HLT54115: Diploma of Nursing - TUM111: Therapeutic Use of Medications and Intravenous Therapy - Medical Sciences Assignment Help

Assignment Task:

Case Study
Fei Hong is a 60 year old lady from a Chinese background. She has a hearing and sight impediment and is showing some early signs of dementia. She speaks little to no English. You are caring for Fei Hong during her recent hospital admission; she is scheduled to undergo a hip replacement under the care of Dr Patel after a recent fall. She has Type 2 Diabetic and Hypertension. The doctor has charted Mrs Hong medications for her Diabetes and Hypertension. 
Section 1:
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Question 1.1
What are the eight (8) rights of medication administration that you will use to safely administer medications?

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Question 1.2
You note that your patient speaks little to no English and furthermore shows some early signs of dementia. What are some strategies that you can use to ensure that the patient understands her medication regime and the importance of taking her medications?
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Question 1.3
One of the responsibilities of the nurse administering medications is to ensure that medications are kept secure during medication administration. What are some strategies that you would use to ensure this? Provide three (3) examples.
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Question 1.4
You are attempting to administer Mrs Fong’s regular medications including those for Diabetes and Hypertension when the patient refuses their morning medication. Describe in 30 words or less the action that you would take as an Enrolled Nurse.
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Section 2:
Mrs Hong is transferred to the operating theatre to undergo her surgical procedure - Right total hip replacement (R) TKR. Whilst in the operating theatre, she has an Intravenous (IV) Cannula inserted for post-operative fluids. There was a small to moderate amount of blood loss during the procedure and a Full Blood Count (FBC) has been taken to assess whether she will need a blood transfusion. She is also experiencing post-operative pain
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Question 2.1
Describe three (3) indications for undergoing IV Therapy.
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Question 2.2
Describe three (3) risks that may be associated with IV Therapy in addition to one (1) strategy that the Nurse can use to minimise any of these risks.
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Question 2.3
Mrs Hong states that she is experiencing pain post-operatively. She is charted for three (3) different PRN pain medications including Pethidine (IM) Endone (PO) or Panadol (PO). Describe in 50 words or less some strategies the nurse can use to assess Mrs Hong’s level of pain.
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Question 2.4
In addition to pharmaceutical approaches to pain management, what could be some non-pharmaceutical approaches the nurse could take for pain management? List three (3) strategies 
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Question 2.5
Mrs Hong has been administered PRN Endone by the Registered Nurse (RN) to help manage her pain. How would you know if this medication has been effective or not and where would you record this information?
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Question 2.6
In addition to PRN Endone for pain, Mrs Hong is also charted for regular medication including Metformin, Atenolol, Furosemide, Slow-K and Paracetamol. She is also charted for a prophylactic course of IV Ampicillin upon return to ward after surgery. Name two (2) resources that you could use to find out about correct administration such as correct dose, compatibility with other medications and correct administration.
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Section 3:
Mrs Hong’s FBC results have come back and indicate that she has a low haemoglobin (Hb) level requiring a blood transfusion. The doctor has charted two (2) units of packed cells. 
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Question 3.1
Describe in 50 words or less the nursing actions that should be taken prior to commencement of blood transfusion including details of any observations that should be taken and how you would know the patient has consented to the procedure.
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Question 3.2
Describe in 50 words or less the process for checking patient details prior to commencement of blood transfusion
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Question 3.3
Approximately 30 minutes after commencing the blood transfusion, the patient is complaining of "feeling hot" and a "bit unwell". Observations reveal that her temperature has risen from 36.7 oC to 38 oC since the transfusion was commenced. Describe three (3) actions that you, as the Enrolled Nurse, will take.
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