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HLTEN519C Administer And Monitor Intravenous Medications In The Nursing Environment

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Journal 1.1

Safe Administration Guidelines

What is the usual procedure for managing the following:

    A verbal or telephone order?

    A standing order?

    PRN orders?

Journal 1.2

  1. Please list seven standard routes of medication administration?
  2. Why should the abbreviation S/C not be used by the medical officer when they mean subcutaneous?
  3. Why should the abbreviation µg not be used in medical orders?

Journal 2.1

You are staff in a first aid center for a 10-kilometre charity run, with the temperature at 36°C and the humidity at 92%, the first aid center is overwhelmed with patients suffering from dehydration and because IV therapy is within your scope of practice, the lead physician instructs you to administer IV fluid to a 34-year-old male who is seriously dehydrated and extremely weak.

After assessing the patient’s airway, breathing, circulation and applying high-flow oxygen to the patient, you proceed to the medical supply area to get the IV fluid.

There you find a variety of fluids, including isotonic, hypertonic, hypotonic, and a refrigerator of colloid solutions.

Please answer the following questions:

1.What type of fluid would you expect the physician to order for this patient?

2.How might the clinical condition of dehydration affect the ability to locate and access a vein for IV therapy?

Journal 2.2

What would be some advantages of using access devices? 

Journal 3.1

John Bourke is a 60 year old male who arrives in the emergency department at your health facility. He has a history of Aplastic Anaemia, for which he recently required chemotherapy. On examination he is pale, sweating, hypotensive and febrile. He is diagnosed as having neutropenic sepsis.

Following cannulation for emergency intravenous therapy and orders for the antibiotics Gentamycin and Metronidazole you will be required to attend to the following:

Titrate his intravenous fluids

Calculate the correct doses of his intravenous antibiotics

His intravenous fluid order is for 1 litre of Normal Saline 0.9% over 60 minutes via an infusion pump.

He is prescribed 300mg daily of Gentamycin - the vial contains 80mg in 2ml.

He is prescribed 100 mg Metronidazole that has been added to 100mls normal saline to infuse over 20 minutes.

Please answer the following questions:

How many mls per hour of the IV Normal Saline will you deliver to Mr Bourke?
  1. How many mls of Gentamycin will you administer to Mr Bourke?
  2. Calculate the drip rate (dpm) for administering Metronidazole to Mr Bourke using a macro (20dpm) infusion set.

Journal 4.1

What is the purpose of medication alerts?

Journal 4.2

As an EN/ Div. 2 Nurse in your current workplace, what defines your administration of medications?

Journal 4.3

What does the Therapeutic Goods Act regulate?

Journal 4.4

What does the National Health Act apply to?

Journal 5.1

What are three important points you would make to a patient who you are educating about taking a course of oral medication?

Journal 5.2

A delayed adverse drug reaction develops in one of your allocated client’s; outline your management of this situation?

An acute adverse drug reaction develops in one of your allocated patient’s; outline your management of this situation?

Journal 5.3

List the 5 assessments you would attend on a client receiving peripheral therapy.

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