Читать книгу Fundamentals of Pharmacology for Children's Nurses - Группа авторов - Страница 40

Krishna aged 15 years has cystic fibrosis and has had 3 hospital admissions in the last 6 months for chest infections requiring antibiotics and increased physiotherapy. Krishna has regular medication including digestive enzyme tablets to take with food, salbutamol inhaler as a bronchodilator, dornase alfa to thin the secretions in his lungs and antibiotics for a chest infection. Due to the amount of regular medications taken at home Krishna brings his medications in to hospital to show the admitting nurse practitioner during the assessment so that the ongoing treatment can be maintained, and a review of the medication optimisation can occur effectively.

Whilst in hospital Krishna’s own medication can be used if he were able to self‐medicate and a lockable cupboard is at the side of his bed. This gives Krishna some independence and control over his treatment.

Prior to discharge the level of each of Krishna’s medications are assessed by a pharmacist and a top up supply given on discharge preventing medication expiring whilst being in hospital and being wasted. This system is effective when CYP are on long‐term medications.