| PROGRAM | Bachelor of Nursing |
| COURSE | ONPS2648 Therapeutics for Nursing 2 |
| ASSESSMENT DETAILS | End of Semester case studies (30%) |
| COURSE CORDINATOR | |
| ASSESMENT DATES | The Assignment Information & Turnitin will Open at 09:00 on Mon 16th May The Assignment Information & Turnitin will Close at 21:00 on Mon 23rd May |
| ASSESSMENT WORD COUNT | Each study has a separate maximum word count |
| INSTRUCTIONS TO STUDENTS: | |
| Please answer all questions in the boxes provided on the following pages. Please adhere to word limits. Word limits are provided to ensure that you determine the most relevant information in the answer. Answers beyond the word limit will not be marked. The purpose of this assessment is for you to demonstrate your ability to apply the knowledge you have acquired from this course to the case scenarios provided. Do not copy and paste answers from other sources, the answer should be in your own words. All responses will be submitted to Turnitin. Multiple submissions to Turnitin and editing will not be permitted. Do not copy any text in your answers, this is plagiarism. You must be able to interpret and apply information to answer these questions. All responses must be in your own words. Do not repeat the question in your answer. You do not need to include in-text referencing or a reference list Medical/scientific/nursing terminology and adherence to an academic writing style is expected. Please Type your Answer Response directly into the boxes provided on the following pages. There is a separate box for each response and the required Word Count is included. Save the document with your name and student number as the file name Eg: John Smith s382738. Doc/docx/pdf |
| Student name | |
| Student number |
| Question 1: 250 Words maximum |
| Mr Jones is a 59-year-old man who was admitted 4 days ago following a motorcycle accident. He sustained a fractured R tibia and fibula. He underwent external fixation of the fracture 3 days ago. This morning he was complaining of some shortness of breath and chest pain. A 12 lead ECG showed non-specific ST segment and T wave changes, vital signs were Pulse: 110, B/P: 100/60, resp: 24, SaO2: 92. V/Q scan indicated pulmonary embolism. Past medical history: type 2 diabetes, peripheral vascular disease and impaired renal function GFR 60ml/min. He smokes 1 pack per day, but says he is going to give it up. Normally does little exercise and weighs 89kg. He has been commenced on Dalteparin 200 U/kg/day. Discuss the rationale for commencing Dalteparin and outline the mechanism of action and nursing care required while on this drug |
| Answer: |
| Question 2: 250 Words maximum |
| Mr Nguyen is an overweight 40 year old who has recently been diagnosed with type 2 diabetes. He has been started on Metformin but has been complaining of diarrhoea, some abdominal pain and loss of appetite. He continues to work as a taxi driver and often works the night shift as he has young school aged children. His HbA1c is 8%. The medical staff are considering adding Exenatide to his medication regime. Outline the mode of action of Metformin and Exenatide and why these drugs may be prescribed together. Describe factors to be considered when administering each of these drugs. |
| Answer: |
| Question 3: 300 Words maximum |
| Mrs Alensi returned to the ward 1 hour ago following a Left sided total knee replacement. She has a morphine infusion running at 1mg/hour for pain relief. 30 minutes ago her BP was 115/75 and her respirations were 16. You have just checked again and now her BP is 85/55 and her respirations are 10. Describe what actions you would take and medications you anticipate administering and provide rationale. |
| Answer: |
| Question 4: 150 Words maximum |
| Miss Josepovic (80 year old) was admitted yesterday following a fall at home. She did not sustain any serious injury but has been kept in for monitoring, medication review and further investigations. Her past medical history is:, Congestive Heart Failure (CHF), mild renal impairment, hypertension, type 2 diabetes. Since admission she has been diagnosed with Atrial Fibrillation (AF) Her medications are: Enalapril 10mg daily, Metformin 1g BD, Paracetamol 1g prn (max dose 4g in 24hors). She has commenced Dabigatran 150mg BD, Metoprolol 50mg BD. Outline the mechanism of action of Dabigatran and Metoprolol and explain the rationale for commencing Miss Josepovic on these drugs. |
| Answer: |
| Question 5: 200 Words maximum |
| Ward 8E is a rehabilitation unit with 25 beds. In order to encourage independence all patients eat their breakfast in a communal dining area. The very small medication room is situated at the other end of the ward and is approximately 30 metres from the dining area – all patient medications are kept here. The ward will be introducing an electronic drug chart next year, but currently paper based charts are still used and are kept at the end of each patient’s bed. Patients are dispensed their morning medications while they eat breakfast in the dining room. Describe how medication errors may occur from this arrangement. |
| Answer: |
| THIS COMPLETES YOUR ASSESSMENT TASK. |
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