Essential Skills Cluster

Essential skills cluster: Medicines management
36 People can trust the newly registered graduate nurse to ensure safe and effective practice in medicines management through comprehensive knowledge of medicines, their actions, risks and benefits.
Uses knowledge of commonly administered medicines in order to act promptly in cases where side effects and adverse reactions occur.
My reflective essay will focus on the use of Salbutamol, discussing the desired outcomes of the drug, potential side effects and adverse reactions. I will reflect on how I have dealt with adverse reactions and review best practice guidelines in order to increase my knowledge and understanding.
Salbutamol is a beta2-adrenoceptor agonist. It is indicated for use when a child presents with symptoms such as wheezing, cough, breathlessness or tight chestiness. These symptoms are likely to occur due to a bronchial hyper-responsiveness to triggers such as inhaled allergens, smoke, dust etc. This hypersensitivity sets off a cascade response that can cause airway inflammation and intermittent airway obstruction. Salbutamol acts on the beta2-adrenoceptors of bronchial muscle to provide bronchodilation. It is commonly used in cases of childhood asthma to help relieve symptoms due to the fact it has a fast onset of action (within 5 minutes). (NICE, 2015)
Although Salbutamol is commonly used in cases of airway inflammation and/ or airway obstruction, due to its relieving properties, it is important that healthcare professionals are aware and can easily identify side effects and adverse reactions to the drug.
In terms of my reflection in a case where the side effects were evident, I will use my placement in the Accident and Emergency (A&E) setting. I will be using Gibbs’ reflective cycle (1988) in order to structure my work and provide a framework for critical reflection and evaluation of my chosen element. The framework outlines 6 stages of reflection that can be used to review what happened,...