Emergencies and management of adverse effects of medications at home
The Home Hospitalization Units (HaD) attend to patients who require hospital intensity treatment, which usually includes parenteral drugs and complex therapies.
The management of these patients includes, not only the evolutionary follow-up of the process that has required the intervention of the HaD (decompensated heart failure, a serious infection ...), but also the detection and treatment of complications related to the drugs we administer.
The correct diagnosis and treatment of these adverse effects at home is, in addition to an essential part of the activity of the doctors and nurses who care for these patients, a basic indicator of the quality of care in the HaD units.
We have designed this course to provide tools to healthcare professionals, both doctors and nurses, for the detection and management of complications related to medication in the homes of patients.
The objective of the course is to improve the knowledge of health professionals, doctors and nurses who care for patients who receive complex home treatments, regarding the different adverse effects of the drugs we administer, their detection and treatment.
Specific objectives
- Plan the monitoring of patients admitted to a HaD.
- Know the pharmacological interactions and adverse effects of the main groups of drugs used in HaD.
- Learn to manage material and medication in routine monitoring and emergencies at home.
- Learn how to make decisions when faced with an interaction and / or adverse effect at home and the appropriate treatments.
The modules that make up the course are:
Module 1. MONITORING AND CONTROL OF PATIENTS IN HAD
- Introduction - Mrs. Ana María Torres Corts
- General guidelines for home monitoring - Dra. Eulalia Balbina Villegas Bruguera
- Exploration material and usual pharmacological stock of the team - Mrs. Eva Ángeles Sánchez Martos
- Kits of emergency material according to treatment - Mrs. Ana María Torres Corts
- Administration of parenteral drugs at home - Dr. Eulalia Balbina Villegas Bruguera and Mrs. Ana María Torres Corts
Module 2. DRUG INTERACTIONS. CORRECT DOSAGE
- Introduction - Dra. Eulalia Balbina Villegas Bruguera
- Main drug interactions. Review of the medication regimen at home - Dr. David Nicolás Ocejo
- Correct combination of drugs and solutions - Mrs. Eva Ángeles Sánchez Martos
Module 3. ADVERSE EFFECTS ASSOCIATED WITH DRUGS AT HOME
- Introduction - Dra. Eulalia Balbina Villegas Bruguera
- Most common adverse effects of the main groups of drugs - Dra. Eulalia Balbina Villegas Bruguera
- Serious acute adverse effects:
- Toxicodermias - Dr. David Nicolás Ocejo
- Non-dermatological allergic reactions - Dra. Eulalia Balbina Villegas Bruguera
- Transfusion reactions - Dra. Eulalia Balbina Villegas Bruguera
- Anaphylactic shock - Dr. Francisco Javier Jiménez Moreno
- Commission crisis - Dr. Francisco Javier Jiménez Moreno
- Forms of administration of emergency medication - Mrs. Ana María Torres Corts
- Criteria for referral to hospital emergencies - Dr. Francisco Javier Jiménez Moreno
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Management
Dra. Eulalia B. Villegas Bruguera
Jefa de Servicio de Hospitalización a DomicilioHospital Dos de Maig, Barcelona
Nº de Colegiada 25463
Colegio Oficial de Médicos de Barcelona
Coordination
Sra. Ana María Torres Corts
Coordinadora de Enfermería de Hospitalización a DomicilioHospital Dos de Maig, Barcelona
Nº de colegiada 33629
Colegio de Enfermería de Barcelona
Staff
Dra. Eulalia B. Villegas Bruguera
Jefa de Servicio de Hospitalización a DomicilioHospital Dos de Maig, Barcelona
Nº de Colegiada 25463
Colegio Oficial de Médicos de Barcelona
Sra. Ana María Torres Corts
Coordinadora de Enfermería de Hospitalización a DomicilioHospital Dos de Maig, Barcelona
Nº de colegiada 33629
Colegio de Enfermería de Barcelona
Sra. Eva Ángeles Sánchez Martos
Enfermera de Hospitalización a DomicilioParc Taulí Hospital Universitari, Sabadell
Nº de colegiada 30723
Colegi Oficial Infermeria Catalunya COIB
Dr. David Nicolás Ocejo
Coordinador médico del Dispositivo Transversal de Hospitalización a DomicilioHospital Clínic de Barcelona
Nº de colegiado 44807
Colegio Oficial de Médicos de Barcelona
Dr. Francisco Javier Jiménez Moreno
Coordinador de Hospitalización a DomicilioH. U. Vall d’Hebron, Barcelona