Internal Code: 1HBJA
Purpose of assessment task
Nurses have an active role in medication management, including safe administration practices, knowledge of risks such as medication errors, adverse effects and drug interactions. Patient participation in medication management and patient education are also essential to patient safety.
On 5th of March at 1800 hours, Mrs. Helen Anasta, aged 76 years, was admitted to the cardiac care unit. She was transferred from the emergency department where she presented with gastroenteritis symptoms of nausea, vomiting and dehydration. Mrs. Anasta has a history of atrial fibrillation, hypertension and hyperlipidaemia. On assessment, Mrs. Anasta was found to have a heart rate of 110bpm (irregular). It is now 6th March at 0730 hours.
Mrs. Anasta had vital signs and blood tests taken two hours ago:
Heart rate: Irregular, 110 bpm
Blood pressure: 103/55 mmHg
Respiratory rate: 23 breaths/min
Oxygen saturation: 95% on room air
Temperature: 37.8 °C
Urea 10.6 mmol/L
Creatinine 110 umol/L
The plan for Mrs. Anasta is to control her nausea and vomiting, provide adequate hydration and stabilise her heart rate.
Q1a. Assess Mrs. Anasta’s medication chart and identify and explain two significant risks that may be associated with the use of these medicines. (Expect approximately 400 words)
Q1b. Describe the nursing strategies a nurse may implement to prevent/manage the risks you have identified in Question 1a. (Expect approximately 400 words)
Q2a. Mrs. Anasta was administered a loading dose of digoxin. Explain the benefits of providing a loading dose of digoxin for Mrs. Anasta using relevant pharmacokinetic concepts (refer to your notes from your week three seminar). (Expect approximately 300 words)
Q2b. Mrs. Anasta has been reviewed by the medical officer, who prescribed digoxin as a regular medication. She will be discharged tomorrow and requires medication education related to the digoxin and warfarin. Describe the patient education you will provide to ensure Mrs. Anasta’s safe use of these medicines at home. (Expect approximately 400 words)
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