69-year-old Antonio Case Study & Effectiveness of The Medication Administration - Nursing Assignment Help

Assignment Task

Antonio

Antonio is a 69-year-old man who has had Type 2 diabetes for four years. He is a retired librarian who lives with his wife and dog. He has two adult children who are living in different states. He has been overweight most of his life and is currently classified as obese with a BMI of 38. His father was a Type 2 diabetic and died from a stroke at the age of 70. 

To manage his diabetes, Antonio attends his local Diabetes Education Centre where he receives advice and guidance from the multidisciplinary team to help make informed choices on his lifestyle. His wife attends these education sessions when she can to help support her husband.

He has been prescribed the following medications: 

• 500mg Metformin BD 

• 120mg SR Gliclazide mane 

• 50mg Metoprolol BD 

Antonio has been encouraged to take his BGLs twice daily, but he often forgets. He attends his local GP every three months to have his HbA1c levels checked. Every 12-months he has his General Practitioner Diabetes Management Plan Reviewed. 

Antonio had planned to visit the local Diabetes Education Centre today, however his at 0900 hours his wife called them to let them know that he had developed some abdominal discomfort, nausea, vomiting and diarrhoea and would not be attending his session. Antonio remained in bed for the rest of the morning. He could not take anything orally and was complaining to his wife of feeling lightheaded and unwell. At 1700 hours Antonio remained unwell with constant vomiting and diarrhoea. He was unable to communicate more than a few words and was drowsy. His wife immediately called an ambulance.

1730 hours: Antonio has arrived in the Emergency Department. He is confused, drowsy and has slurred speech. He wakes with stimulus, is pale, cold and clammy. His wife is present, and she is very distressed. 

Note: Please use these 2 Diabetes drugs for the Medication Audit

• Drug: Metformin
• Route: PO
• Dose: 500 mg
• Frequency: BD
• Indication: Diabetes
• Drug: Gliclazide
• Route: PO
• Dose: 120 mg
• Frequency: Mane
• Indication: Diabetes

Questions 

• Provide a brief overview of the patient presentation
• Choose and list two (2) medications prescribed for your chosen patient. Explain the mechanism of action in relation to the client situation/context?
• Consider potential indications, contraindications, and side effects of the prescribed medications (ensure that you relate this back to the client situation/context?
• Consider the medication order in relation to medication administration principles (dose/frequency/nursing considerations)? 
• Describe how you will determine and evaluate the effectiveness/problems of the medication administration?
• Reflections Using Driscoll’s model of reflection, consider your administration in relation to the NSQHS: Standard 4 Medication Safety (2017) & NMBA Registered Nurse Standards for Practice (2016)

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