You are a Registered Nurse working in a rural hospital

You are a Registered Nurse working in a rural hospital when an 18-year-old shearer, Shannon Thompson arrives. Shannon has driven to the hospital after being stung by a bee at a nearby sheep station. · Subjective data: complains of difficulty breathing and a tingling feeling to the face. · Objective data: You immediately notice that there is swelling to the lips and eyes, and that Shannon has noisy breathing. You are concerned that this presentation may be an anaphylactic reaction to the bee sting. You activate a MET call, gather the arrest trolley, and ask the student nurse working with you to continue with the assessment. – Airway- compromised with a partial obstruction due to swelling. – Breathing- SOB, can only speak one word at a time, high-pitched noisy breathing, using accessory muscle to breathe, RR 22. SpO2 92% – Circulation- BP 80/40, HR 120bpm The resident doctor arrives within 2 minutes and orders 0.5mg of Adrenaline IM stat. The treatment corrects the condition. Shannon remains in hospital until the next morning for monitoring with no further issues. Discharge Orders: Shannon is diagnosed with an allergy to bee stings and is to be discharged with an EpiPen (Adrenaline 300mcg/ 0.3mls). Describe nursing considerations in regard to this medicine related to this case study Below are some examples of nursing considerations that you could discuss: Indications Contraindications Relevant drug interactions Potential risks to the patient Any monitoring required The management of any potential risks When this medication should be taken Usual dose Any other considerations Formulate a patient education plan that you would give this patient regarding their medicine. The patient education section is to be based on Shannon’s discharge medication-EpiPen 300mg/0.3mls Below are some topics that you could give patient education strategies for: How to store the medication How/when to take the medication How much medication should be taken. Immediate and long-term potential side effects Interactions with drugs, food, or complementary therapy (if any) What should the patient do if they forget to take this medication, or take too much? What are the risk factors with the medication? Include the risk, the signs and symptoms if effected, and a treatment plan to correct it. Non- pharmaceutical therapies/ changes that the patient could incorporate as an adjunct. Any other advice Please provide 5 references within last 7 year

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