NURS6521wk1d1r1.docx - NURS6521wk1d1r1 Hi there Anita Thank...

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NURS6521wk1d1r1 Hi there Anita, Thank you for sharing your experience and contribution to foster our learning experience. High-alert medications are drugs that bear a heightened risk of causing significant patient harm when they are used in error, and cautious safeguards need to be practiced to reduce the risk of errors (Institute for Safe Medication Practices, 2017). Medications that were given such as Midazolam, Propofol, and Fentanyl in the case of your scenario are considered as high alert medications. A particular condition that can occur with the use of anesthesia like Propofol is the postoperative cognitive dysfunction (POCD) which is a phenomenon that can cause cognitive changes following surgical procedures and the use of anesthetic agents (Chen, Li, Tang, Wang, & Xu, 2017). Although Propofol has been widely used as an anesthetic agent in surgeries, careful attention must be considered in administering the drug. Factors that elevate the risk of POCD include old age, pre-existing cerebral, cardiac, and vascular disease, alcohol abuse, low educational level, and intra-and postoperative complications (Rundshagen, 2014). A thorough assessment of patient’s age, underlying medical condition, lifestyle, and sociodemographic status are some of the factors that need to be evaluated before deciding on prescribing high-alert medications. Furthermore, precautionary measures need to be implemented to increase the attentiveness to the risks of administering such dangerous medications. Strategies such as improving access to information about these drugs; limiting access to high-alert medicines; using auxiliary labels and automated alerts; standardizing the ordering, storage, preparation, and administration of these products; and employing redundancies such as automatic or independent double checks when necessary are some of the beneficial measures to prevent unwanted consequences of high-risk medications (Institute for Safe Medication Practices, 2017). Ensuring
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patient safety is a paramount objective when prescribing medications. Understanding how drugs
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