Mr. John Smith Case Study - Anatomy and Physiology Case Study

Learning Outcomes :
1. conduct a comprehensive assessment of a person with conditions of the cardiovascular system and interpret health information in order to plan, implement and evaluate holistic, person-centred nursing care;
2. demonstrate evidence based clinical reasoning during theoretical and clinical learning to respond appropriately to situations within scope of practice;
3. apply an understanding of the cardiovascular system including related anatomy and physiology, pathophysiology, diagnostics, pharmacokinetics, pharmacodynamics, the quality use of medicines and complementary therapies to provide safe and effective nursing care to people with conditions of these systems;
4. integrate and apply principles of effective communication, ethical and legal practice within a team approach to person centred care;
5. demonstrate reflective practice;

Task

• You will be required to demonstrate theoretical understanding of administration of an IV medication.
• Read the case study below and answer the 4 questions below.
• See the marking rubrics for how this will be graded and what details will need to be included.
• This is an essay, the word count is 1000 words, try to limit your introduction and conclusion to 200 words. This will leave you 800 words to respond the question. Divide the word count up between the questions using the marks for each question to guide you (if a question is worth more marks, allocate it more word count).
•  You should complete lesson 6 online for IV medication administration prior to attempting this assessment.

Questions:
1. Critically discuss validation of a medication order for the medication order below.
2. Discuss the therapeutic interaction of the medication charted and the Indication for its use in relation to the case study below.
3. Critically discuss how to correctly administration the IV medication via a push. Your discussion should cover all three checks of the medication and how they were checked.
4. Discuss documentation of medications. Your discussion should include, where to document, how to document and what to document.
 

Case study
 Mr John Smith, 72 year old male, was admitted to the hospital via the emergency department last evening. He has a history of productive cough for 3 days, temperature 38.3, hot and cold flushes, tired and lethargic. He is talking in phrases and has an increased work of breathing. Sputum sample was taken- green- and sent to pathology for analysis. Pathology has been attended including blood cultures. He has been seen By Dr Alpi and was admitted to the medical ward with possible pneumonia. IV antibiotics have been charted as per the medication chart below. Mr. Smith has an IV cannula in his left wrist with IV fluids (sodium chloride 9%) running over 8 hours.