Internal Code: 1AFEEA
Code: HLT54115 - HLTENN007
Scheduling of Drug and Poison Medications Nursing Assignment Hep
Assignment Task: HLT54115 - HLTENN007
- What are the legal requirements for PRACTICE PARAMETERS of an enrolled nurse
in relation to administration and documentation of medications?
- Explain briefly the importance of a legal and regulatory framework for health (drug
and poisons) regulation?
- What is meant by scheduling of drug and poison medications? Mention at least one
example of a drug for each of the following schedules as determined by law.
a) Schedule 2
b) Schedule 3
c) Schedule 4
d) Schedule 8
- Explain briefly following terms in relation to drugs: pharmacodynamics, pharmacokinetics, pharmaco-therapeutics?
- What is Polypharmacy and how it affects people especially elderly?
- Explain drug metabolism and excretion including First Pass Effect.
- What is half-life of a drug and how does it relate to medication dosage calculation
and administration?
- How do drugs get transported?
- What Bioavailability of drug means. Explain, how does it relate to route of
administration.
- What are the central role receptors in drug action and the meaning of AGONIST and
ANTAGONIST?
- Define following terms in one or two sentences:
? Drug toxicology
? Anaphylactic reaction
? Adverse reaction
? Contraindications
? Precautions
? Side effects
- Explain following 8 rights of medication administration.
Right medication (drug, medication, medicines)
Right dose
Right route
Right time
Right person
Right expiration date
Right to refuse
Right prescription (documentation)
- Explain each route for medication administration. Give one example for each.
? Oral
? Sublingual, Buccal
? Dry Powder inhalers
? Metered dose inhalers
? Nebulisers
? Oxygen therapy
? Subcutaneous injections
? Intramuscular injections
? Z – track injections
? Enteral administration - percutaneous gastrostomy (peg) as well as nasogastric
tubes
? Intranasal, including nebulised medications
? Ocular
? Rectal
? Sub-cutaneous injection using pre-loaded syringes or pens
? Topical, including transdermal
? Vaginal
? Ventrolateral injection technique
- There are three way medications are named:
? Chemical name
? Trade name
? Generic name
- In a few sentences, explain the rationale for administering a medication from each of
the following classifications, giving: an example of a drug for each, why and how you
would administer the drug, any major side effects, the routes of administration and
nursing interventions.
One example has been provided.
SCENARIO:
HLT54115 - HLTENN007
Maryann, is one your patient on surgical ward she had a partial hysterectomy day Duringyour assessment she is complaining of abdominal pain 6/10 and feeling of nausea. When you check her PRN medication chart her orders are:
Paracetamol orally, 1g 4/24, last given 2 hours ago.
Oxycodone orally, 5-10 mg 2-4 hourly, last given 5 mg 6 hours ago.
Metoclopramide orally/IV 10 mg 4/24, last given 8 hours ago.
With her pain 6/10 and medications last given, what would you recommend to give to
Maryann? Why?
In consultation with your RN you have decided to administer Oxycodone. What is procedure for administering this type of drug? How do you know that the medications were Student Assessment effective? What other complimentary therapies can you recommend to help relieve her
pain?
State the class of each drug prescribed on PRN chart and where will they be stored?
As you are taking the Oxycodone out of DDA medication cupboard, the count of the drug does not match the amount of mediation in stock. You are one tablet short. What are you going to do?
SCENARIO:HLT54115 - HLTENN007
Today you are working on a medical ward. During the medication round you prepare medications for Mr Ling 65 years old gentlemen who came to hospital with cellulitis left leg.
His medications are:
Aspirin 100mg orally mane
Levo Dopa 25 mg TDS
Metoprolol 50mg BD
Padadol Osteo 1330 mg BD
Calciferum 2000 IU(International Units)
Amoxicillin 500mg TDS
Mr Ling informs you that he is not feeling well this morning and he does not feel like taking his medications. You notice that he refused to take medications last night as well.
What are the implications for your patient if he does not take his medications? What are you going to do?
You also notice that Mr Ling is allergic to Penicillin. Are there any contraindications you need to discuss with your RN?
SCENARIO:
HLT54115 - HLTENN007
Another patient you are looking after is Mr Larson, a 58 years old man. He was recently diagnosed with type 2 Diabetes Mellitus. His past history includes hypercholesteremia,
Hypertension, BMI 35, smoker 20 cigarettes per day, social drinker he especially likes sweet wine and beer.
Enjoys playing cricket on the weekend.
His BGL levels are very high last reading 25mmoll. The doctor started him on oral hypoglycaemic Metformin 1000 mg BD orally.
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