Purpose of assessment task: Nurses have an active role in medication management, including safe administration practices, knowledge of risks such as medication errors, adverse effects and drug interactions. This assessment tasks provides you with the opportunity to apply your knowledge of common medications to a typical patient case study.
It is 0730hrs on the 2nd of September, 2018. Mr Laurent, aged 68 years, has just been transferred to the medical unit from the Emergency Department where he was admitted overnight with breathlessness, fatigue and an expiratory wheeze. Two weeks ago, Mr Laurent was prescribed a seven day course of oral antibiotics for a chest infection. Mr Laurent has a past medical history of hypertension, type 2 diabetes and dyslipidaemia. He states that he occasionally takes Ventolin for asthma. Mr Laurent is 182cm tall and weighs 92kg. Mr Laurent has been admitted to hospital for intravenous (IV) hydration, antibiotics, hydrocortisone and assistance with his activities of daily living.
Mr Laurent’s vital signs on admission to the ward: Temperature: 39.10C Heart rate: 112bpm regular Respiratory rate: 29 breaths/min Blood pressure: 105/70 mmHg Oxygen saturation: 91% on RA Urea and creatinine blood test results: Urea: 9.2mmol/L (Normal range: 2.5 – 8.5 mmol/L) Creatinine: 150umol/L (Normal range male: 60 – 110 umol/L)
Q1a. Assess Mr Laurent’s medication chart and identify and explain two (2) significant risks that may be associated with the use of these medicines. (Approximately 400 words)