5. a) Identify the nine (9) essential prescribing requirements of

5. a) Identify the nine (9) essential prescribing requirements of a legal medication order. b) Describe the nine (9) essential prescribing requirements of a legal medication order. a) Prescription requirement b) Description 6. a) Identify the five (5) essential “rights” for medication administration as per the National Inpatient Medication Chart (NIMC) user guide. b) Describe the five (5) essential “rights” for medication administration as per the National Inpatient Medication Chart (NIMC) user guide a) Identify b) Describe 7. Many health facility now have additional “rights” when administering medications. Provide a description for each of the additional “rights” in the table. Rights Description Right prescription / documentation/ form Right expiration date Right to refuse Right response from patient 8. Outline the importance of documenting height and weight in terms of risks addressed, on the National Inpatient Medication Chart (NIMC). 9. Outline the importance of documenting allergies and adverse drug reactions (ADRs) on the NIMC. 10. Provide a definition for each of the following in relation to their effects on medication. Pharmacology of Medication Definition Pharmacodynamics Pharmacokinetics Pharmacotherapeutics Therapeutic drug levels Anaphylactic reactions Adverse drug reaction Drug contraindication Precautions Side effects   11. In the table provided below, the drug group and a generic drug name that relates to the group has been provided. • Briefly identify what each medication does to the body • Identify two (2) adverse effects for each medication Drug group Generic Drug Name Answer the following 2 questions for each drug group/name a) Identify what the medication does to the body (indications) b) Identify two (2) adverse effects specific to the medication. General Anaesthetic Midazolam Solution for injection Local Anaesthetic Ropivacaine hydrochloride Analgesia Panadol tablets Antacid Omeprazole magnesium tablets Antianginal Metoprolol tablets Anxiolytic OR Antianxiety Drugs Diazepam tablets Antiarrhythmic Or Antidysrhythmic drugs Amiodarone hydrochloride tablets Verapamil hydrochloride tablets Antibiotic Antiinfective Amoxicillin tablets Anticholinergic Ipratropium bromide – nebulizer Anticoagulants Enoxaparin sodium – injection Anticonvulsants Pregabalin tablet Antidepressants Amitriptyline hydrochloride tablets   Antidiarrhoeals Loperamide hydrochloride tablets Antiemetics Metoclopramide hydrochloride tablets Antifungals Itraconazole tablets Antihistamines Promethazine tablets Antihypertensives Nifedipine tablet Non-steroidal Anti-inflammatory Ibuprofen tablet   Antineoplastics Everolimus tablets Antiparkinsonian Levodopa – Carbidopa tablets Antipruritic Emulsifying wax – Paraffin, white soft – Paraffin, liquid Antipsychotics Aripiprazole tablets Antiseptics Chlorhexidine acetate Antiulcer Zantac Antivirals Oseltamivir   Hormones (thyroid) Estradiol – Drospirenone Hypnotics, sedatives Temazepam Hypoglycaemics Glimepiride Insulin Insulin aspart Beta-blockers Metoprolol Benzodiazepines Clonazepam Bronchodilators Salbutamol   Electrolyte solutions Potassium chloride – Sodium chloride Infusion Laxatives/aperients Lactulose Ophthalmic Chloramphenicol Otic Benzocaine – Phenazone Nasal medicine – nasopharyngeal medicine Budesonide Contraceptives Levonorgestrel – Ethinyloestradiol Corticosteroids Prednisone Diuretics Furosemide (frusemide)   Narcotic analgesia Morphine sulfate pentahydrate Vitamins Thiamine 14. a) State what each of the letters stand for in APINCHS b) Identify one (1) high risk drug for each letter A – H c) State what is required for S APINCHS What it stands for Example of a high-risk drug A P I N C H S What is required 18. Describe where each of the following intravascular access devices are inserted and identify what they are used for. Intravascular access devices Insertion and uses Centrally inserted catheters – non tunnelling catheters (e.g. CVCs, vas cath) Surgically placed tunnelled catheters (e.g., Hickman’s) Peripherally inserted central catheter (PICC) Implanted venous port What is a peripherally inserted intravenous catheter? 20. Using the Mosteller method of calculation, calculate the Body Surface Area (BSA) of Mrs Jones aged 65 who is 64kg and a height of 163cm 23. Identify three (3) actions you may take if there has been a medication error. 25. a) Within your scope of practice, identify five (5) nursing actions you may initiate to manage the suspected acute transfusion reaction in Omar. b) Why is it important to monitor vital signs during and after a blood transfusion? 26. Please answer the following questions in the table below in relation to blood storage, transport, checking and disposal. As an Enrolled Nurse – state the steps required to transport blood safely from a blood fridge to the patient. Include the following: • Checks required when removing blood • How the blood is handled • Transport method Identify the storage requirements for blood bags (Red cells) What would you do if the blood product you removed from the blood fridge is not given to the patient within 30mins What are the checks required for administration of blood at the bedside (please include all steps) Outline the steps you would take once the blood administration is completed You are on an afternoon shift and one of your patients is Mr Vol (45 years) who had an open cholecystectomy two days ago. He had his patient-controlled analgesia (PCA) of morphine discontinued at 0800hrs today. He rings the nurse call bell, and you answer it. When you ask how you can assist, Mr Vol states he is in a lot of pain. 29. a) Identify two (2) non-pharmacological pain-relieving therapies you can provide for Mr Vol while he is in hospital. b) Provide a rational for the two (2) non-pharmacological pain-relieving therapies you choose. 30. Identify two (2) ways you would be able to see if pain relief has been effective for Mr Vol. 33. Match the type of medication from the box below with the correct formulae for calculating the type of medication. Type of medication: Medications measured in units, Solid medications, Liquid medications, Volumetric pump rates are calculated in mL/hour or mL/min, Gravity feed IV delivery, IV infusion sets with a 20 drops/mL drip chamber. Type of medication Formulae for calculating medication Stock required ____________ x volume = Volume to be administered Stock Strength Stock required ____________ = amount to be administered Stock Strength Stock required ____________ x volume = Volume to be administered Stock Strength Volume to be infused drops per ml ____________ x ________ = rate drops / min Time (hours) Min Volume to be infused ____________ = rate mL / hour Time (hours)

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