● Multiple or severe illnesses ● Impaired memory or altered mental state ● Changes in vision and hearing ● Decreased mobility and dexterity ● Poor adherence ● Inadequate supervision of long‑term therapy ● Limited financial resources ● Polypharmacy: The practice of taking several
medications simultaneously (prescription and over-the-counter [OTC]) with diminished bodily functions and some medical problems can contribute to the potential for medication toxicity.
NURSING INTERVENTIONS Decreasing the risk of adverse medication effects
● Obtain a complete medication history, and include all OTC medications.
● Make sure medication therapy starts at the lowest possible dose.
● Assess and monitor for therapeutic and adverse effects. ● Monitor plasma medication levels to provide a rational
basis for dosage adjustment. ● Assess and monitor for medication‑medication and
medication‑food interactions. ● Document findings. ● Notify the provider of adverse effects.
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