A nurse is reviewing the child’s medical record. Which of the following medications should the nurse expect the provider to prescribe or reconcile from the child’s home medication list? Select all that apply.
A.
Pancreatic lipase
B.
Acetaminophen
C.
Water-soluble vitamins
D.
Meperidine
E.
Dornase alfa
The correct answer and Explanation is :
In reviewing a child’s medical record and reconciling it with the home medication list, it’s crucial to consider the child’s medical condition and the appropriateness of the medications. Here’s an overview of each medication and its potential relevance:
A. Pancreatic Lipase
Pancreatic lipase is an enzyme supplement used primarily for patients with pancreatic insufficiency, which can be a complication of conditions such as cystic fibrosis or chronic pancreatitis. If the child has a condition affecting pancreatic function, this medication would be relevant.
B. Acetaminophen
Acetaminophen is a common analgesic and antipyretic used to relieve pain and reduce fever. It is often included in home medication lists for children with various conditions, so it’s quite likely to be found on a child’s list if they are using it for fever or mild pain.
C. Water-Soluble Vitamins
Water-soluble vitamins, such as B vitamins and vitamin C, are essential for various metabolic functions and are often prescribed to children with specific deficiencies or conditions affecting nutrient absorption. For example, children with cystic fibrosis may need additional vitamin supplements due to malabsorption issues.
D. Meperidine
Meperidine is an opioid analgesic used for moderate to severe pain. It is less commonly used in pediatric settings compared to other pain management options due to its potential for side effects and dependency. This medication is less likely to be found on a standard home medication list for children unless there are specific, severe pain management needs.
E. Dornase Alfa
Dornase alfa is a medication used to help clear mucus from the lungs in patients with cystic fibrosis. It helps reduce the viscosity of mucus, making it easier to clear and improve lung function. If the child has cystic fibrosis or a similar condition, this medication would be relevant.
Correct Answers:
- A. Pancreatic Lipase (if the child has pancreatic insufficiency)
- B. Acetaminophen (common for general pain or fever)
- C. Water-Soluble Vitamins (if the child has deficiencies or absorption issues)
- E. Dornase Alfa (if the child has cystic fibrosis)
Explanation:
In reconciling a child’s home medication list, it’s important to match the medications with the child’s known medical conditions. Pancreatic lipase and Dornase alfa are specialized medications for specific conditions (pancreatic insufficiency and cystic fibrosis, respectively). Acetaminophen is a standard medication for general symptoms like pain and fever. Water-soluble vitamins are important for addressing deficiencies. Meperidine, while useful for pain, is less commonly prescribed for children and is typically used only in specific, severe pain scenarios due to its side effect profile.