HLTENN007 – Administer and monitor medicines and intravenous therapy; Assignment Questions

HLTENN007 – Administer and monitor medicines and intravenous therapy; Assignment Questions https://capstoneprojectwriters.com/wp-content/themes/fildisi/images/empty/thumbnail.jpg 150 150 Affordable Capstone Projects Written from Scratch Affordable Capstone Projects Written from Scratch https://capstoneprojectwriters.com/wp-content/themes/fildisi/images/empty/thumbnail.jpg October 8, 2018 October 8, 2018

Define the following terms (Pharmacokinetics, Pharmacodynamics, Bioavailability, First pass effect, Drug indication)

a) Pharmacokinetics

…………………………………………………………………………………………………………………………………………………………

b) Pharmacodynamics

…………………………………………………………………………………………………………………………………………………………

c) Bioavailability

…………………………………………………………………………………………………………………………………………………………

d) First pass effect

…………………………………………………………………………………………………………………………………………………………

e) Drug indication

…………………………………………………………………………………………………………………………………………………………

f) Drug contraindication

…………………………………………………………………………………………………………………………………………………………

g) Adverse drug reaction

…………………………………………………………………………………………………………………………………………………………

h) Therapeutic range

…………………………………………………………………………………………………………………………………………………………

i) Toxicology

…………………………………………………………………………………………………………………………………………………………

Question 2

a) List 3 forms of parenteral administration, and place an * next to the form that provides 100% bioavailability of a drug.

…………………………………………………………………………………………………………………………………………………………

b) Identify and discuss 4 factors that affect absorption of a drug. (min 40 words)

…………………………………………………………………………………………………………………………………………………………

c) List two (2) internal factors and two (2) external factors that affect metabolism of a drug.

…………………………………………………………………………………………………………………………………………………………

d) What factors can affect drug metabolism in an ELDERLY client and why? (min 40 words)

…………………………………………………………………………………………………………………………………………………………

e) List the routes by which drugs are excreted.

Provide examples of 4 chronic diseases that may affect elimination of drugs.

…………………………………………………………………………………………………………………………………………………………

f) Define polypharmacy and describe what impacts this can have on a client. (min 40 words)

…………………………………………………………………………………………………………………………………………………………

Question 3

a) Match the formulation with the description.

Formulation

Cream
Gel
Drops
Patch
Capsule
Lotion
Tablet
Wafer
Suspension
Emulsion
Syrup
Injection
Inhalant
Suppository

Formulation	Description
	a) orally disintegrating tablet containing medication
	b) medication dissolved in a water or alcohol base for topical application – lower viscosity than creams
	c) medication dissolved in sterile liquid for topical application
	d) a drug mixed with a base compound and compressed into a variety of shapes
	e) emulsion of oil and water for topical application
	f) mixture of oil and water containing a drug
	g) delivers drug through the skin at a steady concentration
	h) sterile aqueous or oily suspensions containing a drug delivered parenterally
	i) concentrated sugar solution containing a drug
	j) solid preparation containing a drug which dissolves when administered rectally
	k) liquid in which insoluble particles of the drug are dispersed
	l) semi-solid emulsion in an alcohol base for topical application.
	m) gelatine container enclosing a drug in liquid
	n) finely powdered or liquid drugs administered into respiratory system

What is meant by sustained or slow release? (min 30 words)

…………………………………………………………………………………………………………………………………………………………

Question 4

Complete the gaps in the following table with the * in them

Medication Group/Classification	Common medication use	Generic medication example
Anaesthetics	Sedation	Propofol
Analgesia	Neuralgia	*
Antacids	*	Aluminium hydroxide
Antianginals	Angina	*
Antianxiety	Anxiety	*
Antiarrhythmics	*	Digoxin
Antibiotics	Bacterial infection	Cephalexin
*	Allergies	Promethazine
Anticoagulants	History of DVT	Heparin
*	Epilepsy	Phenytoin
*	Depression	Citalopram
Antidiarrhoeals	Diarrhoea	*
Antiemetics	Nausea	*
*	Thrush	Clotrimazole
*	Hay fever	Cetirizine
Antihypertensives	Hypertension	*
Anti-inflammatory	Osteoarthritis	Diclofenac
Antineoplastics	*	Vincristine
Antiparkinsonion	Tremor	*
Antipyretic	*	Paracetamol
Antipsychotics	Schizophrenia	*
*	Wound care	Betadine
Antiulcer	GORD	*
*	Herpes simplex	Acyclovir
*	Generalised anxiety disorder	Clonazepam
Medication Group/Classification	Common medication use	Generic medication example
*	Menopause	Oestrogen and Progesterone
Hypnotics, sedatives	Sedative	*
Hypoglycaemics	*	Glucagon
Insulin	*	Insulin
*	Hypertension	Propranolol
*	Asthma	Salbutamol
Electrolyte solutions	Rehydration	*
Laxatives/aperients	Constipation	*
Ophthalmic, otic	*	Acetozolamide
Nasal medications	*	Phenylephedrine
*	Pregnancy prevention	Oestrogen and Progesterone
Corticosteroids	Inflammation	*
*	Pulmonary oedema	Frusemide
Narcotic analgesia	Severe pain	*
Neuroleptics	Mood stabilizer	*
*	Bleeding disorders	Phytonadione

Question 5

Below is a list of commonly used drugs. Discuss the following five (5) points for EACH of the drugs listed:

The major drug group/class
Common route/s of administration (there may be more than one)
Mode of action
Common adverse reactions
Nursing implications

Drug	Major drug group/class	Common routes for administration	Mode of action	Adverse Reactions	Nursing Considerations (what you need to know as a nurse administering this drug, both for you and the client)
Glyceryl Trinitrate
Warfarin
Actrapid Insulin

Question 6

Identify 6 actions that you may be required to do if you make a medication error

…………………………………………………………………………………………………………………………………………………………

Case Study 1: Anaphylaxis

You answer Mr Brown’s buzzer and when you enter his room he is obviously distressed and is thrashing around on his bed. He complains of difficulty breathing and has an audible stridor (high pitched wheezing sound). You know that he commenced his first dose of intravenous penicillin 10 minutes ago via an infusion pump. You suspect that Mr Brown is having an anaphylactic reaction.

What is anaphylaxis? In your answer, please outline the pathophysiology of anaphylaxis and list five (5) common agents that may trigger anaphylaxis (min 100 words).

…………………………………………………………………………………………………………………………………………………………

Adrenaline 1:1000 via intramuscular injection is the drug of choice for treating anaphylaxis. What is this drug’s mechanism of action and how does it treat the signs and symptoms of anaphylaxis? Why is it preferably given by intramuscular injection? (min 100 words)

…………………………………………………………………………………………………………………………………………………………

Describe your role as an EN responding to Mr B’s nurse call bell. Include in your answer,

Your immediate priority’s, (remember he has a IV)
Follow-up assessments you as the EN may do over the next 15mins (name at least 4),
Who would you consult with throughout this event
What would you need to document?

…………………………………………………………………………………………………………………………………………………………

Case Study 2: Blood Transfusion

Mrs Jones is a 78-year-old lady, who has arrived via the emergency department on Sunday 0800 after falling at home and fracturing her femur, on admission IV therapy was commenced at 1000mls over 12hrs. She is scheduled for surgery on Monday morning. Pathology indicated that her haemoglobin level was 9.7g/dL, and she has been prescribed a transfusion of 2 units of packed red blood cells (PRBC). You assist the RN in preparing for Mrs Jones’ transfusion.

Explain the rationale for administering a blood transfusion to this patient. (min 50 words)

…………………………………………………………………………………………………………………………………………………………

Describe the potential complications of blood transfusion including what you would do if the patient experienced a potential delayed reaction (min 50 words)

…………………………………………………………………………………………………………………………………………………………

What education would you provide to Mrs Jones to increase her awareness of the symptoms of a transfusion reaction? (min 50 words)

…………………………………………………………………………………………………………………………………………………………

Describe how to transport store, handle check and dispose of blood and blood products safely. (min 50 words)

…………………………………………………………………………………………………………………………………………………………

Case Study 3: IV Fluids

Jack King is a client who is on your ward with cholecystitis and is due to go to theatre in the morning. He has been prescribed intravenous (IV) fluids overnight as he is nil by mouth (NBM)

Discuss why Jack has been prescribed IV fluids and provide one (1) example of a type of IV fluid that he may be prescribed. (min 50 words)

…………………………………………………………………………………………………………………………………………………………

Identify what you would need to record when administering IV fluids.

…………………………………………………………………………………………………………………………………………………………

Discuss possible complications of IV therapy. (min 100 words)

…………………………………………………………………………………………………………………………………………………………

The RN tells you that Jack’s blood results show an electrolyte imbalance. Identify one common electrolyte imbalance and explain what would be given to treat this and how this would be administered. Including what documentation you need to complete and how you would evaluate the effectiveness of the treatment (min 50 words)

…………………………………………………………………………………………………………………………………………………………

Jack tells you that he does not want the IV fluids and that he was not going to let you give them to him. Explain your actions relating to Jack’s refusal of the IV fluids. In your answer identify who you would report this to. (min 50 words)

…………………………………………………………………………………………………………………………………………………………

Have you completed all in text reference and a reference list

APA 6th edition style in-text referencing must be used for ALL answers and a reference list submitted with the

TO GET THIS OR ANY OTHER ASSIGNMENT DONE FOR YOU FROM SCRATCH, PLACE A NEW ORDER HERE