HLTEN519C Administer and Monitor Intravenous Medication

Added on - 29 Apr 2020

  • HLTEN519C

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ADMINISTER AND MONITOR INTRAVENEOUS MEDICATION NURSINGENVIRONMENT 1Administer and monitor intravenous medication in the nursing environmentNameInstitution
ADMINISTER AND MONITOR INTRAVENEOUS MEDICATION NURSINGENVIRONMENT 2IV case study (relates to Questions 1-8)Mr George Stanford is a 60yr old gentleman who was admitted to the surgical ward you areworking on, Mr Stanford has just returned from theatre at 12pm following a right anteriorcruciate ligament (ACL) reconstruction. Post operatively - Mr Stanford's doctor has orderedintravenous fluids of Hartman's solution 1000mls over 8 hrs with a drop factor of 20, MrStanford also has a patient controlled analgesia (PCA) pump of 100mgs of morphine in100mls of normal saline (concentration of 1mg/ml) set to deliver 1mg / dose when MrStanford presses the patient controller, there is a lockout interval of 5minutes.(Mr Stanford is a keen motorcycle enthusiast and while working on his motorbike recentlyexperienced a ACL tear to his right knee when attempting to rescue the motorbike from fallingover.)Please answer the following questions 1-8 in relation to the above scenarioQ1a.In an anterior cruciate ligament injury, Mr. Stanford could have lost a lot of blood causingthe reduction of the hemoglobin cells (Zink, 2009). To reduce the impact of the tear, thena unit of PRBC would be necessary to increase the volume of his blood.b.Blood transfusion has a lot of side effects to the patient including fever, allergic reactions,breath shortness, dark urine, back pain and many more.c.Before transfusion, the nurse must conduct a physical assessment of the patient to predictfuture reactions and record the findings. She also needs to gather all the necessaryequipment like oxygen, hypersensitive kit and saline solution (Zink, 2009). It is also
ADMINISTER AND MONITOR INTRAVENEOUS MEDICATION NURSINGENVIRONMENT 2necessary to crosscheck the identification details of the patient to ensure that they get theappropriate product.Q2.a)100/8 = 12.5mls/hrThedrops/min rateof Mr Stanford’s IV?20drops/5mins = 4drops/min rateb)Isotonic: Isotonic are the kinds of solutions that contain similar osmotic pressure andequal water and solutes concentration (Hoste, 2014). An example is saline solution.Hypertonic: A solution with greater concentration or higher osmotic pressure on theoutside membrane than on the inside is called hypertonic solution (Hoste, 2014). Anexample is sodium dextrose.Hypotonic: Hypotonic solution is one whose concentration on the inside cells is higherthan the outside membranes. Example of hypotonic solution is Sodium Chloride (Hoste,2014).Q3.a)The best immediate action for a patient with dyspnoea is to provide them withsupplementary oxygen as the main agenda is to help them breath. The follow upreports should be to examine the extents of the condition and the frequency of itsoccurrence (Lohmander, 2007).
ADMINISTER AND MONITOR INTRAVENEOUS MEDICATION NURSINGENVIRONMENT 2b)Fluid overload, also known as Hypervolemia can be characterised by evident signslike swelling of the face, wrists, feet and ankles. Stomach bloating, headaches andbreath shortness are also other signs and symptoms.Q4a)Frusemide IV is a medication administ6ered to paediatrics and adult patients intreatment of liver disease, heart failure and many others (Marais, 2009). However inthis case it was for the treatment of edema/ fluid overload diagnosed in Mr. Stanford.b)Frusemide IV falls under the Antihypertensive medication groupc)Yes. As an endorsed nurse, I would give the medication because it is in my expertiseto do so as long as it is done under the instruction of a doctor or registered nurse.d)Some of the side effects ofFrusemide IV include appetite loss, itching, nausea, darkurine, hearing loss and many others (Marais, 2009).e)A nurse in this case should advice the patients on the dos and don’ts after the use ofthe medication to reduce the impact of side effects that might come with the use ofFrusemide IV.f)The laboratory expertise and doctor in charge are responsible for the whole procedureinvolving the medication (Marais, 2009).g)Administration document including the dosage, timing and the things to avoid duringthe medication is important.
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