Reflection (GIBBS) on an Experience in Clinical Practice Relating to Medicines Management - Essay Example

Introduction Reflection (GIBBS) on an Experience in Clinical Practice relating to Medicines Management Medicines management relates to the procedure of assisting health experts and patients make correct treatment options. It is a proof based technique to product alternatives, which balance, the wellbeing, acceptability, efficacy, price and ease of treatments. This procedure involves providing health practitioners impartial information on new and accessible drugs. These health professionals, as well as the ailing persons, comprehend how to make best use of drugs. This is crucial to evade damage caused by drugs, for instance, side effects. In addition, this procedure requires for development of restricted principles for supervising conditions. Furthermore, it provides guidance on how to preserve and dispose drugs securely. Moreover, this process offers a platform to communicate with infirmaries and local pharmacies. This is an extremely crucial procedure since it aims at; sustaining wellbeing, advancing health, facilitating individuals to care for themselves and shrinking waste and saving cash. The following discourse delves into the process of administering Pethidine to assuage the pain whilst caring for lady in childbirth. It reflects on the purpose for administration and the procedure of Pethidine administration. Administering Pethidine for Pain Relief While Caring for a Woman during Labour Childbirth is a typical physiological occurrence. Nonetheless, since the initiation of general hospitalization, for varied women this occurrence has been altered into a medical incident. This describes a situation there is processing, supervising and managing child labour by a medical practitioner from start to finale. Although, childbirth propaganda supports the customariness of birth, few ladies giving birth in massive centralized medical institutions experience a regular birth. Instead, these ladies find themselves and their infants subjected to extremely powerful medicine. Although varied women purportedly give a learned approval for the utilization of these medicines, many have meagre information about medicine for childbirth. There is widespread promotion for utilization of these drugs, but diminutive facts about their drawbacks. These are especially long term impacts. All medicines have unnecessary impacts (Yerby, 1996, p. 22). Reasons for Pethidine Administration The most significant purpose for using Pethidine is usually to assuage the pain in labor. In addition, this drug diminishes escalated blood pressure. It can also be administered preceding a caesarean birth. This drug can also be utilized after birth. This is paramount to assuage after pains particularly for a typical birth. This is prevalent for a woman with subsequent children than for a lady having first baby. Pethidine is applicable to a lady with long-standing pre-labor period. This is to reduce distress in the pre-labor stage from the ailing individual. It might also serve the objective of inducing cervix relaxation and to expand effectively. This permits the patient to get into the active stage (Isenor and Penny-McGillivray, 1993, p. 349). The drug might also not be applicable when labor is escalating rapidly, and the infant is to be delivered in a few hours. The evasion of the drug in this circumstance is to ensure that it does not prevent the infant’s capability to breath at delivery. In a circumstance where a woman has impediments such as placental abruption, administration of Pethidine should be evaded. The wellbeing of the baby is also a determinant that can hinder administration of Pethidine, especially in a caesarean situation. Process of Drug Administration The perfect pain relief in childbirth should provide excellent analgesia, be secure for the mother and infant and be expected and steady in its impacts. In addition, it should reversible if required, easy to manage and be controllable by the mother. However, it should not obstruct uterine contractions, or hamper mobility. An epidural anesthetic is the process where a certified doctor referred to as anesthetist infuses a sedative such as pethidine into the epidural space (Rosenblatt, 1981, p. 407). Pethidine is amongst the most typical medicines utilized during childbirth. It is an artificial, addictive, tranquillizer medicine. The quantity administered fluctuates, usually from fifty milligrams to a hundred milligrams. Only one to two milliliters should be infused into the muscle. Most midwives give a dosage of 150mg pethidine to women. However, there are those who assert that a 25mg dosage is also efficient. This drug readily goes through the placenta. However, the infant might have a serious reaction to it with regard to the underdevelopment of the blood-brain blockade. The guidelines for administering this drug require that it should only be used if the baby is to be delivered in one hour. This is to ensure that, Pethidine does not have any severe impacts on the baby. High quantities of the drug to the mother escalate the impacts on the fetus. This is crucial since high dosage might have significant influences on breastfeeding (Kredo and Onia, 2005, p. 100-101). Injection is the most typical way of giving a lady in labor Pethidine. This is usually done into the bum or thigh. Sporadic Pethidine is given through the vein using a drip. The doctor orders the drug, but the midwife administers the drug to the mother. Pethidine can also be indicated for temporary 24-36 hours to assuage or regulate severe pain. It can also be infused through intramuscular, slow intravenous bolus infusion, subcutaneous, intravenous insertion and patient regulated analgesia. With regard to the procedure of Pethidine administration, the medicine should not be given when there is hypersensitivity to the medicine. This is if the drug causes respiratory depression. This depression might result in head injury among other injuries. This drug should not be used simultaneously with other medicine such as oxidase inhibitors. This amalgamation causes hypertension, convulsions, hyperpyrexia among others. Severe seizures might also result from extended quantities of pethidine (Weiner, 1977, p. 228). Conclusion Medicines management relates to the procedure of assisting health experts and patients make correct treatment options. This is a significant process in diminishing the number of individuals admitted to infirmaries as a consequence of using wrong drugs. It also assists in devising ways to advance medicines safety. There is also accessible information to customers about medicine and medicine management facilities. As delineated above, this is crucial in ensuring that ailing persons get the suitable drugs for their ailments. In addition, this management is paramount to guarantee the patients that the medicines chosen for them are appropriate. During childbirth, it is vital to utilize painkillers with caution. Pethidine should be administered properly to evade the after impacts that might emerge after birth. The dosage prescription depends upon the situations. Misuse or overuse of the drug should be evaded to eliminate the severe after impacts associated with such a scenario. These include hypertension and hypotension. Other severe impacts include respiratory depression. References Isenor, L. and Penny-McGillivray, T. (1993) Intravenous meperidine infusion for obstetric Analgesia, Journal of Obstetric, Gynecologic and Neonatal Nursing, vol. 22, pp. 349-356. Kredo, T. and Onia, R. (2005) Pethidine - does familiarity or evidence perpetuate its use?’ South African Medical Journal, vol. 95, pp. 100-101. Rosenblatt, D. B. et al. (1981).The Influence of Maternal Analgesia on Neonatal Behaviour: 11 Epidural Bupivacaine. British Journal of Obstetrics and Gynaecology, 88: 407-413. Wiener, P.C. et al. (1977). Effects of Naloxone on Pethidine Induced Neonatal Depression. British Medical Journal, 11: 228-231. Yerby, M. (1996). Managing pain in Labor Part 3: Pharmacological Methods of Pain Relief. Modern Midwife: 22-25. Read More