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Southern Cross University *
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2001
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Medicine
Date
Jan 9, 2024
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docx
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Uploaded by BrigadierScience7839
HLTENN07 Administer and monitor medicines and intravenous medication Part 1 of 2 Questioning 1.
B) What are the legislation requirements that an EN should be aware of for endorsement of scheduled medicines? (Short response) Answer:
Enrolled nurses must adhere to professional standards established by the Nursing and Midwifery Board of Australia and incorporated in other legislation. They must follow applicable state, territory, or Commonwealth legislation and regulations on the monitoring of adverse events related to pharmaceutical incidents, as well as the marketing of therapeutic goods, including scheduled medicines. Nurses should be aware about the legislation of a state about the drugs and poisons as well as policies and procedures of the organisation. They should keep themselves updated of the guidelines issued by health department.
2.
Visual Infusion Phlebitis Score use with an example. Answer: The advent of the visual infusion phlebitis (VIP) scoring tool for assessing early indications of phlebitis, as well as quick removal of peripheral intravenous cannulas, has been very effective in lowering the incidence below the tolerable rate of 5%. However, accomplishing this goal requires rigors adherence to cannula insertion, documentation, and VIP tool assessment criteria (
Tzolos & Salawu, 2014).
5.
Describe briefly the systems or strategies that the Standard requires healthcare providers to implement and maintain, to help prevent infections, and the spread of antimicrobial resistance Answer:
Hand hygiene
Aseptic technique
Use of invasive medical devices
Workforce immunisation and environmental cleaning
Use of personal protective equipment
Cleaning, and appropriate handling and disposal of sharps
6.
Many healthcare-associated infections are preventable. Name four (4) infection prevention and control practices that are recognized in The Preventing and Controlling Healthcare-Associated Infection Standard as an essential part of an effective response to
infection control and antimicrobial resistance.
Answer:
Procedures and policies for infection control
All workers and patients must practise proper and frequent hand hygiene.
maintaining the cleanliness of the hospital environment and equipment
When performing surgery, caring for wounds, or inserting and caring for medical equipment such as intravenous cannulas and urine catheters, adhere to established sterile methods.
Antibiotics should be used correctly to prevent and treat infections.
10. Anaphylactic reaction
Answer: Anaphylaxis is a severe allergic reaction that can be life-threatening. It can happen seconds or minutes after someone have been exposed to anything a person is allergic to, such peanuts or bee stings ("Anaphylaxis - Symptoms and causes", 2021).
14. Capsules dosage – Stock required/Stock in hand x Volume
Drops dosage
– As prescribed by doctor or as per number of drops
Liquid medication Dosage
– Stock required/Stock in hand x Volume
Handling - Maintain hand hygiene, do not open before administering, use appropriate cups to measure the medication
Lotion and creams route
– Cutaneous, administered on the skin
Dosage –
sparingly
Ointments route
– Topically on various body surfaces
Dosage – sparingly/liberal
Patches route
– Administered topical
Dosage – given on the patch itself
Handling – Wear gloves before applying and clean the skin before administering
Powders dosage
– Sparingly
Route – Topically administered
Handling – apply with gloves on, apply on dry and clean skin
Wafers Dosage – mentioned on the package.
15. Acyclovir medicine group name – Antivirals
Captopril - The medicine group name is antihypertensive. Captopril is a medication that is used to treat high blood pressure (hypertension). High blood pressure can lead to strokes, heart attacks, and kidney disease. It's also used to treat heart failure, protect the kidneys from diabetes-related damage, and help people live longer after a heart attack ("Captopril Oral: Uses, Side Effects", n.d.).
Metformin
spelling of the medicine group – Hypoglycaemics
Maxolon
– It is an Antiemetic medicine. Metoclopramide is a drug that is used to treat nausea and vomiting. Metoclopramide is frequently administered when the illness is caused by a surgical procedure, a migraine headache, or radiotherapy or cancer medications. It works by speeding up the passage of food from your stomach through your digestive system
(Stewart, 2019).
Prozac group name – Antianxiety
Lanoxin
group name – The medicine group name is antiarrhythmics
Myleran group name - Antineoplastic or cytotoxic
Nitrostat
group name - Antianginal Zoloft – Zoloft comes in medicine group of antidepressants. It is used to treat some types of depression, premenstrual dysphoric disorder, social anxiety disorder, obsessive-compulsive disorder, panic disorder, and post-traumatic stress disorder.
16. IM sites
part B- name the muscle – Gluteal muscle S/C-
review part D - Upper scapula 17. Explain Z-tract method of medications administered by injection and when the Z- tracking method would be recommended and why (medium response) Answer - The Z-tract method is an IM injection technique that is used to prevent medicine leaks in the subcutaneous skin. The ideal technique to give this injection is to pull the skin taut and firmly keep it in place while inserting the needle. This method is suitable for IM injections in adults since it prevents medicine leaking and causes less skin irritation.
20. review part 2 - Add more observations Answer: Inspect it frequently - Inspect facial skin, check vital signs – such as Pulse, SpO2, respiration rate, temperature.
21. review and add Answer: You will detect and document which medications have been missed in accordance with policy and procedures. Keep an eye on any negative effects. Notify your doctor and nurse practitioner.
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References
Anaphylaxis - Symptoms and causes
. Mayo Clinic. (2021). Retrieved 25 May 2022, from https://www.mayoclinic.org/diseases-conditions/anaphylaxis/symptoms-
causes/syc-20351468
.
Captopril Oral: Uses, Side Effects
. Webmd.com. Retrieved 25 May 2022, from https://www.webmd.com/drugs/2/drug-964/captopril-oral/details.
Stewart, M. (2019).
Metoclopramide (Maxolon)
. Patient.info. Retrieved 25 May 2022,
from https://patient.info/medicine/metoclopramide-maxolon.
Tzolos, E., & Salawu, A. (2014). Improving the frequency of visual infusion phlebitis (VIP) scoring on an oncology ward.
BMJ quality improvement reports
,
3
(1), u205455.w2364. https://doi.org/10.1136/bmjquality.u205455.w2364