Assignment Detail:- HLTENN007 Administer and monitor medicines and intravenous therapy
Assessment task 1 - Knowledge questions
Question 1- Refer to the enrolled nurses and medicine administration fact sheet- Summarise the legal requirements for practice parameters of enrolled nurse outlined in the fact sheet in relation to the administration of medications including intravenous route of medication administration-
Question 2- Identify and briefly describe the key objectives of the Health -Drugs and Poisons- Regulations applicable to your State/Territory-
Question 3- Identify and briefly describe the key objectives of the Drugs and Poisons Acts applicable to your State/Territory-
Question 4- Identify and briefly describe three -3- NMBA or ICN codes and guidelines that provide a framework for enrolled nurse practice-
Question 5- Briefly describe the key intention of Standard 3 ‘Preventing and Controlling Health Care Associated Infections' of National Safety and Quality Health Standard -NSQHS--
Question 6- What is meant by Visual Infusion Phlebitis Score -VIPS-???? Briefly explain its significance in your nursing practice-
Question 7- Interpret the following schedules of medications and provide two -2- examples of each of these schedules:a- Schedule 2:b- Schedule 3:c- Schedule 4:d- Schedule 8:
Question 8- Complete the following table outlining how you will handle, calculate, administer and store the following forms of medications:
Forms Examples Handling Calculation
-specify the formula where appropriate- Administration StorageCapsules Gelatin capsulesDrops Amoxicillin eye dropsInhalants FluticasoneLiquid Dexamethasone as liquid drugLotions and creams Tretinoin creamOintments Ketoconazole ointmentPatches Nitroglycerin patchesPowders Cholestyramine powderTablets Tab AcetaminophenWafers Ondaz Zydis wafersSuppositories Dulcolax
Question 9- Briefly describe the following terms relevant to the pharmacology of medications using an example:• Pharmacodynamics• Pharmacokinetics• Pharmacotherapeutics
Question 10- Discuss the term ‘toxicology'-
Question 11- Differentiate between adverse reactions and anaphylactic reactions-
Question 12- Discuss the term ‘contraindications' of a medication using an example-
Question 13- Precautions and side effects are common expressions in medicine administration- Explain both the terms with an example for each-
Question 14- What causes the following potential complications of a blood transfusion???? Identify a reason for each of these complications-
• Pain at IV site and arm:
• Acute immune haemolytic reaction with signs and symptoms such as loin pain, nausea, vomiting, haematuria and headache:
• Urticaria -hives-:
• Flushing, chills or fever:
• Anxiety:
• Wheezing, progressing to cyanosis:
• Anaphylactic reaction including tachycardia, cardiac arrest or shock that may lead to death:
Question 15- How should an enrolled nurse apply the following rights of medication administration????
• Right medication:
• Right dose:
• Right prescription -documentation-:
• Right route:
• Right time:
• Right person:
• Right expiration date:
• Right to refuse:
Question 16- Briefly describe the steps involved in administering medications via the buccal route-
Question 17- Briefly describe the steps involved in administering medications using metered dose inhaler and spacer inhaler-
Metered dose inhaler:
Spacer inhaler:
Question 18- Briefly describe the steps involved in administering medications via PEG tube-
Question 19- Briefly describe the steps involved in administering medications via intranasal route -e-g- administering a nasal spray via a pressurised canister--
Question 20- Briefly describe the steps involved in administering medications via vaginal route-
Question 21- Identify and briefly describe an indication to use each of the following IV medication administration methods-
• IV bolus:
• Gravity or drip infusion:
• Electronic pump infusion:
• Via burette:
• IV piggyback and tandem:
• Syringe driver through sub-cut lines:
Question 22- Discuss three -3- factors to be considered while calculating medication dosages-
Question 23- A child with presenting complaints of fever is prescribed 240 mg of Paracetamol- The suspension of Paracetamol is available as 120 mg/5 ml solution- How much ml of the Paracetamol is to be administered???? Identify the calculation formula you would use in this situation -10ml-
Question 24- Tab Amitriptiline 30mg is prescribed for a client- It is available as 10 mg tablets- How many tablets need to be administered to get the prescribed dose???? Identify the calculation formula you would use in this situation-
Question 25- A client is to be given 960 ml over 24 hours- The drop factor is 15- Calculate how many drops per minute will be delivered- Identify the calculation formula you would use in this situation-
Question 26- A child with a case of burns is prescribed 1200ml over 8 hours- Taking drop factor as 60, calculate the drops/ minute that must be given to the child- Identify the calculation formula you would use in this situation-
Question 27- A client is given IV fluid NYS 500ml at a rate of 42 drops per minute- If the drop factor is 15, how many millilitres per hour is the client receiving???? Identify the calculation formula you would use in this situation-
Question 28- Inj- Ceftriaxone comes as 40mg/ml- A 5-year-old weighing 18kg is prescribed 100mg/kg/day- Calculate the dose of Ceftriaxone in ml to be administered for the child a day applying the calculation formula you would use in this situation-
Question 29- A child is diagnosed with a case of leukaemia- He weighs 16-8 kg and is 97 cm tall- The required dose of Vincristine is 2mg/m2 and the drug comes as 1mg/ml concentration- Calculate the dose to be delivered in ml applying the calculation formula you would use in this situation-
Question 30- The recommended dose of gentamycin is 1 to 5 mg/kg IV- Calculate the safe range to administer to an elderly man weighing 86kg???? Identify the calculation formula you would use in this situation -86mg-430mg-
Question 31- Cyclophosphamide is prescribed for an elderly client- Prescription: Cyclophosphamide -Cytoxan- 150mg/m2/day, IV, available dosage is 200mg, client's height is 170 cms, weight is 70 kg- Calculate the dose of medication to be administered per day as per the client's body surface area-
Question 32- Dose administration aids -DAA- help clients in the community to better manage their medicines- Briefly describe four -4- factors to be considered while using DAA-
Question 33- Briefly describe the action of acidifiers in controlling pH in our bodies- Provide two -2- examples of acidifiers used for fluid and electrolyte imbalance-
Question 34- Briefly describe the action of alkalisers in treating fluid and electrolyte imbalance- Provide two -2- examples of alkalisers used for fluid and electrolyte imbalance-
Question 35- Briefly describe the action of diuretics in managing fluid and electrolyte imbalance- Provide two -2- examples of diuretics-
Question 36- Provide two -2- examples of electrolytes used for fluid and electrolyte imbalance- Briefly describe the action of one electrolyte you identified in managing fluid and electrolyte imbalance in the body-
Question 37- Briefly describe the action of intravenous replacement solutions- Provide two -2- examples of replacement solutions used for fluid and electrolyte imbalance-
Question 38- Briefly describe the use and actions of nitrous oxide and desflurane as anesthetic agents-
Question 39- Briefly describe the use and actions of ibuprofen as an analgesic agent-
Question 40- Briefly describe the use and actions of omeprazole as an antacid-
Question 41- Briefly describe the use and actions of nitroglycerine as an antianginal-
Question 42- Briefly describe the use and actions of lorazepam as an anti-anxiety medication-
Question 43- Briefly describe the use and actions of metoprolol as an anti-arrhythmic medication-
Question 44- Briefly describe the use and actions of amoxicillin as an antibiotic-
Question 45- Briefly describe the use and actions of atropine as an anticholinergic-
Question 46- Briefly describe the use and actions of warfarin as an anticoagulant-
Question 47- Briefly describe the use and actions of clonazepam as an anticonvulsant-
Question 48- Briefly describe the use and actions of amitriptyline as an antidepressant-
Question 49- Briefly describe the use and actions of loperamide as an antidiarrheal agent-
Question 50- Briefly describe the use and actions of ondansetron as an antiemetic agent-
Question 51- Briefly describe the use and actions of clotrimazole as an antifungal agent-
Question 52- Briefly describe the use and actions of cetirizine as an antihistamine-
Question 53- Briefly describe the use and actions of captopril as an antihypertensive-
Question 54- Briefly describe the use and actions of indomethacin as an anti-inflammatory drug-
Question 55- Briefly describe the use and actions of vincristine as an antineoplastic drug-
Question 56- Briefly describe the use and actions of L-dopa as an antiparkinsonion drug-
Question 57- Briefly describe the use and actions of diphenhydramine as an antipruritic drug-
Question 58- Briefly describe the use and actions of haloperidol as an antipsychotic agent-
Question 59- Briefly describe the use and actions of iodine as an antiseptic agent-
Question 60- Briefly describe the use and actions of pantoprazole as an antiulcer drug-
Question 61- Briefly describe the use and actions of acyclovir as an antiviral drug-
Question 62- Briefly describe the use and actions of alprazolam as an anxiolytic drug-
Question 63- Briefly describe y the use and actions of propranolol as a beta-blocker-
Question 64- Briefly describe the use and actions of salbutamol as a bronchodilator-
Question 65- Briefly describe the use and actions of docusate as a laxative/aperient-
Question 66- Briefly describe the use and actions of ormeloxifene as a contraceptive-
Question 67- Briefly describe the use and actions of beclomethasone as a corticosteroid-
Question 68- Briefly describe the use and actions of fentanyl as a narcotic analgesic agent-
Question 69- Briefly describe the use and actions of risperidone as a neuroleptic agent-
Question 70- Briefly describe the use and actions of levothyroxine as a hormone medication-
Question 71- Briefly describe the use and actions of diazepam as a hypnotic or sedative medication-
Question 72- Briefly describe the use and actions of metformin as a hypoglycemic agent-
Question 73- Briefly describe the use and actions of novorapid-
Question 74- Briefly describe the use and actions of ringer lactate as an electrolyte solution-
Question 75- Briefly describe the use and actions of timolol as an ophthalmic medicine-
Question 76- Briefly describe the use and actions of ciprodex as an otic medicine-
Question 77- Briefly describe the use and actions of xylometazoline as a nasal medication-
Question 78- Briefly describe the use and actions of Lasix as a diuretic-
Question 79- Briefly describe the use and actions of ascorbic acid as a vitamin supplement-
Question 80- Briefly describe how you should transport, store, handle and dispose of blood and blood products safely-
Transportation:
Storage:
Safe handling and checking of blood and blood products:
Disposing off blood and blood products:
Question 81- Furosemide and low pH solutions such as glucose 5% solutions shouldn't be mixed together- Why????
Question 82- Blood transfusion was completed for a patient in your clinical setting- Three hours post transfusion the person complained of severe headache and palpitations- You observed a dark discolouration of his urine- The patient had a blood pressure of 90/70mm of Hg- Identify a possible reason for these symptoms and discuss the most appropriate steps to be taken to address the situation-
Attachment:- Medicines and intravenous therapy-rar
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