Classification of medicines

In mechanism of therapeutic action:

Etiotropic – medicines, that directly influences on the cause of disease (for example, antibiotics).

Nosotropic – medicines that influences on the certain links of pathological process (antihypertensive medicines in patients with arterial hypertension).

Symptomatic – medicines have been prescribed with a purpose of removals of certain symptom (medicines for pain relief in patients with arterial hypertension; headacke often accompanied hypertensive crisis).

Substitute – medicines that supply the lack of some matter in organism (vitamins, hormones, enzymes).

In the place of action:

Local – medicines act directly on the tissue (ointments, graze, powders and others like that).

General –medicines act on the whole organism after it’s administration in blood.

Requirements for the medicines from the drug store produce the senior nurse. Requirements are write out in 3 examples. On the poisons, narcotic medicines, strong medicine, ethyl spirit senior nurse write out 1 sample more. Requirements are signed by chief and certified by hospital signet. The requirements on the receiving of poisons, narcotic medicines, strong medicine nurse should assign name, surname, No. of history case. In reception senior nurse should check the requirement (name, doze), date of production and expl. date, serial number, accordance to the origin packing or drug store wrapping.

All medications must be kept out of sight within the medical office. One central area, such as a closed medicine closet, accessible to medical office staff only, provides the best security for medications, rather than keeping a medicine cabinet in every patient room.

Even the simplest medications, such as aspirin or antacid tablets must not be given out to patients who might have requested a sample without prior authorization from the physician! Each time a patient receives a small sample of a drug, this should be documented in the patient records indicating the name of the drug, who authorized its dispensal, and that the patient was informed about the sample drug's action, side-effects, and how to take it followed by the medical assistant's (or healthcare professional's) initials.

List A - narcotic and poison medicines.

List B - strong medicines.

These medicines are kept in the safe.

Other medicines are keep in the cabinets, marked as external use, internal use, parenteral.

Signs in the journal should been done after each duty.

Reserve of narcotic drugs should accord to 3 days needs of the department, poisons – 5 days, strong medicine – 10 days. Temperature regimen should been observed.

Light-sensitive medicines keep in the dark safe.

Odorous substances keep separately in the tightly closed safe.

Decoctions, extracts, emulsions, antibiotics, suppositories are keep in special refrigerators with +2 to +10 degrees.

Poisons, narcotic medicines, strong medicine are strongly taken into account in the special book (pages are numerated, stitched, signed by chief and certified by hospital signet).

Дата добавления: 2014-12-23