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High Risk Medications Part 1

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Part 1 of the high-risk medications module covers anticoagulants, insulin/diabetes, as well as drugs with narrow therapeutic index, focusing on digoxin, phenytoin and lithium management. Anticoagulants are highlighted as medications requiring staff to be educated and alert for potential signs of bleeding. It emphasizes the need for RNs to carry out reconciliation of medication and dose changes particularly between the hospital and aged care facility setting. The importance of managing INR monitoring with warfarin is also covered. The section on insulin in diabetes management discusses important considerations for awareness including high strength insulins, storage, labelling, administration technique, timing of BGL monitoring together with hypoglycemia identification and management. Risks with narrow therapeutic drugs are explained and key monitoring and management points for digoxin, phenytoin and lithium discussed.

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All delegations of nursing staff in residential aged care homes.

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