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HNN215 Quality Use Of Medicines

tag 0 Download 9 Pages / 2,217 Words tag 21-07-2021


On the 10th July at 0900hrs, Mr. Matthew Banks, aged 45 years, fell off his motorbike whilst riding on a mountain trail. In this accident he sustained an open fracture to the right tibia which was contaminated with mud and debris. At 1600hrs on the 10th of July, Mr Banks was admitted to the surgical ward following debridement and internal fixation surgery. Mr Banks is allergic to all penicillins and cephalosporins (he experienced two episodes of anaphylaxis when he was a child) and has an adverse reaction to morphine (hallucinations). He has a past medical history of hypertension. Mr Bank’s medication chart is attached.

On assessment, Matthew is resting in bed following his surgery. His right leg is elevated on a pillow and the dressing is dry and intact with nil signs of bleeding. Matthew is receiving patient controlled analgesia (fentanyl) and states that he is “very comfortable” and only has a “little bit of pain” when he moves. He feels like his mouth is “very dry” and he has not passed urine in the last six hours. The Emergency Department doctor had written up his usual medicines on the drug chart (attached), along with analgesia and prophylactic antibiotics prior to surgery.

His physical assessment data is as follows:
  • Height 187cm, weight 90kg
  • BP 106/64mmHg
  • Pulse 74bpm, regular
  • Respirations 16bpm
  • SpO2 on 6L O2 via Hudson Mask 99%
  • Temperature 36.4 degrees
  • Matthew’s blood tests including those related to renal function are all within normal limits.
1. a) Assess Mr. Banks’ medication chart and identify and explain two significant risks that may be associated with the use of these medicines. 

b) Describe the nursing strategies a nurse may implement to prevent/manage the risks you have identified in Question 1a.
2. a) The orthopaedic surgeon has ordered post-operative intravenous Timentin 3.1g six hourly for seven days because Matthew is at risk of bone infection. Explain the benefits of regular antibiotic administration. Your answer should include reference to appropriate pharmacokinetic concepts and quality use of medicines.
b) Nurses must practice quality use of medicines, including the safe and effective use of antibiotics. Describe the role of the nurse in adhering to quality use of medicines to prevent antimicrobial resistance in the clinical setting. 
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