HLT54115 Diploma of Nursing
HLTENN007 – Administer and monitor medicines and intravenous therapy
Workplace Assessment Student Copy
Assessment Tool 3 and Assessment Tool 4
Workplace Skills Assessment
Assessors make professional judgements about the competence of the students to meet the requirements of the unit of study. This requires assessors to gather evidence that is:
· Valid- covers all the requirements of the unit of competency
· Sufficient- enables a decision about competency over time and in different contexts
· Current- competent performance is contemporary
· Authentic- is the students own work.
Assessment considers Professional Standards including the Australian Nursing and Midwifery Council Enrolled nurse competency standards and the Standards for Practice Enrolled Nurses, Code of Conduct and Code of Ethics. More information can be found at http://www.nursingmidwiferyboard.gov.au/
Workplace skills assessment is an integral component of learning and training. Embedded in the assessments are employability skills that are required by industry for this qualification. The Employability Skills described here are broad industry requirements that may vary depending on qualification packaging options.
Communication
- Listening to and understanding work instructions, directions and feedback
- Speaking clearly/directly to relay information
- Reading and interpreting workplace related documentation, such as safety requirements and work instructions
- Writing to address audience needs, such as work notes and reports
- Interpreting the needs of internal/ external clients from clear information
- Applying numeracy skills to workplace requirements involving measuring and counting
- Establishing and using networks
- Sharing information (eg. with other staff and clients)
- Negotiating responsively (eg. re own work role and/or conditions, possibly with clients)
- Persuading effectively (ie. within scope of own work role)
- Being appropriately assertive (eg. in relation to safe or ethical work practices and own work role)
- Empathising (eg. in relation to others)
Teamwork
- Working as an individual and a team member
- Working with diverse individuals and groups
- Applying knowledge of own role as part of a team
- Applying teamwork skills to a range of situations
- Identifying and utilising the strengths of other team members (and providing encouragements and support to colleagues)
- Giving feedback, coaching and mentoring
Problem Solving
- Developing practical and creative solutions to workplace problems (ie. within scope of own role)
- Showing independence and initiative in identifying problems (ie. within scope of own role)
- Solving problems individually or in teams (ie. within scope of own role)
- Applying a range of strategies in problem solving
- Using numeracy skills to solve problems (eg. time management, simple calculations, shift handover)
- Testing assumptions and taking context into account (ie. with an awareness of assumptions made and work context)
- Listening to and resolving concerns in relation to workplace issues
- Resolving client concerns relative to workplace responsibilities (ie. if role has direct client contact)
Initiative and Enterprise
- Adapting to new situations (ie. within scope of own role)
- Being creative in response to workplace challenges (ie. within relevant guidelines and protocols)
- Identifying opportunities that might not be obvious to others (ie. within a team or supervised work context, including identification of skill gaps)
- Generating a range of options in response to workplace matters
- Translating ideas into action (ie. within own work role)
- Developing innovative solutions (ie. within a team or supervised work context and within established guidelines)
Planning and Organising
- Collecting, analysing and organising information (ie. within scope of own role)
- Using organisational systems for planning and organising (ie. if applicable to own role)
- Being appropriately resourceful (ie. within scope of own role)
- Taking initiative and making decisions within workplace role (ie. within authorised limits)
- Participating in continuous improvement and planning processes (ie. within scope of own role)
- Working within clear work goals and deliverables
- Determining or applying required resources (ie. within scope of own role)
- Allocating people and other resources to tasks and workplace requirements (ie. within scope of own role)
- Managing time and priorities (ie. in relation to tasks required for own role)
- Adapting resource allocations to cope with contingencies (ie. if relevant to own role)
Self-management
- Being self-motivated (ie. in relation to requirements of own work role)
- Articulating own ideas and vision (ie. within a team or supervised work context)
- Balancing own ideas. values and vision with workplace values and requirements
- Monitoring and evaluating own performance (ie. within a team or supervised work context)
- Taking responsibility at the appropriate level
Learning
- Being open to learning new ideas and techniques
- Learning in a range of settings including informal learning
- Participating in ongoing learning
- Learning in order to accommodate change
- Learning new skills and techniques
- Taking responsibility for own learning (ie. within scope of own work role)
- Contributing to the learning of others (eg. by sharing information)
- Applying a range of learning approaches (ie. as provided)
- Participating in developing own learning plans (eg. as part of professional development)
Technology
- Using technology and related workplace equipment (ie. if within scope of own role)
- Using basic technology skills to organise data
- Adapting to new technology skill requirements (ie. within scope of own role)
- Applying WHS knowledge when using technology
- Applying technology as a management tool
The Workplace Assessment Task(s) include two sections
- Assessment Tool 3
- Third Party Report Assessment Tool 4
The Workplace Assessment Tasks are required to be completed by the workplace supervisor and/or assessor using the forms provided. It is the role of the assessor to clearly articulate the assessment process, contact the student and coordinate with the student and the workplace supervisor to plan this assessment.
An integrated or holistic approach to competency-based assessment has been adopted to include workplace skills assessment. The workplace supervisor and/or assessor is integral to the success of workplace training and assessment. The RTO is responsible for ensuring that the necessary training and assessment meets the required standard of the qualification. Workplace training supports students through a range of training that is formal and informal. The RTO is responsible for the final assessment of the required competencies of a qualification, which must be completed by a qualified assessor.
ASSESSMENT TOOL 3
Workplace Assessment Task
Student Name: | |||||||||||||
Organisation: |
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Workplace Supervisor Name: | |||||||||||||
Unit of Competency: | |||||||||||||
Name of Workplace: | |||||||||||||
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STAR | The STAR method is a structured approach of assessment in which the student describes a previous experience that demonstrates a specific competency. The acronym STAR
· Situation- describe the situation · Task- describe the strategy that was taken with the situation · Action – demonstrate and highlight the skills and knowledge · Result- student outcomes This is a universally recognised communication technique designed to enable students to provide meaningful and complete answers. |
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Situation or Task: | This assessment requires observation in the workplace. This unit of competency describes the skills and knowledge required of Enrolled/Division 2 nurses to administer and monitor medications and evaluate their effectiveness for clients within a health environment
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Action: | The following Workplace Assessment is used to document student’s competence in the workplace. The Workplace Supervisor and/or Assessor observes the student performing the task and provides feedback in the appropriate boxes.
Please sign, date and provide feedback on the Workplace Assessment Task Checklist. |
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Student
Outcome: |
Performance Evidence
The candidate must show evidence of the ability to complete tasks outlined in elements and performance criteria of this unit, manage tasks and manage contingencies in the context of the job role. There must be evidence that the candidate has:
Knowledge Evidence The candidate must be able to demonstrate essential knowledge required to effectively complete tasks outlined in elements and performance criteria of this unit, manage tasks and manage contingencies in the context of the work role. This includes knowledge of:
Assessment Conditions Skills must have been demonstrated in the workplace or in a simulated environment as specified in the performance evidence. The requirement of the performance evidence to calculate medication with 100% accuracy and used the ‘Rights of Medication’ to administer medication must be demonstrated using simulation before being demonstrated in the workplace and with members of the public. The following conditions must be met for this unit:
Assessors must satisfy the Standards for Registered Training Organisations (RTOs) 2015/AQTF mandatory competency requirements for assessors. In addition, assessors must hold current registration as a registered nurse with Nursing and Midwifery Board of Australia.
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ASSESSMENT TOOL 3
Workplace Assessment Task
Medication administration requires the nurse to focus on assessment of the client, understanding the legal and ethical requirements related to medication management and drug calculations. Students will demonstrate professionalism in the workplace setting following the Australian Nursing and Midwifery Council Competencies.
Question 1
The following websites may assist with this question http://www.safetyandquality.gov.au/wp-content/uploads/2012/10/Standard3_Oct_2012_WEB.pdf |
The NSQHS Standards (Medication Safety Standard 4) requires health service organisations to have mechanisms for the safe prescribing, dispensing, supplying, storing, manufacturing, compounding and monitoring of the effects of medicines. Access the organisations policies and procedures and discuss how the health service meets this Standard.
The health service are meeting this standards requirement for safe and effectual use of different medicines in each step of patient care by engaging different health professionals (health service owners, physician/ doctors, registered nurses, enrolled nurses, pharmacists and health managers) in managing the medication safety from prescribing to its effect monitoring. This is done by standardising the practices and reviewing the treatment decision, prescription and medicine order decision. Once review is done and is found satisfactory and correct, the medicine is issued from the storage area. The administration of drug and the effect and responses is monitored by the nurses and documented and reported to the prescribing doctor/ physician. The clinical governance helps in meeting this standard as it has proper review strategies, procedure and systems like audit are used to lower the risk of occurrences of medications error and incidents in prescribing, dispensing, issue and storing, manufacturing, compounding and monitoring. Thus, the health service organisation has modified the current practices and introduces system of evaluation and feedback and involvement of internal health care teams to meet the standard. The communication is well maintained among the carer, nursing staff and doctors about the known allergy to the patient to avoid medication error. Also, experienced and skilled clinicians such as medical practitioners and nurses who have required education are involved in medication administration and ensuring safety.
Question 2
The NSQHS Standards (Medication Safety Standard 4) requires that the clinical workforce accurately records a client’s medication history and this history is available throughout the episode of care. Access the organisations policies and procedures and discuss how the health service meets this Standard.
To meet this standard it can be discussed that completing and maintaining the patient medical history with all inclusive information is essential. Thus, health service organisation has developed a systematic and standardise procedure to collect and record an accurate medication history of the incoming patients for managing the safe medication. This includes collection and recording information from the patient or from the carer in a face to face interview about the patient current medications, complementary medicines, over the counter medicines, recently stopped medication, allergies, drug reactions, previous illness, treatment plan and durations. The medical history are stored in an electronic medical record of the patient as well as in medication management form, and clinical patient record which is accessible to all clinicians for the continuity of safe medication management on admission, in handing over care duties to other clinicians and in handing over discharge. Also, the health service follows a system of transfer of verified information from one care episode to another in order to reduce any error arising from inaccurate or incomplete medical information. Thus, a systematic process needs to be in place for medication history collecting, recording and understanding in different care episodes at admission, during internal care transfer and at discharge to meet this standard.
Question 3
The NSQHS Standards (Medication Safety Standard 4) requires that the clinical workforce is supported for the prescribing, dispensing, administering, storing, manufacturing, compounding and monitoring of medicines. Access the organisations policies and procedures and discuss how the health service meets this Standard.
The healthcare service meets this standard through gaining collaboration from multiple disciplines and partnership among the health service owners, physician/doctors, patients, carers and clinician as the management of medication safety is a complex process. The health service organisation provides support to the clinical workforce by the deployment of the information systems like mobile applications and desktops and decision support tools (for treatment decisions) and tools for developing the medication management plan for each patient to prevent medication errors. The resources for decision support and other tools like therapeutic guidelines, prescribes organisation practices and procedures, medicines information reference texts, medication charts and dosing calculators are made available for the clinical workforce for guidance and knowledge enhancement for decision making, to deliver care and to handle their medication safety responsibilities in an effective and efficient manner. The health service also provide standardisation of the routine work practices like approval, safe administration of specific medicines, monitoring practices and risk assessment plan and policies for lowering the possibility of risk of medication error and incidents. The health service organisation has formulated medication safety strategies to encourage a care environment to meet this standard. In addition, a feedback strategy is also implemented to evaluate the effectiveness of the resources available to the clinical workforce to make improvement and necessary changes.
Question 4
The clinician provides a complete list of the client’s medicines to the receiving clinician and client when handing over care or changing medications. Access the organisations policies and procedures and discuss how the health service meets this Standard.
To meet this standard the health service ensure that there is no communication breakdown in the providing complete and accurate information about the medicines for a patient during admission into hospital, shift from general care ward to emergency department and back to general care, during change of shift, form inpatient ward to medical imaging and other clinical service department and on discharge. Thus, a systematic clinical handover process is developed for medicine information communication in transferring patient care to other point of care. This includes medicines prescribed, ongoing medicine lists, specific instructions on specific medicine administration, specific reactions and risks, medications allergies, recent clinical diagnosis, recent vital signs and symptoms and responses after taking recent medicines and new medicines to be taken by the patient. Thus, the heath service has implemented policy under which it is the responsibility of the clinician and other carers to meet the requirement of complete and accurate list of medication of prescribed, current use and future use (post discharge) medicines is provided at different point of care transfers and during the patient discharge process for meeting this standard.
Question 5
The clinical workforce informs clients about their options, risks and responsibilities for an agreed medication management plan. Access the organisations policies and procedures and discuss how the health service meets this Standard.
To meet this standard the health service organisation the responsibility is taken by the clinical staff to provide relevant information to the patient, family member and their carer in both written and verbal form. The information is provided for the prescribed list of medicines, reason and also the reason for change in medicines and the choice available to the patient about the medicines and treatments plan. The patient is informed about what choices can be made in relation to medicines and treatment plan, risks and benefits of the proposed treatment course, side-effects and detailed procedure about the alternative treatment option available. In meeting this standard in the health service, the clinical staff also inform the patient and the carer about taking medicine safely, their storage and disposal, possible medication errors in home setting, medication/ treatment duration and follow up and monitoring requirements and on access medication-related resources and assistance to ensure continuity of safe and efficient medication management. The health service organisation also has patient education program to fulfil the information requirement needs in consultation, written material, fact sheets, treatment brochures and verbal instructions.
Question 6
NSQHS Standard 3 (Preventing and Controlling Health Care Associated Infections) requires that In brief, this Standard requires that:
- Effective governance and management systems for healthcare associated infections are implemented and maintained.
- Strategies for the prevention and control of healthcare associated infections are developed and implemented.
- Patients presenting with, or acquiring an infection or colonisation
during their care are identified promptly and receive the necessary
management and treatment.
- Safe and appropriate antimicrobial prescribing is a strategic goal
of the clinical governance system.
Access the organisations policies and procedures and discuss how the health service meets this Standard.
In order to meet the different criteria of standard 3, the health service has developed and implemented policies to control and prevent infection related to healthcare. Concerning the governance, the health service has implementation of bi-annual review policy for reviewing the effectiveness of existing control and prevention system against the performance indicators, quarterly risk assessments, risk management plan implementation for control/ preventive activities and monthly audits to determine the compliance with organisational policies and procedures. The health service focuses on standardised work system and procedure, evidence based practices for improvements of control and prevention system, and education program for staff members. In the context of strategies for infection control and prevention, the practices of proper hand hygiene before and after contact with patient, and use of personal protective equipment is followed. For this, the health service has hand hygiene education and training programs for staff members. The transmission-based precautions are also followed considering different mode of transmission of infectious agents to maintain a safe environment for patients, workers and visitors. For managing the patients with colonisation or acquired with inflection, the transmission based work practices and precautions are applied to avoid the infection spread. The cleaning procedure and quality improvement plan is also implemented and environmental controls are maintained considering the issue identified and gap from pathology report and surveillance report. For antimicrobial stewardship, the health service has considered organised antimicrobial management program in the organisation to lower the risk of improper use of antimicrobial and its consequences so that patient results can be enhanced. To support this program the governance is effective in the health service and there is proper system in place for taking specialist advice in clinical conditions.
Question 7
Complete the following table by accessing the organisations policies and procedures.
Form of medication | Handling requirements | Calculation requirements | Administration | Stored |
Capsules
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Washing hands and drying them before giving capsule | The capsule dosage to be calculated on hour basis ( desired dosage) , stock strength, units of weights for capsule (in mg) and no. of capsule | It is administered orally by swallowing | Cool and dry place
Away from humidity and heat |
Drops
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Non-touch handling technique so that the drops are received directly the required area by the dropper | Desired dosage, solution concentration, dosage interval | It is administered ophthalmic as well as oral | Cool and dry place
Away from direct sunlight and moisture |
Inhalants
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Hand hygiene (Washing hands for 30 seconds with soap and pat dry) | No. of puffs, no. of hours (minimum dosage interval), dose strength (in ml) | It is administered orally | Store in the designated container |
Liquids
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Wash hands and dry them, shake bottle and use the medication measuring spoon or device to give this form of medication | Desired dosage, strength of stock, stock volume, stock strength, amount of liquid solution to be given (in ml) | It is administered orally | Store in the supplied bottle and close the tap tightly
Away from heat and direct sunlight |
Lotions and creams
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Hand hygiene (Washing hands for 30 seconds with soap and warm water) and wear medical gloves for this form of medication | strength of stock, stock volume, amount of medication need to be applied | It is directly applied to the skin thus, administered topical | Store in the supplied bottle, away from heat and sunlight |
Ointments
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Hand hygiene (Washing hands for 30 seconds with soap and warm water) and use of medical gloves for the application of this medication form | stock strength, amount of medication need to be applied | It is administered topically | Store in cool place
away from heat and direct sunlight |
Patches
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Hand hygiene (Washing hands for 30 seconds with soap and warm water) and wear gloves | Stock strength, no. of patches required., no. of days | This form of medication re administered trans-dermally | Store in clean and dry storage box |
Powders
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Hand hygiene (Washing hands for 30 seconds with soap) and dry hands and wear gloves for application as per the manufacturer’s guideline for using power to mix | Required dosage in mg, dosage interval, stock strength, dosage interval | It is administered orally by mixing with certain foods (yogurt), lukewarm water, milk or juices. | Store in dry place in the supplied bottle/box |
Tablets
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Hand hygiene (Washing hands for 30 seconds with soap) and dry hands. Use of medical gloves and protective equipments for crushing or breaking pills | Tablet desired dosage to be calculated on per hour basis, stock strength, units of weights for tablet (in mg/g), number of tablets | It is administered orally. | In a clean and dry place that away form heat or direct sunlight |
Wafers
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Wash hands and dry them, wear gloves to peel the wafer tablet foil strip and use of forceps to handle and give to the patient. | Dose (in mg), number of days, minimum dosage interval
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It is administered orally by placing on the patient tongue or under the tongue if it is a sublingual wafers | Store this medication in a dry place away from moisture in their designated pack till the time of implantation
Store medication at temperature (20°C or below ) |
Suppositories
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Proper hand hygiene (wash hand thoroughly with warn water and soap before and after giving this medication), and use of medical disposable gloves for application of water based lubricant on the area and insertion. | Body weight of the patient for dosage ( in mg) of 1 mg to 500 mg and no. of hours (dosage interval )
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To moisten the suppository with lukewarm water or apply water based lubricant on the insertion area; insert the tapered end of the drug gently till 1 and half inch into the rectum and close buttocks for 10-15 mins while keeping the patient in lying position. | Store in the supplied pack and in a cool and dry place
Store the pack away from the moisture Storage temperature is required below 25°C |
Question 8
Complete the following table by accessing the organisations policies and procedures.
Medication administration | Policy and procedure |
Oral
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To be done as per the prescription, administered by the delegated staff member
Follow hand hygiene Check the prescription for AM/ PM , dosage amount, dosage interval Remain with the patient to ensure medication is swallowed |
Sublingual, buccal
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Administered by the delegated staff member
Check for correct dose Use of non-touch technique Use of gloves and forceps and dropper Placement of medicine on correct site so that it does not enter in between the teeth Staff to be remained present to ensure the given medicine is absorbed and not swallowed with water/ other liquid. |
Dry powder inhalers
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In compliance to the ordered prescription
Accurately measure the dose of powder for intake metered amount of Medication delivered expressed in mg of formulation (as equivalent to metered amount) and documented Guide patient for procedure and technique Stay with patient during the treatment course |
Metered dose, spacer inhalers
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Check prescription for medication solution, dosage amount in mg or puffs, frequency of dose, and dosage interval
Educate patient of therapy and procedure Hand hygiene Appropriate method of administration either by mouthpiece or by spacer with mask in case with face injuries One minute waiting time before giving second or subsequent puff from previous puff Monitor patient’s respiratory rate and pulse before and after administration |
Subcutaneous injection
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Administered by trained nurse
Indentify, verify and assess patient Care for infection control Pinch technique to inject Ensure SC route and site is suitable In frequent case, rotate the injection site (2.5 cm from the preceding site) Follow injection process stated under the nursing procedure |
IV injections
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Administered by the trained nurse
Check for medication volume and concentration required as undiluted or diluted Proper hand hygiene Use of PPE Refer Visual Inspection Phlebitis score Inspect and monitor site document findings |
Z-track injections
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Administered by trained nurse to create a Z track
Educate patient about the procedure Perform hand hygiene and use gloves Check injecting volume as per prescription Clean of injection area with antiseptic solution Relax muscle before injecting |
Peripheral IV infusion, cannulation fluid
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Administered by the trained nurse
Patient verification Careful assessment of site for catheter position, limb symmetry, infiltration, etc. Patient assessments for any signs erythema, swelling, pain Refer Visual Inspection Phlebitis score Hourly monitoring of patient for pressure injury/ sore and infection signs. |
Enteral administration – Percutaneous Gastrostomy (PEG) as well as nasogastric tubes
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Administered by the registered nurse
Verify patient Assess the position of PEG/ tubes Monitor the insertion site for swelling and patient sign and symptoms for adverse reaction Tubes to be flushed with purified water prior to and after the drug administration Minimal handling (touch) or non-touch procedure need Single use of tube administration set Change the administration set after 24 hours Document findings |
Ocular
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Chose appropriate route depending on eye area among topical, systemic and local ocular (intravitreal, intracameral, subconjunctival, retrobulbar)
Hand hygiene Cleanse area with clean wipes Use of non-touch technique Shake solution/ suspensions before use |
Rectal
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To be performed by competent healthcare practitioners
Decontaminate hand Ensure patient comfort and privacy Ensure empty bowels before administration Choose appropriate position for administration Use of disposal gloves, tissues and wipes |
Subcutaneous, intramuscular routes
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Assess patient
Use clinical judgement for locating site Ensure needle size is suitable for site Check and correct the injectable volume Use of aseptic and non-touch technique Pinch to inject Disposal of use equipment and needle as per the organization guideline and procedure Monitor patient |
Sub-cutaneous injection using pre-loaded syringes or pens
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Perform hand hygiene and use PPE as required
Confirm appropriateness of right-size needle for the patient Check the syringe line of the dose as per prescription and discard the excessive medicine Pinch the area and needle injected at 45-degree angle for little fat and 90-dergee angle for more fat on body site. Monitor site and document findings |
Topical, including transdermal
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Use of gloves
Follow the standard precaution of not touching the medication directly Clean the affected skin area before the next dose of this form of medication application Locate site on chest, upper arm , flank or back(For children choose only back site for transdermal application) Clean the site and let it dry Remove old patch and dispose it as per the organisation procedure/ guidelines |
Vaginal
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Hand hygiene
Identify patient Use of clean and non-sterile gloves Use of applicator ( if required) Provide sufficient privacy Educate patient about the administration route and procedure Follow right of medication administration Keep the patient on lying position for 30 minutes after administering medicine |
Ventrogluteal injection technique
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Carefully locate and confirm the ventrogluteal IM site
Use of longer needle with a big gauge Use aseptic technique Needle to be inserted at an angle of 90-degree which is perpendicular to the patient body/ insertion area |
IV medication administration methods | |
Bolus
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Perform hand hygiene
Verify the identity of patient for this medication method Check prescription for volume of dosage Assess patient for allergies Check for medicine compatibility with IV solution Use of disposable gloves Prepare medication carefully in clean area with clearly labelled and new equipments/ material Monitor the patient after the medication |
Gravity
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Verify patient
Assess patient Check volume of medication Remove the medication from refrigerator at the time of IV administering Wash hands using anti-bacterial serum Use of gloves Gather fresh equipment, inspect the equipment and check label and prepare medication in clean area No touching of uncapped syringe Calculate – infusion rate for drops per minute |
Electronic pump infusion
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Performed by specialised nurses
Hand hygiene Use of sterile technique Prepare the intravenous medication as per organisation guideline and procedure Calculate IV rate and assess the correct rate and volume in ml per hour |
Via burette
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Verify and assess patient
Ensure burette capacity is sufficient to hold the medication amount/ volume of to be injected as per prescription per hour basis Check burette airway (needs to be open) Use of aseptic technique Label the burette Ensure correct calculation of IV rate Monitor patient |
IV piggyback, tandem
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Performed by specialised and trained nurses/ medical practitioners
Hand hygiene Administer through an IV infusion pump or gravity Use of aseptic technique Prepare medication as per organisation guideline and procedure Calculate correct IV rate and dilution in IV solution |
Syringe driver
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Familiarise with manufacture instruction
Refer syringe-driver medication charts Check indications for use of this subcutaneous medication Performed by trained nurses Performed by nurses under the supervision of trained nurses/ medical practitioners/clinicians Regular monitoring |
Sub-cut lines
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Assess the patient for dehydration clinical symptoms
Refer indications for use of this medication No additive to be added to infusion. By gravity infusion Locate healthy and clean skin site for insertion Performed at an controlled rate (not more than 80ml per hr) Not to be given fluid more than 2 L in 24 hours Monitor the patient for infection |
ASSESSMENT TOOL 3
Practical Client Assessment
When administering medication you are required to adhere to the Nursing and Midwifery Board of Australia professional practice standards, codes and guidelines. You are required to be fully supervised by a Registered Nurse at all times in the workplace when administering medication.
Client One- Oral medication
Comments | |
Identifies indication | |
Verifies the validity of the medication order | |
Evidence of effective communication with the client Explains medication (the name, purpose, action and potential side effects of drugs) and procedure to client. | |
Performs hand hygiene | |
Abides by the general concepts of working with therapeutic substances when administering medications | |
Gathers equipment, depending on type of medication
– Medication trolley – Medication sheet – Fresh water and glass – Pill cutter or crusher
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Displays problem-solving abilities eg positions clients, obtains appropriate form of medication, assesses client, provides privacy | |
Uses the “rights of medication administration” and performs drug calculation with 100% accuracy | |
Prepares the medication following organisations policies and procedures | |
Documents and reports relevant information | |
Cleans, replaces and disposes of equipment appropriately | |
Demonstrates ability to link theory to practice |
Client Two- Oral medication
Comments | |
Identifies indication | |
Verifies the validity of the medication order | |
Evidence of effective communication with the client Explains medication (the name, purpose, action and potential side effects of drugs) and procedure to client.
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Performs hand hygiene | |
Abides by the general concepts of working with therapeutic substances when administering medications | |
Gathers equipment, depending on type of medication
– Medication trolley – Medication sheet – Fresh water and glass – Pill cutter or crusher
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Displays problem-solving abilities eg positions clients, obtains appropriate form of medication, assesses client, provides privacy | |
Uses the “rights of medication administration” and performs drug calculation with 100% accuracy | |
Prepares the medication following organisations policies and procedures | |
Documents and reports relevant information | |
Cleans, replaces and disposes of equipment appropriately | |
Demonstrates ability to link theory to practice |
Client Three- Oral medication
Comments | |
Identifies indication | |
Verifies the validity of the medication order | |
Evidence of effective communication with the client Explains medication (the name, purpose, action and potential side effects of drugs) and procedure to client. | |
Performs hand hygiene | |
Abides by the general concepts of working with therapeutic substances when administering medications | |
Gathers equipment, depending on type of medication
– Medication trolley – Medication sheet – Fresh water and glass – Pill cutter or crusher
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Displays problem-solving abilities eg positions clients, obtains appropriate form of medication, assesses client, provides privacy | |
Uses the “rights of medication administration” and performs drug calculation with 100% accuracy | |
Prepares the medication following organisations policies and procedures | |
Documents and reports relevant information | |
Cleans, replaces and disposes of equipment appropriately | |
Demonstrates ability to link theory to practice |
Client Four- Sub-cutaneous injection
Identifies indication | |
Verifies the validity of the medication order | |
Evidence of effective communication with the client Explains medication (the name, purpose, action and potential side effects of drugs) and procedure to client. | |
Performs hand hygiene | |
Gathers equipment
– Syringe, needles – Alcowipes, gauze swab – Kidney dish or similar – Ordered medication in viral or ampoule – Sharps container – Medication sheet |
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Adheres to the general concepts of working with therapeutic substances following organisations policies and procedures | |
Uses the “rights of medication administration” and performs drug calculation with 100% accuracy | |
Draws up medication using an Aseptic Non-Touch Technique to prepare medication | |
Displays problem-solving abilities eg positions client, obtains appropriate form of medication, assesses client | |
Locates and assesses appropriate site | |
Safely administers medication to maximise effects and minimise discomfort | |
Tends to puncture site appropriately | |
Documents and reports relevant information | |
Cleans, replaces and disposes of equipment appropriately | |
Demonstrates and ability to link theory to practice |
Client Five- Sub-cutaneous injection
Identifies indication | |
Verifies the validity of the medication order | |
Evidence of effective communication with the client Explains medication (the name, purpose, action and potential side effects of drugs) and procedure to client. | |
Performs hand hygiene | |
Gathers equipment
– Syringe, needles – Alcowipes, gauze swab – Kidney dish or similar – Ordered medication in viral or ampoule – Sharps container – Medication sheet |
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Adheres to the general concepts of working with therapeutic substances following organisations policies and procedures | |
Uses the “rights of medication administration” and performs drug calculation with 100% accuracy | |
Draws up medication using an Aseptic Non-Touch Technique to prepare medication | |
Displays problem-solving abilities eg positions client, obtains appropriate form of medication, assesses client | |
Locates and assesses appropriate site | |
Safely administers medication to maximise effects and minimise discomfort | |
Tends to puncture site appropriately | |
Documents and reports relevant information | |
Cleans, replaces and disposes of equipment appropriately | |
Demonstrates and ability to link theory to practice |
Client Six- Sub-cutaneous injection
Identifies indication | |
Verifies the validity of the medication order | |
Evidence of effective communication with the client Explains medication (the name, purpose, action and potential side effects of drugs) and procedure to client. | |
Performs hand hygiene | |
Gathers equipment
– Syringe, needles – Alcowipes, gauze swab – Kidney dish or similar – Ordered medication in viral or ampoule – Sharps container – Medication sheet |
|
Adheres to the general concepts of working with therapeutic substances following organisations policies and procedures | |
Uses the “rights of medication administration” and performs drug calculation with 100% accuracy | |
Draws up medication using an Aseptic Non-Touch Technique to prepare medication | |
Displays problem-solving abilities eg positions client, obtains appropriate form of medication, assesses client | |
Locates and assesses appropriate site | |
Safely administers medication to maximise effects and minimise discomfort | |
Tends to puncture site appropriately | |
Documents and reports relevant information | |
Cleans, replaces and disposes of equipment appropriately | |
Demonstrates and ability to link theory to practice |
Simulation Seven- Intramuscular injection
Identifies indication | |
Verifies the validity of the medication order | |
Evidence of effective communication with the client Explains medication (the name, purpose, action and potential side effects of drugs) and procedure to client. | |
Performs hand hygiene | |
Gathers equipment
– Syringe, needles – Alcowipes, gauze swab – Kidney dish or similar – Ordered medication in viral or ampoule – Sharps container – Medication sheet |
|
Adheres to the general concepts of working with therapeutic substances following organisations policies and procedures | |
Uses the “rights of medication administration” and performs drug calculation with 100% accuracy | |
Draws up medication using an Aseptic Non-Touch Technique to prepare medication | |
Displays problem-solving abilities eg positions client, obtains appropriate form of medication, assesses client | |
Locates and assesses appropriate site | |
Safely administers medication to maximise effects and minimise discomfort | |
Tends to puncture site appropriately | |
Documents and reports relevant information | |
Cleans, replaces and disposes of equipment appropriately | |
Demonstrates and ability to link theory to practice |
Simulation Eight- Intramuscular injection
Identifies indication | |
Verifies the validity of the medication order | |
Evidence of effective communication with the client Explains medication (the name, purpose, action and potential side effects of drugs) and procedure to client. | |
Performs hand hygiene | |
Gathers equipment
– Syringe, needles – Alcowipes, gauze swab – Kidney dish or similar – Ordered medication in viral or ampoule – Sharps container – Medication sheet |
|
Adheres to the general concepts of working with therapeutic substances following organisations policies and procedures | |
Uses the “rights of medication administration” and performs drug calculation with 100% accuracy | |
Draws up medication using an Aseptic Non-Touch Technique to prepare medication | |
Displays problem-solving abilities eg positions client, obtains appropriate form of medication, assesses client | |
Locates and assesses appropriate site | |
Safely administers medication to maximise effects and minimise discomfort | |
Tends to puncture site appropriately | |
Documents and reports relevant information | |
Cleans, replaces and disposes of equipment appropriately | |
Demonstrates and ability to link theory to practice |
Simulation Nine- Intramuscular injection
Identifies indication | |
Verifies the validity of the medication order | |
Evidence of effective communication with the client Explains medication (the name, purpose, action and potential side effects of drugs) and procedure to client. | |
Performs hand hygiene | |
Gathers equipment
– Syringe, needles – Alcowipes, gauze swab – Kidney dish or similar – Ordered medication in viral or ampoule – Sharps container – Medication sheet |
|
Adheres to the general concepts of working with therapeutic substances following organisations policies and procedures | |
Uses the “rights of medication administration” and performs drug calculation with 100% accuracy | |
Draws up medication using an Aseptic Non-Touch Technique to prepare medication | |
Displays problem-solving abilities eg positions client, obtains appropriate form of medication, assesses client | |
Locates and assesses appropriate site | |
Safely administers medication to maximise effects and minimise discomfort | |
Tends to puncture site appropriately | |
Documents and reports relevant information | |
Cleans, replaces and disposes of equipment appropriately | |
Demonstrates and ability to link theory to practice |
Simulation Ten- Peripheral IV injection
Identifies indication | |
Verifies the validity of the medication order | |
Assesses patient IV site and drug. Assesses patient IV site and drug. Accurately uses the Visual Infusion Phlebitis Score (VIPS). | |
Evidence of effective communication with the client Explains medication (the name, purpose, action and potential side effects of drugs) and procedure to client. | |
Gathers equipment
– Medication sheet – Required medication – Syringes and needles – Alcowipes – Injection tray – Sharps container – Gloves – Watch with a second hand |
|
Performs hand hygiene | |
Adheres to the general concepts of working with therapeutic substances following organisations policies and procedures | |
Uses the “rights of medication administration” and performs drug calculation with 100% accuracy | |
Prepares the syringe with medication, saline and/or heparin | |
Wears gloves | |
Injects medication into an existing line | |
Documents and reports relevant information | |
Cleans, replaces and disposes of equipment appropriately | |
Demonstrates and ability to link theory to practice |
Simulation Eleven – Peripheral IV injection
Identifies indication | |
Verifies the validity of the medication order | |
Assesses patient IV site and drug. Accurately uses the Visual Infusion Phlebitis Score (VIPS). | |
Evidence of effective communication with the client Explains medication (the name, purpose, action and potential side effects of drugs) and procedure to client. | |
Gathers equipment
– Medication sheet – Required medication – Syringes and needles – Alcowipes – Injection tray – Sharps container – Gloves – Watch with a second hand |
|
Performs hand hygiene | |
Adheres to the general concepts of working with therapeutic substances following organisations policies and procedures | |
Uses the “rights of medication administration” and performs drug calculation with 100% accuracy | |
Prepares the syringe with medication, saline and/or heparin | |
Wears gloves | |
Injects medication into an existing line | |
Documents and reports relevant information | |
Cleans, replaces and disposes of equipment appropriately | |
Demonstrates and ability to link theory to practice |
Simulation Twelve – Peripheral IV injection
Identifies indication | |
Verifies the validity of the medication order | |
Assesses patient IV site and drug. Accurately uses the Visual Infusion Phlebitis Score (VIPS). | |
Evidence of effective communication with the client Explains medication (the name, purpose, action and potential side effects of drugs) and procedure to client. | |
Gathers equipment
– Medication sheet – Required medication – Syringes and needles – Alcowipes – Injection tray – Sharps container – Gloves – Watch with a second hand |
|
Performs hand hygiene | |
Adheres to the general concepts of working with therapeutic substances following organisations policies and procedures | |
Uses the “rights of medication administration” and performs drug calculation with 100% accuracy | |
Prepares the syringe with medication, saline and/or heparin | |
Wears gloves | |
Injects medication into an existing line | |
Documents and reports relevant information | |
Cleans, replaces and disposes of equipment appropriately | |
Demonstrates and ability to link theory to practice |
Simulation Thirteen- Removal of Peripheral IV Cannula
Comments | |
Identifies indication | |
Evidence of effective communication with the client. | |
Gathers equipment
– Gloves – Cotton wool – Tape – Receptacle Watch with a second hand |
|
Perform hand hygiene, wearing non-sterile gloves, carefully remove the dressing, holding the cannula in place at all times. | |
Slowly withdraw the cannula, maintaining a neutral angel with the skin. | |
Cover site with cotton wool and tape or Band-Aid. | |
Advise the client hat the cotton wool and tape or Band-Aid should remain in situ for 24 hrs. | |
Document date and reason of removal | |
Documents and reports relevant information | |
Cleans, replaces and disposes of equipment appropriately | |
Demonstrates and ability to link theory to practice |
Simulation Fourteen- Removal of Peripheral IV Cannula
Comments | |
Identifies indication | |
Evidence of effective communication with the client. | |
Gathers equipment
– Gloves – Cotton wool – Tape – Receptacle Watch with a second hand |
|
Perform hand hygiene, wearing non-sterile gloves, carefully remove the dressing, holding the cannula in place at all times. | |
Slowly withdraw the cannula, maintaining a neutral angel with the skin. | |
Cover site with cotton wool and tape or Band-Aid. | |
Advise the client hat the cotton wool and tape or Band-Aid should remain in situ for 24 hrs. | |
Document date and reason of removal | |
Documents and reports relevant information | |
Cleans, replaces and disposes of equipment appropriately | |
Demonstrates and ability to link theory to practice |
Workplace Supervisor | Workplace Assessor
The student’s knowledge is: |
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Feedback to student:
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Competent
1 |
Not Competent
1 |
Feedback to student:
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Student signature: | Student signature:
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Workplace Supervisor signature: | Assessor signature:
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Date: | Date:
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Assessment Tool 3
VERBAL Assessment
Question 1
What are peripheral IV devices? |
Peripheral IV devices are referred to as cannula or catheter devices. These are used for therapeutic reason for blood products administration, and fluids and medication administration. These devices are inserted into the peripheral vein. |
Feedback to student
|
Question 2
Discuss what is meant by the term aseptic technique. |
The aseptic technique is the procedure, rules and safe practices used to avoid pathogen contamination and to minimise the infection risk. The technique are required to be followed by nurses, clinicians and other medical practitioners healthcare setting involving surgery room, outpatient care centre area and other clinical areas. For example, maintaining personal hygiene, performing proper hand hygiene, and the use of disposable gloves. |
Feedback to student |
Question 3
What is meant by the term phlebitis |
Phlebitis is vein inflammation. This can be due to blood clots and injury to the vein. It is most commonly witnessed in leg vein. It can occur in three form chemical phlebitis (due to fluid/ drug infusion), mechanical phlebitis (movement of foreign entity) and infective phlebitis. |
Feedback to student |
Question 4
What is meant by decontaminate hands? |
The decontaminated hands are free from any contamination of the visible solid substances, dust or dirt and from the potential infectivity from body fluids. |
Feedback to student
|
Question 5
When does Infiltration occur? How would you use the Visual Infusion Phlebitis Score (VIPS)
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Feedback to student
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Question 6
When does Extravasation occur? |
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Feedback to student |
Question 7
What is a Haematoma? |
It is bleeding from broken capillaries resulting in the swelling outside of the blood vessels area. This sweeping of blood can be due to surgery, disease, and injury to capillaries/ into the tissues. |
Feedback to students |
Question 8
Discuss the pump’s used in the facility. |
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Feedback to students |
Question 9
What is meant by double checking |
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Feedback to students |
Assessment Tool 3
Medication Log
Health professionals such as Nurses, Paramedics, Podiatrists and Optometrists require a detailed understanding of the pharmacological properties of the medicines that are used daily in the treatment of patients under their care. Complete the following log book of the medications that you have administered. If you have not had an opportunity to administer a medication from a medication group, complete the log book using a MIMMS.
Medication Groups
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Group | Pathophysiology | Generic Name |
Brand Name |
Dose | Calculation | Side Effect |
Anaesthetics | The pathophysiology related to general/ local anaesthetics includes
loss of consciousness, memory affect ( partial loss or complete loss), loss of pain feeling (incapable to feel) analgesia, loss of sensation, relaxation of muscles, respiratory suppression and nerve propagation disrupted |
Methohexital | Brevital Sodium | Single dose 50-120 mg (no scheduling of daily dosage) | Weight of patients, concentration of anaesthetic in mg, dilution in ml, required dosage volume in ml | Confusion and feeling of numbness when coming out ( after feeling awake)
Rapid heartbeat Shallow breathing Swelling around injection site |
Propofol | Diprivan | Single dose (can be 2mg/ kg) | Weight of patient, concentration of anaesthetic in mg, required dosage volume in cc | Feeling of passing out after feeling awake
Weak breathing Discomfort and pain in the injection site mild itching around injection site slight burning in the region of the IV needle |
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Halothane | Fluothane | Adults- dose concentration is 2–4% Child- the concentration is 1.5–2%
(in oxygen or with nitrous oxide– oxygen) |
Concentration of required dosage
|
Respiratory depression
Arrhythmias Bradycardia Hepatic damage |
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Tetracaine | Ametop | Area in sq. cm | One to five tubes ( 40-45 minutes) | Oedema
Skin itching Skin flushing and blistering in the treated area |
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Thiopental sodium | Pentothal | For average weight adult – 50 to 75 mg which is 2-3ml of a 2.5% solution and for heavy weight ( more than 70 kg) an initial dose of 75-125 mg and up to 4mg/kg after 60 seconds if required | Patient weight, concentration/ strength and volume of dosage
Consider age |
Feeling of continuous drowsiness,
Weak and/ or trouble breathing slow heartbeats; Body shivering/ chills Respiratory distress Coughing Bronchospasm Laryngeal spasm |
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Antacids | Condition of excessive amounts of acids production in stomach
Mucus secretion Lower the stomach acid Secretion of bicarbonates Secretion of prostaglandins |
Magnesium Hydroxide | Milk of Magnesia | 30-60 mL/ day | Calculation of dosage in mLs for per day
Concentration of the drug in mg per mL |
Drowsiness
Feeling of passing out Slow heartbeats Nausea and severe vomiting Rectal bleeding No bowel movement |
Pantoprazole
|
Peptac | Child: 5-10 mg/kg
Adult: 150-300mg |
Weight of Emily
Required dose in mLs per day or in mg Concentration in mg per mL body weight and stock strength
|
Abdominal discomfort and slight to severe pain
Diarrhea Constipation nausea and vomiting |
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Aluminum hydroxide/ magnesium carbonate
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Gaviscon | Adults: Tablets – 2–4 tabs
Liquid – 10 mL to 30 mL |
Body weight, stock strength, concentration in mg/kg or in ml
Require dosage, dosage interval |
Diarrhea
Constipation Nausea Severe headache Dehydration |
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Hydrotalcite
|
Altacite Plus | Adults: 2–4 tabs ( up to 500 mg)
Child 1-2 tablets |
Weight of patient
dosage in mLs/ day, dosage interval, stock strength Concentration of the drug in mg per mL |
Diarrhoea
Nausea and vomiting Chest tightness Constipation Difficulty in breathing Hives |
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Pathophysiology | Generic Name |
Brand Name |
Dose | Calculation | Side Effect |
|
Antianginals | Condition of imbalance among the myocardial supply and demand of oxygen
Descending artery –coronary atheroma Rise in ventricular pressure (end diastolic left) During diastole – Sub-endocardinal crunch in ischemia area Reduce the heart rate Increase the coronary blood flow Re-distribution of the coronary blood flow |
Ranolazine
|
Ranexa | 0.4 to 0.8 mg in 15 minutes as spray
0.3 to 0.6 mg as sublingually tablet in 15 minutes 2.5 to 6 mg as capsule |
Required dosage, dosage interval in minutes, stock strength, drug concentration,
dosage interval |
Feeling of passing out
severe dizziness chest pain nausea headache constipation little or painful urination Swelling in feet fast heartbeats Shortness of breadth |
Nitroglycerin
|
Rectiv | 0.2 mg/ hr to 0.6 mg/ hr and
100 mcg/ mL to 400 mcg/ mL |
Weight of patient, stock strength, required dosage in mLs day for per hour and per day and concentration
in mcg per mL |
Feeling of light headedness
Moderate to severe dizziness Headaches Dry mouth. Low blood pressure Rapid heartbeat
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Isosorbide dinitrate
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Isordil / Dilatrate-SR | Oral dosage- 5 to 40 milligrams (mg) two to three times in a day
Sublingual dosage – 2.5 to 5 mg in 15 minutes |
Stock strength, drug concentration, required dosage, dosage interval, body weight | Pale skin
Bluish colour in palms, fingernails and lips Dark coloured urine Sore throat and fever Pain in arms and back Chest discomfort and heaviness Confusion feeling Headache Unusual tiredness Dizziness Blurred vision Faintness when getting up rapidly from a sitting , resting or lying position Sweating and fainting Irregular heartbeat Difficulty with breathing |
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Nitroglycerin sublingual | Nitrostat | Sublingual dosage- one to three tablets in 15 minutes depending on severity | Required dosage, Stock strength, drug concentration, dosage interval | Dizziness
Unusual sweating Fainting unusual weakness Chest pressure/ heaviness Pain in chest and spreading to back, shoulders and jaw |
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Nitroglycerin (transdermal) | Minitran | 0.2mg/hr or 0.4mg/hr patch for 12 hours or a day | Dosage interval, required strength in mg per hour and per day | Increasing chest pain
Mild dizziness light-headed feeling Moderate to severe headache Pale skin and or bluish coloured fingers and toes Slower heart rate
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Antianxiety
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Increase action of brain chemical
Stimulate receptors on nerves Change in the receiving chemical messages |
Fluoxetine | Prozac | 10 to 80 mg per day in capsule form | Stock strength, drug concentration, required dosage in mg, dosage interval | Nausea,
Anxiety loss of appetite unusual weight loss unusual drowsiness and dizziness unusual tiredness trouble sleeping, severe mood changes muscle spasm fast/irregular heartbeat eye redness, pain and swelling Change in vision |
Diazepam | Valium | Adults: 2 mg to 10 mg depending on severity and Child: 1mg to 2.5 mg
Dosage – 2-3 times a day |
Stock strength, drug concentration, required dosage | Drowsiness and dizziness
Tiredness, restlessness and unsteadiness Weakness in muscle (difficulty in walking) Blurred vision Yellow coloured skin and yellowing eyes Mood swings Confusion Hallucinations Trouble urinating Sore throat with fever |
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Lorazepam | Ativan | 1 to 10 mg per day in tablet form | stock strength, required dosage in mg, dosage interval | Severe dizziness and drowsiness, headache
Nausea, constipation Change in appetite Mental changes like depression, suicidal thoughts and/ or hallucinations, vision changes Memory problems Unusual weakness causing trouble in walking Fever with persistent sore and swelled throat, trouble sleeping and breathing yellowing of skin and eyes Rash and itching in the tongue and face |
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Alprazolam | Xanax | 0.25 to 0.5 mg – 3 times a day in tablet form | stock strength, required dosage in mg, dosage interval | High drowsiness, lightheaded and dizziness
yellowing eyes or skin Tongue and throat swelling slurred speech hallucinations High saliva production Breathing trouble Loss of coordination and difficulty in Trouble in walking |
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Antiasthma | Mechanism of genomic and non genomic
Anti-inflammatory action |
Albuterol sulfate | Proventil | Dilution – 5 mL in 500 mL of Sodium Chloride-Dextrose or in Sodium Chloride Injection | Required dosage, stock strength, drug concentration in ml, dilution in ml, dosage interval | Nervousness
Mouth/throat dryness Cough Dizziness Headache Muscle cramps Chest pain Trouble sleeping Persistent nausea |
Zafirlukast | Accolate | 20 mg to 40 mg per day | stock strength, required dosage in mg, dosage interval, | Cough
Headache Sore throat Fever Abdominal pain Moderate to severe Stomach pain Difficult urination and dark coloured urine Persistent nausea/vomiting Yellowing of the eyes and skin |
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Benralizumab | Fasenra | 30 mg once every 4 weeks | Stock strength, required dosage in mg | Rapid heartbeat
Rashes and itching in skin, skin redness Fever Headaches joint pain or swelling swelling in face, hands, Chest tightness Trouble in breathing Trouble in swallowing |
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Formoterol | Foradil Aerolize / Perforomist | Capsule dosage: 12-mcg to 24 mcg in 24 hours | Dosage strength, required dosage in mcg, dosage interval, body weight | Pain in body , headaches
Chest pain Fever sore throat Cold and cough nasal congestion Difficulty in breathing, shortness of breath unusual tiredness/ weakness |
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Pathophysiology | Generic Name |
Brand Name |
Dose | Calculation | Side Effect |
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Antiarrhythmics | Irregular heath activity and rhythms uneven electrical activity
Change in cardiac conduction action and pathways |
Adenosine
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Adenocor | In solution: 3mg/ml s | Stock strength, drug concentration, required dosage in mg per ml, dosage interval, | Bradycardia
Atrioventricular block Breadth shortness Nausea Headache , pressure in head Dizziness Palpitations Rise in blood flow (flush) to skin |
Amiodarone
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Cordarone | Tablets: 400 to 1,600 mg per day | Dosage/ stock strength, required dosage in mg, dosage interval, body weight | Neurologic problem ( fatigue, poor coordination, tremor, malaise)
Gastrointestinal problem (constipation, nausea, vomiting) Ophthalmic problem (blindness, eye discomfort, lens opacities, corneal degeneration and macular degeneration) |
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Moricizine | Ethmozine | 600 mg to 900 mg per day | Required dosage in mg per day, Stock strength, dosage interval, body weight | Dizziness
Pain and headache Nausea and vomiting Dyspnea Fatigue Hypesthesia |
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Flecainide
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Tambocor | 50 mg -400 mg per day | Stock strength, required dosage in mg per day, dosage interval, body weight | Weak pulse and slow heart rate
Fainting Dizziness High potassium (muscle weakness) Fast weight gain Jaundice |
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Disopyramide phosphate
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Disopyramide | 150 mg -800 mg per day | Dosage/ stock strength, required dosage in mg, dosage interval, body weight | Feeling of dizziness and passing out
Fainting Chest pain Heartbeat sensations Swelling of feet, lower legs Fever Sore throat |
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Antibiotics | Increase activity of immune system
Hinder and Block process in microorganism
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Erythromycin
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Erythrocin | 250 mg to 500 mg | Required dosage in mg, Stock strength, dosage interval, body weight | Persistent Nausea and vomiting
loss of appetite Liver problem ( yellowing of skins and eyes, dark coloured urine) Persistent Diarrhea unusual tiredness muscle weakness blurred vision hearing loss irregular heartbeats |
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Azelaic Acid
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Skinoren | 2.5 cm for 1 inch of cream per day | Skin area in sq cm | Skin Burning
Skin itching and dryness Skin redness Pruritis |
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Metronidazole | Rozex | 7.5 mg/kg to 4 g in 24 hours | Required dosage in mg per kg, Stock strength, dosage interval, body weight | Skin burning and redness
Skin itching and irritation Skin dryness and rash Allergic reactions (swelling of face, lips, mouth, tongue) Hives Chest heaviness and pressure |
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Doxycycline
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Efracea | 40 mg daily dose | Stock strength | Stomach discomfort
Abdominal pain Nasopharyngitis Hypertension Sinusitis Diarrhea Anxiety |
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Tretinoin | Aknemycin Plus | Topical- 0.05% on skin area
30-250 mg/ kg per day 4%/ml solution as lotion |
Required volume of dosage, drug concentration in ml and in mg/ kg, Stock strength, dosage interval, body weight | Blisters
Diarrhea Edema Erythema Skin Dryness, itching, rash Epigastric pain Fever Ototoxicity Nausea and vomiting |
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Anticholinergics | Barrier of muscarinic receptors in autonomic nervous system | Umeclidinium and vilanterol (inhalation powder)
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Anoro Ellipta | 1 inhalation in 12 hours | Dosage concentration, stock strength | Dry mouth
Chest pain Dehydration Nausea Vomiting Tremors anxiety Blurry vision |
Tiotropium
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Braltus | 10 mcg per dose | Dosage interval, stock strength | Dry mouth
Dehydration Glaucoma Palpitations Bronchospasm Nausea |
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Anticoagulants | Pathophysiology | Generic Name |
Brand Name |
Dose | Calculation | Side Effect |
Mechanism of clotting mechanism Intravascular blood flow change
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Phenindione | Phenindione, Dindevan, Fenindion | 50-200 mg in 24 hours | Dosage required, body weight, drug concentration, stock strength, dosage interval | Liver inflammation
Bleeding Bruising Skin rash Skin necrosis Fever Sore throat Diarrhea Vomiting Orange coloration of urine |
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Anticonvulsants | Decrease the ongoing excitation. Changes in the electrical activity in neurons | Perampanel | Fycompa | 2 mg to 12 mg | Dosage required, drug concentration, stock strength, dosage interval | Depression
Falls Dizziness Blurred vision Dysarthria Vertigo Fatigue Somnolence |
Antidepressants | Pathophysiology | Generic Name |
Brand Name |
Dose | Calculation | Side Effect |
Changes in neurones
Increase in biogenic amines at nerve terminal
|
Clomipramine | Anafranil | 25 mg to 250 mg | Required volume of dosage, drug concentration in in mg, Stock strength, dosage interval, body weight | Dry mouth
Dyspepsia Anorexia Constipation Nausea Somnolence, dizziness, Anxiety Tremor |
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Antidiarrhoeals | Change in motility speed and increase absorption time
Mucosal absorptive mechanisms |
Loperamide | Imodium | 8 mg to 16 mg | Required dosage, drug concentration in in mg, Stock strength, dosage interval, body weight | Hives
Skin rash Constipation Stomach pain and discomfort Dizziness, Drowsiness Dry mouth Vomiting Unusual Fatigue |
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Pathophysiology | Generic Name |
Brand Name |
Dose | Calculation | Side Effect |
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Antiemetics | Stomach lining action
Change the motion sensing ability |
Promethazine
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Phenergan | 12.5 mg to 25 mg in 12 hours | Required dosage amount, drug concentration in mg/ kg, Stock strength, dosage interval, body weight | Drowsiness
Dizziness Somnolence Confusion Disorientation, Blurred vision Fatigue, Euphoria Tremors Dry mouth Nausea and vomiting Respiratory depression |
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Antifungals | Interaction with fungal sterols in membrane
synthesis inhibition of fungal sterol |
Ketoconazole | Nizoral | Child: 3.3 mg/ kg to 6.6. mg / kg
Adult : 200 mg- 400 mg |
Required dosage, drug concentration in mg and in mg/ kg, Stock strength, dosage interval, body weight | Gynecomastia
Insomnia Anxiety Headache Abdominal pain, Somnolence Paresthesia Photophobia Epistaxis Vomiting, nausea, Diarrhea |
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Pathophysiology | Generic Name |
Brand Name |
Dose | Calculation | Side Effect |
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Antihistamines | Binding towards H1 cellular receptors | Cetirizine | Zyrtec | 5 mg to 10 mg | Required dosage, drug concentration in mg/, Stock strength | Tremors
nose bleed Dizziness Nausea tongue discoloration Dry mouth headache fatigue diarrhea malaise trouble breathing stomach pain hallucinations low blood pressure |
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Antihypertentives | Change in body fluid
blood pressure insensitive towards sodium intake lower systemic circulation overload circadian blood pressure rhythm stabilise |
Enalapril
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Vasotec | 2.5 mg to 80 mg | Required dosage amount, drug concentration in mg, Stock strength, dosage interval, body weight | Fatigue
Diarrhea Rash Itching Hypertension Dizziness |
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Pathophysiology | Generic Name |
Brand Name |
Dose | Calculation | Side Effect |
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Anti-inflammatory | Inhibition of cyclooxygenase
Inflammatory stimuli induction |
Aspirin
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Ecotrin | 150 mcg–300 mcg per mL | Required volume of dosage, drug concentration in mcg/ ml, Stock strength, dosage interval, body weight | Renal Dysfunction
Anaphylaxis Salicylism Confusion Hallucinations Seizure Nausea and vomiting |
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Pathophysiology | Generic Name |
Brand Name |
Dose | Calculation | Side Effect |
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Antineoplastics | Management of neoplastic cells
Bone marrow function suppression
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Methotrexate
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Rheumatrex | 15 to 30 mg | Required dosage, drug concentration, Stock strength, dosage interval, body weight | Stomatitis
Abdominal distress Chills Fever Nausea, vomiting Dizziness |
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Antiparkinsonion | dopamine neurons loss
Nigrostriatal system degeneration |
Carbidopa-Levodopa
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Sinemet | 25 mg to 1000 mg | Required dosage amount, drug concentration in mg, Stock strength, dosage interval, body weight | Chest pain
Asthenia Hypotension/ hypertension Phlebitis Palpitations Diarrhea Vomiting Dry mouth |
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Pathophysiology | Generic Name |
Brand Name |
Dose | Calculation | Side Effect |
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Antipruritic | Wealing disorder
Histamine release |
Diphenhydramine | Benadryl | 12.5 mg to 50 mg | Required dosage, drug concentration in mg, Stock strength, dosage interva | Drowsiness
Swelling Redness Severe sore throat |
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Antipsychotics | Movement disorders that are drug induced
Increase activity towards serotonin blocking |
Clozapine | Clozaril | 12.5 mg to 900 mg in 24 hours | Required dosage, drug concentration in mg, Stock strength, dosage interval, body weight | Seizures
Eosinophilio Hyperglycemia Dizziness Constipation Headache Hypertension Dry mouth Nausea, vomiting |
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Antiseptics | Interaction with the cell surface
Penetration to target site Inhibition of growth
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Povidone-Iodine
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Betadine | 3 applications/day | Dosage area in sq cm and dosage interval | Skin irritation
Nausea erythema |
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Pathophysiology | Generic Name |
Brand Name |
Dose | Calculation | Side Effect |
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Antiulcer | Imbalance among the aggressive and defensive factors
Changes in gastroduodenal mucosa Inhibition of gastric acid secretion |
Omeprazole | Prilosec | 20 mg to 1000 mg in 24 hours | Required dosage, dosage interval, drug concentration, stock strength | Headache
Upper respiratory infection Abdominal pain Nausea, vomiting Asthenia Flatulence Diarrhea |
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Antivirals | Pathophysiology | Generic Name |
Brand Name |
Dose | Calculation | Side Effect |
Inhibition of virus development
Growth obstruction |
Peramivir
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Rapivab | 100 mg to 600 mg IV in single dose | Required dosage, dilution required, drug concentration | Diarrhea
Constipation Insomnia Hypertension |
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Anxiolytics | Irregular regulation of the neurobiological substrates | Alprazolam
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Xanax | 0.25 mg to 10 mg in 24 hours | Dosage required, dosage interval, stock strength, drug concentration | Drowsiness
Light-headedness confusion Depression Insomnia Dry mouth Constipation Nausea, vomiting Diarrhea |
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Pathophysiology | Generic Name |
Brand Name |
Dose | Calculation | Side Effect |
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Beta-blockers | Altered heart beat
Change in the blood pressure |
Acebutolol | Sectral | 200 mg to 800 mg in 24 hours | Dosage requires, dosage interval, stock strength, drug concentration | Dizziness
Headache Light-headedness extreme tiredness Muscle cramps Abnormal heart beats Upset stomach Constipation Diarrhea Lupus erythematous |
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Bronchodilators | Airway inflammation
Resistance in the respiratory airway
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Albuterol sulfate syrup
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Ventolin Syrup | 2 mg to 32 mg | Body weight, dosage required, drug concentration, dosage interval | Shakiness
Tremor Headaches Anxiety Changes in appetite |
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Pathophysiology | Generic Name |
Brand Name |
Dose | Calculation | Side Effect |
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Contraceptives | Luteinizing hormone suppression
Ovulation suppression Thick cervical mucus development Obstruct endometrial growth |
Phenytoin
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Dilantin | 1 to 3 mg/kg per minute up to 50 mg per minute as per clinical condition | Required dosage, drug concentration in mg per kg per minute, stock strength | Seizure
Cardiovascular Risk Hepatic Injury Hyperglycemia Purple glove syndrome |
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Corticosteroids | Change activity of immune system
Change in handling tissue damage |
Betamethasone
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Diprolene | 50 g per week | Dosage interval, required dosage for area in sq cm | Skin bruising
Rash Irritation, dryness Allergic contact dermatitis Perioral dermatitis, Bullous dermatitis Miliaria. Pruritus Acneiform eruptions Hypopigmentation |
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Pathophysiology | Generic Name |
Brand Name |
Dose | Calculation | Side Effect |
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Diuretics | Changes sodium handling
Lessening sodium re-absorption in nephron at variou sites
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Furosemide
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Lasix | 20 mg to 600 mg in 24 hours | Dosage required, dose strength, stock strength, dosage interval | chills
fever lower back pain unusual bruising unusual weakness Mouth and lip ulcers swollen or painful glands chest tightness, shortness of breath, wheezing difficult urination
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Electrolyte solutions | Electrolyte imbalance
Rehydration (in illness related to diarrhea)
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Electrolyte Oral Solution
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Rehydralyte | One to two caps in 24 hours | Required dosage, dosage interval | Allergic reactions on skin and face
Fever Dry mouth and eyes Upset stomach Nausea Wheezing and trouble breathing Chest tightness Mood changes Confusion Unusual muscle weakness Seizures Little urination |
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Pathophysiology | Generic Name |
Brand Name |
Dose | Calculation | Side Effect |
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Hormones | Obstruction in hormonal activity
Disorder in endocrine |
Clomiphene
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Clomid | Oral: 50 to 100 mg for 5 day | Dosage required, stock strength | Ovarian enlargement,
blurred vision, nausea and vomiting stomach discomfort, breast discomfort, |
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Hypnotics/sedatives | Pathophysiology | Generic Name |
Brand Name |
Dose | Calculation | Side Effect |
Altered sleep behaviour
Complex thinking/ mental changes due to CNS depression
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Zolpidem tartrate
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Ambien | 5 or 10 mg in 12 hours | Dose require, stock strength, drug strength dosage interval | Behavioural changes
CNS-depressant effects Mood changes – depression Hives Swelling (tongue, throat) Facial swelling Nausea Vomiting Trouble breathing |
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Hypoglycaemics
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Metabolic abnolmalities, disorder
Definceiny of insulin insulin resistance Rise in output activity of hepatic glucose |
Glipizide | Glucotrol | 2.5 mg to 40 mg in 24 hours | Dosage required, drug concentration, stock strength, the patient’s blood glucose level | Gastrointestinal disturbances
Nausea Diarrhea Constipation Cholestatic jaundice Erythema Skin allergic reaction ( irritation, itching) |
Insulin | Loss of beta cell function
Disorder in beta-cell function (pancreatic islet) |
Insulin glulisine | Apidra/ Apidra solostar | 100 units/mL | Dosage strength required, drug concentration, stock strength | Hypoglycemia
Hypokalemia Lipodystrophy Lipohypertrophy
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Laxatives/aperients | Pathophysiology | Generic Name |
Brand Name |
Dose | Calculation | Side Effect |
GI obstruction
Water absorption in colon swelling in the intestine |
Psyllium(Metamucil)
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Psyllium | 15mg-30mg | Dosage interval, drug concentration, stock strength, required dosage | Stomach pain
Nausea Vomiting skin rash skin itching rectal bleeding Facial swelling (including tongue) Trouble breathing. Difficulty in swallowing |
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Analgesia | Sensitization of central nervous system
Increase activity of ionotropic glutamate receptors |
Acetaminophen/ paracetamol
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Tylenol | 15 mg/kg to 1000mg | Dosage require, drug concentration./ strength, stock strength, dosage interval, body weight
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Increase sweating
unusual tiredness or weakness unusual bruising cloudy urine little urination black stools fever or chills lower body or back pain ulcers on the lips or in the mouth yellow eyes or skin |
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Pathophysiology | Generic Name |
Brand Name |
Dose | Calculation | Side Effect |
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Narcotic analgesia | Increase activity among transmembrane molecules
post-translational modification gene products formation of receptors
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Meperidine | Demerol | 50 mg to 150 mg oral tablets (4 hours gap between dose)
Orl solution – reduced to 25% to 50% with phenothiazines and tranquilizers |
Dosage strength, stock strength, drug concentration, body weight, dosage interval | Addiction and abuse
Respiratory Depression Seizures Severe Hypotension Adverse Reactions in gastrointestinal tract Adrenal Insufficiency Neonatal Opioid Withdrawal Syndrome
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Neuroleptics | Complex central nervous system (CNS) actions
Antagonist effect of D2 receptor, muscarinic, H1-histaminergic and 5-HT2 receptors neurotransmission, |
Aripiprazole | Abilify | 10 to 30 mg in 12-24 hours | Dosage strength, stock strength, body weight, dosage interval | Weight gain
Dizziness, Drowsiness Unusual tiredness, Light-headedness feeling headache, and trouble sleeping Nausea and vomiting excess salivation blurred vision constipation |
Ophthalmic | Ocular inflammation
tear film disorder disorder of the ocular surface |
Ciprofloxacin Hcl | Ciloxan | 2 drops each in 12 hours | Dosage interval | Stinging or burning eyes
Eye discomfort, Eye pain Eye itching and redness blurred vision Eye discharge |
Otic Medications | middle ear inflammation | Neomycin and Polymyxin B Sulfates and Hydrocortisone | Cortisporin otic solution | 2-4 drops three to four times in 24 hours | Dosage interval | Skin sensitization
Burning and itching Dryness Acneiform eruptions Dermatitis Skin maceration Hypopigmentation |
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Pathophysiology
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Generic Name |
Brand Name |
Dose | Calculation | Side Effect |
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Nasal medications | Eosinophilic inflammation
Ventilation restriction Sinus ostia obstruction Mucus retention Infection |
Triamcinolone | Nasacort allergy 24hr | 2 actuations in each in 24 hours | Dosage required strength and dosage interval | Nosebleeds
Hives Facial swelling Throat and tongue swelling Fever or chills Blurred vision Eye pain Moderate to severe nose stinging or burning
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Oxymetazoline nasal | Dristan/ 12 hour nasal | One drop for 3-4 times a day | dosage interval | Hives
Swelling in face, lips, mouth, tongue, throat Cough Trouble breathing Severe stinging in nose Uneven heart rate Severe headache Anxiety, Shortness of breath. Runny nose |
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Levocabastine hydrochloride | Livostin | One drop each four times a day | dosage interval | dry mouth
unusual fatigue Burning in and around nose Headache visual disturbance eye pain/dryness redness in eyes erythema dyspnea
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IV fluids | Reduced circulation to vital organs
Blood or plasma loss of intravascular volume Metabolic responses to stress I which are non-specific) Loss of external fluid and electrolyte from the gastrointestinal tract Internal fluid distribution change and Handling change in fluid or electrolyte for vital and specific organ in situation of restricted food intake. |
sodium chloride injection | Normal Saline (9%) | Depends on the patient body weight, age, and clinical condition- (0.9% or 45% or more ) | Stock strength, required dosage, drug concentration, dosage duration, body weight
Rate of administration in ml per minute, drops per minutes based on tubing |
Infection at the injection site
Phlebitis signs (slight pain, redness) Extravasation Hypervolemia |
Dextrose | Dextrose 5% in water/
D50W, DGlucose |
Intravenously: 20 ml to 100 ml or Oral : 4g to 20 g | administration rate in ml per minute, drops per minutes based on tubing, dosage duration | Skin rash, itching, redness
Hives blistered skin Chest tightness Wheezing and difficulty in breathing, Sore throat and difficulty in swallowing fever Face swelling Tongue or throat swelling |
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lactated ringer’s injection | Lactated Ringer’s | Depends on clinical condition | Body weight, Drug concentration, required dosage in ml per 500 ml or 1000 ml , dosage duration, administration rate in ml per minute, drops per minutes | Allergic reactions ( itching, facial and throat swelling, hives)
Coughing Difficulty in breathing fever, skin redness, swelling and infection at the injection site
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Sodium chloride (flush) | Normal Saline Flush , BD PosiFlush SF, Syrex, Thermoject | Depends on clinical condition | Drug concentration, required dosage in ml, dosage duration and Body weight. administration rate in ml per minute, drops per minutes | Mild to severe irritation around the catheter
Swelling in and around site Pain Burning Redness Cold feeling
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§ Drugs commonly used for fluid and electrolyte imbalance:
§ acidifiers, alkalisers § diuretics § electrolytes § replacement solutions.
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Reduced gastrointestinal perfusion
Reduction in circulating volume of blood’ maldistribution of fluid Mucosal in the ischaemia region Mucosal reliability compromised Impaired gut function Systemic inflammatory responses Micro-circulatory failure
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Calcium polystyrene Sulfonate | Calcium resonium | 15 g to 60 g in 24 hours | Required dosage in mg or g, stock strength, drug concentration, dosage interval | Chest pain, heaviness, tightness
Blood vomiting Cough with mucus Sore throat Fever or chills Stomach pain, cramps Abdominal pain Persistent Dizziness constipation dry mouth wheezing, difficulty in breathing |
sodium polystyrene sulphonate | Resonium A | 15 g to 60 g dose
20 ml – 100ml as suspension |
Required dosage, stock strength, drug concentration, dosage interval | Chest pain and tightness
Blood vomiting Sore throat cough Fever , chills Abdominal pain Dizziness Numbness around face Severe constipation Increased urination |
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Amiloride-Hydrochlorothiazide | Amiloride / Moduretic | One two two tablets of 5/50 mg in 24 hours | Dosage required, stock strength | Moderate to severe headache
Dizziness Dry mouth Nausea, vomiting, loss of appetite, Muscle weakness, cramps stomach and/ or abdominal pain, dehydration Fainting, seizures |
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Sodium Fluoride | Phos-Flur | 1.1% as sodium as cream/ paste/gel
0.2% as solution
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Sock strength, required dosage, drug concentration | Upset stomach
Feeling of throwing up Hives Skin rash, itching and redness Blistered Chest tightness trouble breathing wheezing difficulty in swallowing, or speaking Face swelling including tongue and throat. |
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Vitamins | Pathophysiology | Generic Name |
Brand Name |
Dose | Calculation | Side Effect |
Inadequate dietary intake
Inadequate utilisation Impaired intestinal absorption Lower absorption due to deficiency Decrease level such as folate, calcium Progression of organ failure Cardiovascular diseases |
Pyridoxine | Vitamin B6, Nestrex | 0.1 mg to 80mg per day | Body weight, Dosage required stock, strength, drug concentration, dosage interval | Decreased sensation- sensory nerve damage
Headache Sleepiness Loss of appetite Nausea and vomiting Stomach pain Numbness Unstable gait |
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B Complex-Vitamin C-Folic Acid | Renavit | 0.45 g per day | Dosage required, stock strength | Upset stomach
allergic reaction Skin rash Skin itching Facial swelling including tongue severe dizziness breathing difficulty |
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Nut.Tx / Metab.Disorde | Fruitivits | Oral powder-
46 Kcal per 100 gram |
Dosage required strength, drug concentration, dosage interval | Confusion
Mood swing, depression Nausea Loss Of Appetite Feeling of unwell Skin rash and redness Taste Problem Bronchospasm |
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Other | – |
ASSESSMENT TOOL 3
Workplace Assessment Task
Medication Administration – Oral Medications
- Wash hands
- Have equipment ready:
- Medication Chart
- Medications
- Delivery device: e.g. medicine cup; spoon; dropper
- Cup of water for client
- Do not touch the medications while dispensing
- Educate the client and request their permission
- Check that the prescription is valid, the route required and time of last administration
- Dispense the medication:
- Check the bottle; box or the blister pack for the generic name of the drug; the dose/strength of each tablet and the expiry date. If a liquid, check the bottle label for generic name; dose per number of millilitres and expiry date.
- Perform any calculations and have an RN check them if you are unsure
- Dispense medication into cup without touching the tablet; if a liquid keep the label upright as you pour and have the measuring cup on a flat surface
- Check the label against the medication order a second time
- Ensure client is in the correct position to be able to take the medicine
- Check the client identification: Check the ID band and verbally ask the client for their full name and date of birth. Can use photo ID if this is provided and is accurate
- Check the client allergy status: ask the client; check the medication chart and check the ID band
- Proceed only if client has no swallowing difficulties
- Allow client to put medications into their own mouth if this is appropriate
- Give client cup of water
- OBSERVE client taking the medication
- Record administration of medication after client has swallowed same
- Record fluid intake
- Observe client for response to medication
Workplace Supervisor
Feedback to student |
Workplace Assessor
The student’s knowledge is: |
|
|
Competent 1 | Not Yet Competent 1 |
Feedback to student:
|
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Student signature: | Student signature:
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Workplace Supervisor signature: | Assessor signature: | |
Date:
|
Date:
|
Assessment Tool 4
Supervisor Workplace Observation Statement
Instructions for Workplace Supervisor/Third Party The collection of third party evidence provides assessors with authentic and valid evidence. The completion of this report will provide complementary evidence for the assessor to make the professional judgement about the achievement of competency.
Supervisor/Third Party Declaration I declare that I have observed the student perform the workplace assessment/s in line with the criteria stated in the assessments. I confirm that I have not received any inducements to complete this report and have advised of any personal relationship with the student.
Position:______________________________________________________________
|
ASSESSMENT TOOL 3
Workplace Assessment Task
Medication Administration – Oral Medications
- Wash hands
- Have equipment ready:
- Medication Chart
- Medications
- Delivery device: e.g. medicine cup; spoon; dropper
- Cup of water for client
- Do not touch the medications while dispensing
- Educate the client and request their permission
- Check that the prescription is valid, the route required and time of last administration
- Dispense the medication:
- Check the bottle; box or the blister pack for the generic name of the drug; the dose/strength of each tablet and the expiry date. If a liquid, check the bottle label for generic name; dose per number of millilitres and expiry date.
- Perform any calculations and have an RN check them if you are unsure
- Dispense medication into cup without touching the tablet; if a liquid keep the label upright as you pour and have the measuring cup on a flat surface
- Check the label against the medication order a second time
- Ensure client is in the correct position to be able to take the medicine
- Check the client identification: Check the ID band and verbally ask the client for their full name and date of birth. Can use photo ID if this is provided and is accurate
- Check the client allergy status: ask the client; check the medication chart and check the ID band
- Proceed only if client has no swallowing difficulties
- Allow client to put medications into their own mouth if this is appropriate
- Give client cup of water
- OBSERVE client taking the medication
- Record administration of medication after client has swallowed same
- Record fluid intake
- Observe client for response to medication
Workplace Supervisor
Feedback to student |
Workplace Assessor
The student’s knowledge is: |
|
|
Competent 1 | Not Yet Competent 1 |
Feedback to student:
|
||
Student signature: | Student signature:
|
|
Workplace Supervisor signature: | Assessor signature: | |
Date:
|
Date:
|
Assessment Tool 4
Supervisor Workplace Observation Statement
Instructions for Workplace Supervisor/Third Party The collection of third party evidence provides assessors with authentic and valid evidence. The completion of this report will provide complementary evidence for the assessor to make the professional judgement about the achievement of competency.
Supervisor/Third Party Declaration I declare that I have observed the student perform the workplace assessment/s in line with the criteria stated in the assessments. I confirm that I have not received any inducements to complete this report and have advised of any personal relationship with the student.
Position:______________________________________________________________
|