Drugs Dispensing and Injections at Health Centre.pptx

This slide explained about Medicines which is used in PHC

1. Drugs Dispensing and Injections at Health Centre

2. Drugs Dispensing and Injections at Health Centre The common definitions are Prescribing : When the doctor or another designated person writes a prescription for a medication for the patient. Dispensing : When the pharmacist sometimes a nurse fills the doctor's prescription and hands the medication to the customer. Administration : When the patient ingests the actual medicine or is injected the medicine (or a nurse gives the medicine to the patient

3. Principles of prescription : The community health nurse should be aware with the content while writing any prescription so that she can cross check that right medication is ordered to the right patient. Hence the following principles should be followed Prescription : A prescription is a written, verbal or electronic order from a practitioner or designated agent to a pharmacist or nurse for a particular medication for a specific patient. Although the nurse will not prescribe medications but she should get acquainted to the principles of drug prescription as follows.

4. Name, address, telephone no. of prescriber Date of prescription is issued or written Patient name, age and address Generic name and strength of the drug Dosage form and total amount Label: Instructions warning prescriber s Prescribers initials or signature Contents of the prescription

5. Dispensing of drugs includes the preparation, packaging. labeling, record keeping and transfer of a prescription drug to a patient or an intermediary, who is responsible for administration of the drug. Dispensing occurs when the nurse gives education to a client or their delegate for administration at a later time eg . when the client is leaving the health centre and needs - medication while away/at home. Nurses may dispense with or without the involvement of a pharmacist. While dispensing the nurse should remember, Ensuring pharmaceutical and therapeutic suitability of the medication for the client as well its proper use

6. Principles of drug dispensing: In order to dispense medication the nurse should meet the following expectations. Dispense medications when it is in the best interest of the client Dispense medications only to clients under her care Take steps to ensure pharmaceutical and therapeutic suitability Review the order for completeness and appropriateness (drug, dosage, route and frequency of administration) Review the clients medication history and other personal health information Follow the polices or standing instruction from the employer regarding dispensing of drugs by nurses.

7. Consider potential drug interactions. contraindication, allergies, therapeutic duplications and any other potential problems ( eg . adverse side effects). Use current, evidence-based resources to support the decision-making( eg . online clinical databases, decision support tools) .

8. To ensure proper use the community health nurse should : Labeling the medication legibly with client's name, medication name, dosage, route, and strength. directions for use; quality dispensed; date dispensed; initials of the nurse dispensing the medication and the name, address and telephone number of the agency from which the medication is dispensed and any other information that is appropriate/ specific to the medication. Package the medication in a way that is most appropriate for client needs. Hand over the medication directly to the client or to their delegate.

9. Provide education based assessment of the client's abilities and level of understanding regarding the medication, including purpose of medication, dosage regime, expected benefits, potential side effects, storage requirements and instructions required to achieve a therapeutic response and written information about the medication. Record dispensing information on an individual medication profile and/ or client record each time a medication is dispensed,

10. Client profile/ record includes. Client name, address, phone number, date of birth, gender and when available allergies and adverse reactions. Date of dispensed Name strength dosage of medication and quantity dispensed Duration of therapy Direction to the client Signature and designation of the person dispensing the medication

11. Drugs commonly used in primary health centre are:1 Tab. Paracetamol 500 mg2. Tab. Septran 400 mg3 Tab. Deriphylline 100 mg4. Tab. Salbutamol 10 mg5. Tab. Albendazole 400/200 mg6. Tab. B. Complex7. Tab. Folic acid 0.5 mg8. Tab. Ferrous sulphate 60 mg9. Tab. Multivitamın 500 mg10. Tab. Vitamin c 500 mg11. Tab. Chlorpheniramine maleate 5mg12. Tab. Alprax0.5 mg13. Tab. Deriphylline retard150 mg14. Tab. Metronidazole 400 mg15. Tab. Cipro flexion 500 mg16. Tab. Loperamide17. Tab. Metoclopramide 50mg18. Tab. Overran 75 mg19. Tab. Amlong5mg20. Tab. Atenolol21. Tab. Escorcin 75 mg22. Tab. Sorbitrate 5mgTab Hetrazan 100mg

12. Injection used in primary health centre:1 Inj Paracetamol multi vial/ampoule2 Inj Deriphlline 1 ampoule3 Inj B-complex multi vial4. Inj. B12 multi vial5. Inj. Cpm multi vial6. Inj. Overran ampoule50mg7. Inj. Gentamycin 80 mg8. Inj. Amoxicillin 500mg9. Inj. Penicillin 500mg10. Inj. Metaclopromine11. Inj. Emeset ampoule 4mg12. Inj. Dexa meth ozone 4 mg13. Inj. Phynytoinampoule14. Inj. Diazepam15. Inj. Fortwin16. Inj. Phenergan17. Inj. Tramadol18. Inj. Ketorolac19. Inj. Botropase20. Inj. Vitamin k21. Inj. Streptomycin22 Inj. Xylocaine 2%23. Inj. Fortwin