Question:
Journal 1.1
Safe Administration Guidelines
What is the most common way to handle the following:
Do you need a telephone or verbal order?
Are you able to place a permanent order?
PRN orders
Journal 1.2
Please list seven common routes for medication administration.
If they mean subcutaneous, why shouldn’t the medical officer use the abbreviation S/C?
Why should the abbreviation Ug not be used for medical orders?
Journal 2.1
For a charity run 10km, you are staff at a first aid station. It is hot at 36 degrees Celsius and humid at 92%. There are many patients who have suffered from dehydration. The lead physician tells you that IV therapy is within your practice and to give IV fluid to the 34-year-old male who has become extremely weak and dehydrated.
After taking a detailed assessment of the patient’s respiratory, circulation, and breathing patterns, you can proceed to the medical supply zone to receive the IV fluid.
There are many fluid options, including hypertonic, isotonic and hypotonic as well as a refrigerator with colloid solutions.
Please answer the following:
1.What type fluid should this patient be prescribed by the physician?
2. How might clinical conditions of dehydration impact the ability to access and locate a vein for IV treatment?
Journal 2.2
What are the potential benefits of access devices being used?
Journal 3.1
John Bourke, a 60 year-old male, arrives at your hospital’s emergency room.
He has Aplastic Anaemia. He recently needed chemotherapy.
On examination, he appears pale, febrile, sweaty, hypotensive, and hypotensive.
He was diagnosed with neutropenic seizures.
After you are cannulated for emergency intravenous medicine and received orders for the antibiotics Metronidazole or Gentamycin, you will be required:
Place his intravenous fluids in a titrated manner
Calculate the doses of intravenous antibiotics that he needs
His intravenous fluid request is for 1 L of Normal Saline 0.9%, administered via an infusion pump. It takes approximately 60 minutes.
Gentamycin is prescribed daily to him as 300mg. A 2ml vial contains 80mg.
Metronidazole is given to him. He has also been given 100mls of normal salicylic acid to infuse for over 20 minutes.
Please answer the following:
How many mls an hour of IV Normal Saline will Mr Bourke receive?
How many mls Gentamycin are you going to give Mr Bourke
Calculate the drip rates (dpm), to administer Metronidazole at Mr Bourke by using a macro (20dpm), set.
Journal 4.1
What is the purpose medication alerts serve?
Journal 4.2
As an EN/Div.
What does it mean to be an EN/ Div. 2 Nurse at your current workplace?
Journal 4.3
What is the Therapeutic Goods Act?
Journal 4.4
What does the National Health Act cover?
Journal 5.1
What three key points would you make to a patient educating them on the importance of an oral medication regimen?
Journal 5.2
A delayed adverse drug response occurs in one of your client’s. What are your options for handling this situation?
An acute adverse drug response occurs in one your patients. What are your options for handling this situation?
Journal 5.3
List 5 assessments you would make for a client who is receiving peripheral therapy.
Answer to Question: HLTEN519C Administer And Monitor Intravenous Medications In The Nursing Environment
Journal 1.1
Safe Administration Guidelines
What is the most common way to handle the following:
Do you need a telephone or verbal order?
Are you a current order?
PRN orders
They are checked for condition specificity.
They must clearly be dated, signed and dated by the prescriber. It should also identify who, by qualification, may administer the medication.
In the document is information on the patient to receive the drug (B 2012).
Journal 1.2
Please list seven common routes of medication administration.
Oral route
Intravenous routeIntra muscular route.Subcutaneous route.Rectal route.
Intradermal routeInsufflation/Inhalation route (L., 2016).
If they mean subcutaneous, why shouldn’t the medical officer use the abbreviation S/C?
If the letters are interconnected, it could mean CS (Cesarian section), L., 2016.
This can cause confusion and mistakes.
Why should the abbreviation Ug not be used for medical orders?
This sign could be overlooked, leading to serious medication errors.
It should not be written in letters (B, 2012).
Journal 2.1
For a 10-kilometer charity run, you work in a first assistance center. It is hot at 36degC, and humid at 92%. There are many patients who have suffered from dehydration. Your scope of practice includes IV therapy. You are asked by the lead doctor to administer IV fluids for a 34-yearold male who has been severely dehydrated and is very weak.
After taking a detailed assessment of the patient’s respiratory, circulation, and breathing patterns, you can proceed to the medical supply zone to obtain the IV fluid.
You’ll find a variety fluids here, including isotonic and hypotonic fluids, as well as a refrigerator with colloid solutions.
Please answer the following:
1. What type fluid would the doctor order to treat this patient?
Isotonic solution, P., 2005
How does the clinical condition of severe dehydration affect the ability for IV therapy to be delivered?
L., 2016. Dehydration results in the collapse of veins that can make them difficult or impossible to access.
This may require a lot effort (L.2016).
Journal 2.2
What are the benefits of using access devices for your benefit?
They permit medication to be delivered in large veins.
You can leave them for hours.
They are less likely cause a clot than they were in 2016 (L.).
Journal 3.1
John Bourke is a 60-year old male who comes to your emergency room at your health facility.
He has Aplastic Anaemia. He recently needed chemotherapy.
On examination, he was pale, febrile, hypotensive, sweating and hypotensive.
He was diagnosed with neutropenic seizures.
You will need the following to attend to after cannulation for emergency intravenous medicine and orders for Metronidazole or Gentamycin.
Calculate the doses of intravenous antibiotics that he needs
His intravenous fluid request is for 1 L of Normal Saline 0.9%, administered via an infusion pump. It takes approximately 60 minutes.
Gentamycin is prescribed daily to him as 300mg. A 2ml vial contains 80mg.
Metronidazole is given to him. He has also been given 100mls normal salicylic acid to infuse for over 20 minutes.
Please Answer These Questions:1.
How many mls an hour of IV Normal Saline will Mr Bourke receive?
1L of normal salt is equivalent to 1000ml. It can be infused for 60 minutes.
Therefore, you can expect to get 1000ml of saline per hour.
How many mls Gentamycin are you going to give Mr Bourke
One ampoule contains eighty-five mg of Gentamycin.
Use 3 ampoules to get the same amount of antibiotic as 240mg plus 60mg each of the gentamycin-containing 2ml ampoules.3.75ml.
Calculate the drip rates (dpm), to administer Metronidazole at Mr Bourke by using a macro (20dpm), set.
Journal 4.1
What is the purpose medication alerts serve?
Medication Alerts reduce the danger of medication poisoning, misuse, or overdose that can occur during medication handling (B 2012).
Journal 4.2
As an EN/ Div.
What does it mean to be an EN/ Div. 2 Nurse at your current workplace?
The condition of the patient.
I.V. is preferred for emergency cases.
The cormobid circumstances.
This will help determine the safe route.Patient’s preference.
Some patients prefer oral medications.Age.
Infants might need rectal suppositories, to manage their pain.
Journal 4.3
What is the Therapeutic Goods Act?
Therapeutic Goods Act regulates drugs, medical devices, vaccinations, and any other biomolecules clinically used for the treatment of patients (L. 2016).
Journal 4.4
To what does National Health Act apply?
The National Health act governs the regulations and laws which regulate the public’s health and the management of the medical professions.
Journal 5.1
What three key points would you make to a patient educating them on the importance of an oral medication regimen?
You should advise the patient not to eat until the medication is finished.
Remind the patient that the medication should be taken at regular intervals.
Instruct the patient to drink plenty of fluids (P.
Journal 5.2
You have a delayed adverse reaction to a drug that occurs in one of your clients; how do you handle this situation?
The patient’s medication information can be reviewed by asking for or reviewing the treatment data.
The adverse effect should be managed accordingly.
Report in the reporting instrument for pharmacovigilance (“PV”) the side effect to be reviewed by the pharmacy control agency (B, 2012).
Acute adverse drug reaction occurs in one patient; how do you handle this situation?
The patient should be withdrawn from the medication and the appropriate pharmacological or non-pharmacological management performed to correct the situation (B 2012).
Journal 5.3
List 5 assessments that you would perform on a client who is receiving peripheral therapy.
Assessment of your airway/respiratory systems.
Evaluation of blood pressure
Assessment of pulse rate
Heart rate assessment.
Body temperature assessment (L. 2016, 2016).
ReferencesB, K. (2012).
Basic and clinical pharmacycology.
San Francisco: Mc Graw Hill Education.Kim, E. (2015).
Review of medical anatomy.
San Francisco Mc Graw Hill Education.L., L. (2016).
Nursing and pharmacy.
Mosby, Missouri: Country St LouisP., S. (2005).
Martin’s Physical Pharmacy. Philadelphia: Lippincott Williams & Wilkins .R., H. ( 2011).
Pharmacology, 5th edition (Lippincott Illustrated Reviews Series), (5 ed.). Philadelphia: LWW; 5 edition.