Mrs Smith has been admitted to your ward after been brought into hospital by ambulance. She.lives alone and was found on the floor by her neighbors.

Mrs Smith has been admitted to your ward after been brought into hospital by ambulance. She.lives alone and was found on the floor by her neighbors.

She states that she got up during the night to go to the toilet, as she is on fluid tablets and felt light-headed and dizzy causing her to trip on the bed side table and fall.
Her admission data shows a history of Cardiac Failure, Hypertension and Osteoarthritis. She has also been diagnosed with a fracture to her femur from the fall that will require surgical repair.
The oral medications that she was on prior to her admission are as follows;
Lanoxin PG 62.5mcg one tablet mane
Frusemide 40mg one tablet daily
Span K 600mg 2 tablet TDS p.C.
Atenolol 25mg daily
Celebrex 100mg SD
What are these medications the treatment for and what are the adverse reactions of each. Would any of these medications cause Mrs Smith to feel dizzy and light-headed?
When administering these medications to her, what safety precautions would you follow before giving her the drugs?
Mrs Smith has been taking her Frusemide tablet in the evening. What advice would you give her about doing this?
After surgery, Mrs Smith returns to the ward with peripheral intravenous therapy. Why would she have been commenced on this and what risks and complications would you be observing her for in relation to this therapy?
The doctors order for this is I.V. therapy is 1 litre of 4% Dextrose/ 1/5 Sodium Chloride to run over 8 hours. Calculate the millilitres required per hour and with a 20 drop/millilitre drop factor administration set, calculate the drops per minute required if you do not have an infusion pump to administer the therapy.
Mrs Smith has a p.r.n. medication order of Pethidine 75mg q4h IMI for her pain relief. She has previously been given a dose with no adverse reactions; however the policy of the facility that you work for states that only RNs can administer controlled drugs. It has been 5 hours since Mrs Smith had any pain relief and she is complaining of pain in her hip. Can you administer this medication?
What observations did you need to assess her pain, and after the medication was administered what were you monitoring her for? How did you evaluate to see if the treatment is effective? What other interventions might you try or suggest to Mrs Smith to help reduce her pain.

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HLT51607 Diploma of nursing (Enrolled/Division 2 nursing) CASE STUDY
2000 words
Administer and monitor medications in the work invironment
I. Discuss the oral medications and their adverse drug reactions.
II. Outline if any of these medications would cause dizziness and or light­headedness.
iii. Discuss the safety precautions when administering oral medications.
IV. Explain to Mrs Smith all about how and when to administer the Frusemide tablets.
V. Explain all about intravenous therapy, why its beneficial and the complications
involved.
VI. Show calculations formula and setting out.
VII. Explain why or why not you would administer pain relief to Mrs Smith.
VIII.Outline the observations you would perform to assess Mrs Smiths pain and explain
how you would evaluate if the pain medication is effective or not.
VillI. Discuss other alternative pain relief methods to Mrs Smith.

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