Assessment item 1 - Written Case Study

Assessment item 1 - Written Case Study

Value: 50%

Length: 2100

Group Assessment: No

Written Case Study

You are a Registered Nurse working in a rural hospital when a young farmer Mr James Sonnet arrives. He has driven himself to the hospital after being stung by a bee in a nearby paddock. He complains of difficulty breathing and a tingling feeling on his face. You immediately notice that there is swelling in his lips and tongue, and that he is breathing with difficulty- he has a wheeze, and he is only able to say one word at a time. The resident doctor arrives and orders 0.5mg of Adrenaline IM. Mr James Sonnet will be discharged with an EpiPen (Adrenaline 300mcg/ 0.3mls).

This assessment item required you to discuss the medication from the case study above in relation to the below:

1. Briefly outline the pathophysiology of this condition (anaphylaxis)

(approx 300 words)

2. Describe the pharmacodynamics of this medicine including the desired action and undesired actions. You need to discuss the molecular, biochemical, and physiological effects of drugs in relation to this patient.

(approx 400 words)

3. Describe the pharmacokinetics of this medicine. You need to include the time course of its absorption, bioavailability, distribution, metabolism, and excretion. This needs to be related to this case study.

(approx 400 words)

4. Discuss nursing considerations in regard to this medicine related to this case study. For example:

Most appropriate route with rationale

Which Adrenaline (1:1000, or 1:10000) would be most appropriate with rationale

Overdose signs and symptoms and treatment

Monitoring required

Nurse initiated situations

(approx 400 words)

5. Discuss relevant patient education that you would give this patient in regards to his discharge medicine and the presenting condition. For example:

How/ when to take the medication

Side effects he may feel when taking the medicine

What happens if he takes the medicine without needing it

Suggestions on how to avoid/ manage another anaphylactic reaction

How to store the medicine

Any legal and ethical aspects

(approx 600 words)

PRESENTATION

Requirements include:

Leave 2 cm margins and double line space your work; Use 12pt font, unless otherwise indicated; Number all pages; A required wordcount of 2100 words +/- 10%

Use headings for each section.

In text referencing is counted in word count, the reference list is not counted in the

word count.

Submit as a 'Word Document'