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.

 

 

 

TASK Assessment Criteria
Question 1 Mrs Johnston is on Metoprolol for her angina. What class of drug is this?

 

Response:

 

 

 

 

 

 

 

 

 

 

 

 

TASK Assessment Criteria
Question 2 Discuss the pharmacodynamics of this class of drug. (Refer to your answer in Question 1 for the drug class)

 

Response:

 

 

 

 

 

 

 

 

 

 

TASK Assessment Criteria
Question 3 Discuss what precautions should be taken prior to administrating this medication (Metoprolol).

 

Response:

 

 

 

 

 

 

TASK Assessment Criteria
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?

 

Response:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

TASK Assessment Criteria
Question 4 b Explain how GTN works to reduce the pain of angina.

 

Response:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

TASK Assessment Criteria
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.

 

Response:

 

 

 

 

 

 

 

 

 

 

 

 

TASK Assessment Criteria
Question 5 b List four (4) adverse effects of insulin

 

Response:

 

 

 

 

 

 

TASK Assessment Criteria
Question 6 Mrs Johnston has been prescribed 4th hrly Amoxicillin IV.

Explain what class of drug is Amoxicillin.

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

 

Response:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

TASK Assessment Criteria
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:

 

 

 

 

 

 

TASK 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.

Response:

 

 

 

 

 

 

 

TASK Assessment Criteria
Question 8 b Discuss the side effects of Frusemide.

 

Response:

 

 

 

 

 

 

 

TASK Assessment Criteria
Question 8 c What class of drug does Frusemide belong to?

 

Response:

 

 

 

 

 

 

 

 

 

TASK Assessment Criteria
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.

 

Response:

 

 

 

 

TASK Assessment Criteria
Question 9 b Explain why Mrs Johnston has had this medication prescribed.

 

Response:

 

 

 

 

TASK Assessment Criteria
Question 9 c What class of drug is Salbutamol?

 

Response:

 

 

 

 

TASK Assessment Criteria
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.

 

Response:

 

 

 

 

TASK Assessment Criteria
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.

TASK 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?

 

Response:

 

 

 

 

 

 

 

 

 

 

 

TASK Assessment Criteria
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.

Response:

 

 

 

 

 

 

 

 

 

 

 

TASK Assessment Criteria
Question 2 b How is this medication meant to be legally stored?
Response:

 

 

 

 

 

 

 

 

 

 

 

TASK Assessment Criteria
Question 2 c What class of medication is Endone?
Response:

 

 

 

 

 

 

 

 

 

 

 

TASK Assessment Criteria
Question 2 d List the side effects of Endone and discuss how these might present in your patient.
Response:

 

 

 

 

 

 

 

 

 

 

 


TASK
Assessment Criteria
Question 2 e What is the difference between Panadeine Forte and Endone?
Response:

 

 

 

 

 

 

 

 

 

 

 

 


TASK
Assessment Criteria
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?

Response:

 

 

 

 

 

 

 

 

 

 

 

 

 

TASK Assessment Criteria
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)
Response:

 

 

 

 

 

 

 

 

 


TASK
Assessment Criteria
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?

Response:

 

 

 

 

 

 

 

 

 

TASK Assessment Criteria
Question 5 Mr Nguyen has a history of epilepsy.  What class of medication is generally used to treat this condition?
Response:

 

 

 

 

 

 

TASK Assessment Criteria
Question 6 Explain why corticosteroids can be effective in treating an acute episode of asthma?
Response:

 

 

 

 

 

 

TASK Assessment Criteria
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)

Response:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

TASK Assessment Criteria
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.

 

Response:

 

 

 

 

 

 

 

Section 3:

This section is not related to a case scenario

TASK Assessment Criteria
Question 1 Discuss the process of administering paediatric oral solutions. Include handling techniques in your answer.
Response:

 

 

 

 

 

 

 

 

 

TASK Assessment Criteria
Question 2 Can Esomeprazole tablets be crushed? Why/Why not?
Response:

 

 

 

 

 

TASK Assessment Criteria
 

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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