Question 6 Identify 6 actions that you may be required to do if you make a medication error .

Question 6

Identify 6 actions that you may be required to do if you make a medication error

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Case Study 1: Anaphylaxis

You answer Mr Brown's buzzer and when you enter his room he is obviously distressed and is thrashing around on his bed. He complains of difficulty breathing and has an audible stridor (high pitched wheezing sound). You know that he commenced his first dose of intravenous penicillin 10 minutes ago via an infusion pump. You suspect that Mr Brown is having an anaphylactic reaction. 

1.           What is anaphylaxis? In your answer, please outline the pathophysiology of anaphylaxis and list five (5) common agents that may trigger anaphylaxis (min 100 words).

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2.           Adrenaline 1:1000 via intramuscular injection is the drug of choice for treating anaphylaxis. What is this drug's mechanism of action and how does it treat the signs and symptoms of anaphylaxis? Why is it preferably given by intramuscular injection? (Min 100 words)

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3.          Describe your role as an EN responding to Mr B's nurse call bell. Include in your answer,

·                  Your immediate priorities (remember he has a IV)

·                  Follow-up assessments you as the EN may do over the next 15 mins (name at least 4)

·                  Who would you consult with throughout this event

·                  What would you need to document?

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.Case Study 2: Blood Transfusion

Mrs Jones is a 78-year-old lady, who has arrived via the emergency department on Sunday 0800 after falling at home and fracturing her femur, on admission IV therapy was commenced at 1000mls over 12hrs. She is scheduled for surgery on Monday morning. Pathology indicated that her haemoglobin level was 9.7g/dL, and she has been prescribed a transfusion of 2 units of packed red blood cells (PRBC). You assist the RN in preparing for Mrs Jones' transfusion.

1.        Explain the rationale for administering a blood transfusion to this patient. (Min 50 words)

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2.        Describe the potential complications of blood transfusion including what you would do if the patient experienced a potential delayed reaction (min 50 words)

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3.        What education would you provide to Mrs Jones to increase her awareness of the symptoms of a transfusion reaction? (Min 50 words)

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4.        Describe how to transport store, handle check and dispose of blood and blood products safely. (Min 50 words)