2014, January 2).
Retrieved from Google Images (2014, January 2).
Retrieved from Google Images (2014, January 2).
Retrieved from Google Images (2014, January 2)
Retrieved from Google Images (2014, January 2).
I interviewed an anonymous individual who is currently taking Levothyroxine and Melatonin. When asked what the medications are being given for, the response was “all I know is it helps me get skinny”. I confirmed with the individual the fact of hypothyroidism being the reason for the medication of Levothyroxine (Pearson, 2013). The anonymous individual was asked if she has experienced any adverse side effects such as cardiac dysrhythmias, tachycardia, hypertension, insomnia, or cramps (Lilley, Collins, & Snyder, 2014) which she stated " I do not believe so". Upon further discussion I discovered an herbal product, Melatonin which the individual takes to help her sleep. I explained to the individual that insomnia is an adverse effect of Levothyroxine and educated her on how the insomnia could be prevented if she were to take the Levothyroxine at the same time every day, preferably in the morning to decrease the insomnia (Lilley, Collins, & Snyder, 2014). My second patient is currently taking Albuterol (bronchodilator) as well as PrednisoLONE (Glucocorticoid) for bronchitis. I asked if she experiences any symptoms such as palpitations, tachycardia, or chest pain (Peason, 2013) and she said "no". I also provided the symptoms with PrednisoLONE as hypokalemia, peptic ulcer, anorexia, nausea, fever, headache, weakness, joint pain, lethargy, or orthostatic hypotension (Pearson, 2013), which she states 'I do not experience any of that".
Retrieved from Google Images (2014, January 2).
Retrieved from Google Images (2014, January 2).
Our group compared and discussed each anonymous survey and determined the majority of the individuals did seem to have a safe understanding of the medications which they are taking. There were a select few who expressed a need for further education, including possible toxic interactions. Without delay, our group further discussed the importance of properly educating patients in regards to the medications prescribed. In addition, the importance of medication knowledge as a nurse is imperative to patient safety. Educating a patient about a medication which they will be taking should include signs and symptoms of allergies, adverse effects, as well as any interactions which may occur while taking a medication. Patients should be provided with information sheets regarding medications and should be encouraged to seek further assistance with their prescriber and or pharmacist (Yetzer, 2011). Provide reliable internet sites, such as AARP.org, or MayoClinic.org. “These reliable sites include information on uses, warnings, side effects, and interactions of medications” (Yetzer, 2011). Patients should be educated on the difference between allergies, side effects, and interactions. An allergy is a hypersensitivity or adverse reaction which can be life threatening; certain foods, medications, and or pollen can be the cause of allergic reactions (Agnes & Laird, 2012). An allergic reaction to a medication may exhibit a rash, fever, and or swelling (Lilley, Collins, & Snyder, 2014). Dizziness, nausea, hives, dry mouth, drowsiness, tachycardia, or tinnitus may be symptoms of an adverse effect (Lilley, Collins, & Snyder, 2014). Encourage patients to educate themselves about the medication prescribed by reviewing information such as the container label, warning stickers attached to the label, and or drug information sheets (Yetzer, 2011). The survey which was collected was successful in not only providing our group with the knowledge needed to proceed with educating an individual about the adverse effects of their medication. It also allowed the anonymous individuals to thoroughly review their medications, which may have been something they neglected to do initially. Overall, the group survey exposed a small number of individuals whom lacked the proper knowledge for the adverse effects of their medications. However, the potential of uneducated individuals continuing to maintain unsafe medication habits may lead to severe and or life threatening situations. Our group feels an accomplishment from being able to successfully educate a small number of anonymous individuals from Everest University in regards to adverse effects of their medications.
The nurse is developing a discharge plan regarding a patient's medication. Which of these statements the discharge plan is true?
A. It will be developed right before the patient leaves the hospital.

B. It be developed only after the patient is comfortable or after pain medications are administered.

C. It will include videos, demonstrations, and instructions written at least at the fifth grade level.

D. It will be individualized and based on the patient's level of cognitive development.
There is no difference between an adverse effect, adverse drug reaction and an allergic reaction!
True or false?
What is the difference between them?
adverse effect
is a general term for any undesirable effects that are a direct response to one or more drugs (Lilley, Collins, & Snyder, 2014).
adverse drug reaction
is any unexpected, unintended, undesired, or excessive response to a medication given at therapeutic dosages (Lilley, Collins, & Snyder, 2014)..
allergic reaction
is an immunologic hypersensitivity reaction resulting from unusual sensitivity of a patient to a particular medication(Lilley, Collins, & Snyder, 2014).
Drugs.com. (n.d.). Drug Information Online. Retrieved from Drugs.com: http://www.drugs.com/pro/dexilant.html

Lilley, Collins, R., & Snyder. (2014). Pharmacology and the Nursing Process 7th Edition. St. Louis: Elsevier Mosby.

Pearson. (2013). Pearson Nurse's Drug Guide. In B. Wilson, M. T. Shannon, & K. M. Shields, Pearson Nurse's Drug Guide. Upper
Saddle River: Pearson Education Inc.

Wilkins, W. K. (2008). Straight A's in Nursing Pharmacology Second Edition. Ambler: Lippincott Williams & Wilkins .

Yetzer, E. A.,M.A.M.S.N.C.R.R.N., Goetsch, N.,M.S.H.N.R.N., & St Paul, Marilyn, BSN,R.N. (2011). Teaching adults SAFE
medication management. Rehabilitation Nursing, 36(6), 255-60. Retrieved from

Zerwekh, J. M., Claborn, J. C., & Gaglione, T. M. (2012). Mosby's Pharmacology Memory Note Cards Third Edition. St. Louis,
Missouri: Elsevier Health Science.

Retrieved from You Tube (2014, January 2).
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