Discuss the process of administering paediatric oral solutions. Include handling techniques in your answer. -

WRITTEN ASSESSMENT BRIEF: Case Study
Student Name
Date
Course	HLT54115 Diploma of Nursing
Subject Code and Title	HLTENN007 Administer and monitor medicines and intravenous therapy
Unit(s) of Competency	HLTENN007 Administer and monitor medicines and intravenous therapy
Performance criteria, Knowledge evidence and Performance assessed	PC: 1.1, 1.2, 2.1, 2.2, 2.3, 2.5, 3.2
	KE: 1, 2, 3, 4, 7, 8, 9, 10, 12
	PE: N/A
Title of Assessment Task	Written Assessment: Case Study
Type of Assessment Task	Case study with short answer questions
Submission	As per timetable

Task Instructions

To complete the assessment, you must respond to a number of questions on the response template provided. The questions are based on the case scenarios outlined prior to the questions. These questions must be answered in full. When responding to the questions, please pay attention to the entire question being asked. Use the correct medical terminology when answering all questions.

You will be assessed on the responses to the questions and will be deemed as either satisfactory or not satisfactory. ALL of the responses must be marked as satisfactory in order to pass the assessment.

If this assessment is deemed NOT SATISFACTORY (NS), it will be scheduled to be re-assessed as per the THINK Education Assessment Policy for Vocational Education and Training (VET), accessible here: http://www.think.edu.au/studying-at-think/policies-and-procedures

Section 1:

Case Scenario 1

Mrs Johnston is a 65-year-old female, who has been admitted to hospital with right upper lobe pneumonia. She has a past medical history of chronic obstructive pulmonary disease, angina, hypertension, anxiety, depression, congestive cardiac failure and is a type 2 diabetic on a Novorapid sliding scale. You are on the morning shift and are due to start your medication round at 0800 hrs. Her morning BGL was done at 0730 hrs and her BGL was 12.5mmol/l.

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Assessment Criteria

Question 1

Mrs Johnston is on Metoprolol for her angina. What class of drug is this?

Response:

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Question 2

Discuss the pharmacodynamics of this class of drug. (Refer to your answer in Question 1 for the drug class)

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Question 3

Discuss what precautions should be taken prior to administrating this medication (Metoprolol).

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Question 4 a

While completing a set of vital signs on Mrs Johnston, she informs you that she has developed central chest pain. After a thorough assessment, you feel it may be her angina and you speak with your RN, who instructs you to administer the PRN Glyceryl Trinitrate (GTN) that has been prescribed.

By what route is this medication typically given?

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Question 4 b

Explain how GTN works to reduce the pain of angina.

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Question 5 a

According to Mrs Johnston’s sliding scale insulin medication order, she requires 6 units of Novorapid.

Discuss the difference between rapid acting, intermediate acting and long acting types of insulin.

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Question 5 b

List four (4) adverse effects of insulin

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Question 6

Mrs Johnston has been prescribed 4^th hrly Amoxicillin IV.

Explain what class of drug is Amoxicillin.

What are some of the contraindications/precautions for the use of Amoxicillin?

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Question 7

Give a definition for each of the following injection routes:

I. IV Bolus:

II. Electronic infusion pump:

III. IV piggyback/tandem:

IV. Syringe driver:

V. Burette:

VI. IM injection:

VII. SC injection:

VIII. Gravity IV administration:

IX. Sub-cutaneous lines:

Response:

I. IV Bolus:

II. Electronic infusion pump:

III. IV piggyback/tandem:

IV. Syringe driver:

V. Burette:

VI. IM injection:

VII. SC injection:

VIII. Gravity IV administration:

IX. Sub-cutaneous lines:

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Assessment Criteria

Question 8 a

Mrs Johnston is due for 40mg of oral Frusemide at 0800 hrs.

Explain why Mrs Johnston has been prescribed Frusemide.

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Question 8 b

Discuss the side effects of Frusemide.

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Question 8 c

What class of drug does Frusemide belong to?

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Question 9 a

When looking at Mrs Johnston’s PRN medication, you notice she has been prescribed Salbutamol 5mg via the nebulizer.

Discuss the effects of Salbutamol.

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Question 9 b

Explain why Mrs Johnston has had this medication prescribed.

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Question 9 c

What class of drug is Salbutamol?

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Question 10 a

Mrs Johnston has a history of depression and anxiety.

Explain what classes of medication may be prescribed for Mrs Johnston to help with her anxiety? Discuss at least two (2) classes.

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Question 10 b

Mrs Johnston has been prescribed Sertraline 100mg for her depression.

Explain the pharmacodynamics of Sertraline.

Response:

Section 2:

Case scenario 2

Mr Nguyen, a 45-year-old male, has been allocated to you as one of your four (4) patients for the afternoon shift. He has been admitted to hospital post an umbilical hernia repair. Today is Day 1 (one) post op. He has a history of bipolar mood disorder, epilepsy and asthma. He is currently a smoker. He has been prescribed PRN Endone (Oxycodone) 5mg every 4 hours for pain and has Panadeine Forte (paracetamol 500 mg + codeine phosphate hemihydrate 30 mg) prescribed 4 (four) times a day. Mr Nguyen has IVT running at a 4hrly rate and remains NBM (Nil by mouth) but can have sips of water with oral medications.

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Assessment Criteria

Question 1

Mr Nguyen has had surgery. This surgery has required him to have a general anaesthetic.

Define the term anaesthetic.

Discuss the difference between a general anaesthetic and a local anaesthetic?

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Question 2 a

Mr Nguyen is complaining of abdominal pain with a pain scale of 8/10. He is not due for Panadeine Forte for another 2 hours but is able to have a dose of Endone.

Explain the schedule for Endone and the legal process for your state/territory to administer this medication.

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Question 2 b

How is this medication meant to be legally stored?

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Question 2 c

What class of medication is Endone?

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Question 2 d

List the side effects of Endone and discuss how these might present in your patient.

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Question 2 e

What is the difference between Panadeine Forte and Endone?

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Question 3 a

During the surgical team’s review of Mr Nguyen, they notice he has had multiple doses of codeine and opioids and has not opened his bowels since the surgery.

Discuss what may be the problem with Mr Nguyen and how Panadeine Forte and Endone may be related to this problem?

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Question 3b

What class of medication might the surgeons prescribe to help the patient with this problem? (Refer to your answer in Question 3a for the problem)

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Question 4

Mr Nguyen is on Lithium for his bipolar mood disorder.

Explain the actions of this medication and why is it the most appropriate medication to treat bipolar mood disorder?

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Question 5

Mr Nguyen has a history of epilepsy. What class of medication is generally used to treat this condition?

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Question 6

Explain why corticosteroids can be effective in treating an acute episode of asthma?

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Question 7

Discuss the use of the following in relation to fluid and electrolyte imbalance:

· Frusemide

· Potassium

· Sodium Chloride 0.9% Intravenous Infusion

· Compound Sodium Lactate Intravenous Infusion (Hartmann’s solution)

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Question 8

The surgeons have prescribed a nicotine patch daily for My Nguyen as they currently would like him to not go outside to smoke.

Discuss the route of administration for this medication and the process in which to administer this medication.

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Section 3:

This section is not related to a case scenario

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Assessment Criteria

Question 1

Discuss the process of administering paediatric oral solutions. Include handling techniques in your answer.

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Question 2

Can Esomeprazole tablets be crushed? Why/Why not?

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Question 3

Discuss the process for each of the following routes of administration/medications:

I. Buccal

II. Ointment

III. Oral Medication

IV. Nebuliser

V. Oxygen Therapy

VI. Pessary

VII. Sublingual

VIII. Lotions and creams

IX. Dry Powder inhaler

X. Suppositories

XI. Eye Drops

XII. Enteral medications

Response:

I. Buccal

II. Ointment

III. Oral Medication

IV. Nebuliser

V. Oxygen Therapy

VI. Pessary

VII. Sublingual

VIII. Lotions and creams

IX. Dry Powder inhaler

X. Suppositories

XI. Eye Drops

XII. Enteral medications

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