- Please download the template. Answer all questions directly onto the document. Rename the document and submit.
- 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 limitwill 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 bein 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.
- Refer to drugs using their Australian generic name.
RMIT Classification: Trusted RMIT Classification: Trusted ONPS2648 Semester 1 2021 SAQ ASSESSMENT TASKRMIT Classification: Trusted PROGRAM Bachelor of Nursing COURSE ONPS2648 Therapeutics for Nursing 2 ASSESSMENT DETAILS End of Semester short answer and case studies (30%) COURSE CORDINATOR Chris Martin ASSESMENT DATES The Assignment Information & Turnitin will Open at 09:00 on Mon 31st May The Assignment Information & Turnitin will Close at 21:00 on Sat 5th June ASSESSMENT WORD COUNT Each study has a separate maximum word count INSTRUCTIONS TO STUDENTS: 1. Answer all questions in the boxes provided on the following pages. The boxes will expand as you type. 2. 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. 3. 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. 4. All responses will be submitted to Turnitin. 5. Multiple submissions to Turnitin and editing will not be permitted. 6. 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. 7. You do not need to include in-text referencing or a reference list 8. Medical/scientific/nursing terminology and adherence to an academic writing style is expected. 9. Please Type your Answer Response directly into the boxes provided on the following pages. There is a separate box for each response. Student name Student number Question 1: 150 Words maximum Raul Cornelius is a 62 year old who was admitted for review due to increasingly painful diabetic neuropathy. Past medical history: CVA 5 years ago, major gastrointestinal haemorrhage from a gastric ulcer 2 years ago, fractured femur 5 years ago, Ischaemic Heart Disease, On admission he described the pain as a burning sensation in his feet (slightly worse in the left foot). The pain fluctuates throughout the day and currently rates it as 8 out of 10. The prescriber orders 2 Paracetamol 500mg/Codeine 30mg tablets every 6 hours and Diclofenac 25mg BD – you administer these tablets to Raul. You review Raul 30 minutes later and he now rates his pain at 7 out of 10. Was this an appropriate order? Provide rationale for your answer. How might the drug order be improved? Provide rationale for your answer and medication suggestions (dose and frequency not required) if you think it necessary. Answer: Question 2: 150 Words maximum Mr Kaur is an 47 year old who was diagnosed with type 2 diabetes 10 years ago. He was started on Metformin when diagnosed and is now taking the maximum dose recommended dose. He has had a blood test to measure his C-peptide levels (this gives an indirect measure of insulin secretion). His Beta cell mass has decreased over the last few years, and his bloods show that his insulin secretion is now minimal. His prescriber is considering starting Mr Kaur on either Glipizde (orally) or Insulin Mixtard 30/70 (subcut). Which of these would be a better choice? Explain the reason for your decision. Answer: Question 3: 300 Words maximum Mrs Al Rezi returned to the ward 1 hour ago following a Left sided total knee replacement. She has received 10 mg of morphine 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, O2 sats are 92% and her respirations are 8. Describe what actions you would take and medications, if any, you anticipate administering - provide rationale. Answer: Question 4: 150 Words maximum Miss Dress (82 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: Alzheimer’s disease, Congestive Heart Failure (CHF), mild renal impairment, hypertension, type 2 diabetes. Her medications are: Enalapril 10mg daily, Metformin 1g BD, Risperidone 0.25mg to 0.5mg prn (max dose in 24 hours/0.5mg), Paracetamol 1g prn (max dose 4g in 24 hours). She has been given her regular medications but has received no prn doses since admission. Miss Dress is distressed and is wandering the ward asking various relatives how she can get home. How would you manage this situation? What, if any, medications would you consider administering? Provide rationale for your answer. Answer: Question 5: 300 Words maximum You are working closely with your preceptor while on placement. You are allocated the following patient: Monique Gretzky is 41 and recently started taking Warfarin following insertion of a mechanical heart valve. She will need to be on this medication for life. She is very concerned about starting this drug and wants to discuss her concerns. Her main concerns are: a. Her friend was on Warfarin and lost a lot of blood after she had a tooth extracted. The dentist had to send her in an ambulance to the emergency department. b. She is concerned that there will be certain foods she can no longer eat. c. She wants to know why the Warfarin dose isn’t the same all the time and why she needs to have blood test so often. This isn’t the case with any other drugs she has taken previously. d. She wants to know why she needs to let her local pharmacist know if she starts taking any new drugs. e. She doesn’t even really understand why she needs to take Warfarin anyway. Your preceptor wants to establish your level of understanding about Warfarin, so during a debrief session he asks you to explain your understanding of each of Monique’s concerns. Answer: Question 6: 150 Words maximum Explain why some drug doses are different when given IV rather than orally. Why does this this differ between drugs? Answer: Question 7: 100 Words maximum Yusuf Martel was started on Fluoxetine 1 week ago by his GP for a major depressive episode. He has returned to the medical centre and you are having a private conversation with him. He tells you that he wants to stop taking the drug as he doesn’t feel any better. He has also found it difficult to sleep, has a headache and feels nauseous sometimes. What advice would you give to Yusuf? Answer: Question 8: 200 Words maximum Anker De Marino is 72 years old. He was admitted following an exacerbation of his Chronic Obstructive Pulmonary Disease (COPD). His past medical history is: COPD, smoker since age 24, occasional gout, Transient Ischaemic Attack 2 years ago, hypercholesterolaemia, Ischaemic heart disease. He has been commenced on 6 hourly IV antibiotics which have recently been given, arterial blood gases were taken on admission which indicated that Anker is a CO2 retainer. He is now due a nebuliser of Salbutamol and Ipratropium. Your preceptor is going to assist you administer this to Anker. No nebuliser machines are currently available so you will need to attach the nebuliser tubing to the piped gas on the wall. Your preceptor asks you whether you will use oxygen or air to drive the nebuliser. Explain which you would use and provide rationale. Answer: THIS COMPLETES YOUR ASSESSMENT TASK.