Planning of medication administration to avoid disruption, documentation of observations
after medication administration and educate the patient about her medications are three
strategies that can help in safe medication practice in this case.
Holly suffers from anxiety, hypertension, migraine headache, nausea, tachycardia, and
agitation; therefore, drug administration planning avoids any disruption in treatment. Each
medication (paracetamol, nifedipine, diazepam and labetalol) has its benefit to the patient.
However, it is mandatory to plan and manage drug administration for the patient's safety to
save her from the drug's adverse effects like- overdosing, underdosing, or missing
medications. The five rights(right patient, right route, right drug, right dose and right
frequency) will help to ensure medication safety for her (Agency for Healthcare Research
and Quality [AHRQ], 2021).
Nifedipine, diazepam and labetalol are the medications that come under the name of
pregnancy safety schedule C medications, i.e., these medications have caused or suspected
to cause harmful effects to the human fetus, but not malformations and these effects may
be reversible (MIMS Australia, 2021). For safe administration of these drugs, the RN
should know about the harmful effects because nurses are responsible for preventing,
evaluating, and reporting drug adverse effects. If we know the side effects of prescribed
medications, we can monitor any health deviations observed in the patient after the drug
administration. These results should be discussed with the prescriber and help save the
fetus and patient from the medication's adverse effects (Pirinen et al., 2015).
According to Martyn and Paliadelis (2019), it is the RN's responsibility to practice person-
centred care and use clinical reasoning to facilitate safe medication administration. Educate
the patient about her medications is the third strategy for safe drug administration in the
given case study. The medicines reviewed after document all the observations. The
information provides to Holly about the drug needs and their side effects. A medicine list is
also provided to her, which helps her to take medications as mentioned. We can simplify
the medication chart while providing education (e.g., dose, frequency, and drug
administration route) to the patient because terms like bd, tds, PO can confuse the patient
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