Rationale for Medication

  1. For my first med/surg clinical next week I have a 6-page long list of drugs (mainly cardiac, since we'll be on a cardiac unit) that I need to look up "nursing implications" and "rationale for medication".

    I know the "nursing implications" means what I need to watch for, like VS, lab values, interactions, etc., but I'm a little unsure of what the rationale would be. Is it the reason for giving the drug (i.e. edema, hypertension)? Do I need to include the drug action (i.e. why they're taking an ACE inhibitor as opposed to a beta blocker)?

    My instructor's out of town till Tuesday and she wants this by Thursday. I was hoping to do it over the weekend, but I'm a little unsure of what she's looking for. Anyone else have (or had) similar assignments who can give me an idea?

    Thanks!
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  2. 4 Comments

  3. by   gwenith
    I think basically she is asking why that patient was put on that medication i.e. Pt has a history of hypertension so is on an ACE or history of asthma so is on salbutamol nebs etc.
  4. by   Daytonite
    The rationale for giving the medication is "the reason why the medication is being given" to the patient. A rationale is an explanation or justification for what you are doing. If you have a medical dictionary on hand the definition of "rationale" should be listed in it.
  5. by   Megsd
    Thanks guys!
  6. by   suzy253
    You should probably include the classification of the drug, like beta blocker, ACE inhibitor....my instructors always asked what classification, how they work and common side effects i.e. (ACE inhibitor -- cough)

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