GCNNK1 Nursing Knowledge Assessment IHM

Assessment: Outline of Assessment Information

Students are required to submit a critical discussion paper related to the nursing management of Mr Ferguson’s case study below:

The critical discussion paper should address the following issues:

1. Describe the patient’s presenting problem focusing on the patho physiological issues.

2. Review and use of literature to explain the pharmacokinetics of the prescribed medications and their indications.

GCNNK1 Nursing Knowledge Assessment IHM

GCNNK1 Nursing Knowledge

3. Discuss the nursing management appropriate for the patient including management of the adverse effects of the medication(s) using evidence-based literature.

4. Describe in detail the information you would share with the patient and how you will educate the patient about the interactions and long term effects of the medications prescribed in the ED?

Mr Ferguson is a 76 year old male who presented to your emergency department at 0800hrs complaining of a 2/24 history of chest heaviness. He has self administered x2 sprays of his glyceryl trinitrate pump spray totaling 800mcg with minimal relief. On arrival to your allocated bed Mr Ferguson appears pale, diaphoretic & short of breath.

Regular Medications Medications PrescribedAdministeredinED
Aspirin 100mgPO, OD Aspirin 300mgPo
Metoprolol 50mgPO, OD MorphinesulphateIV 2.5mgadministered onfour


(4)occasions PRN

Rosuvastatin 10mg, PO, OD Low molecularweight (LMW) heparin infusion
glyceryl trinitrate pump spray-PRN Fentanyl 50mcg IV, x2 STAT doses
Vitals Signs  
Blood pressure 172/86
Heart rate 103bpm, irregular
Spo2 97%RA
Respiratory rate 24b/min
Temperature 36.8C tympanic
GlasgowComa Scale 15/15 – E4V5M6

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Assessment 1 (Formative) 2

Graduate certificate in nursing – Version 1.0 Institute of Health & Management

A llergies: Amiodarone
M edications: as stated above
P ast medical history: Angina
Non ST Elevated Myocardial Infarction (NSTEMI) (1998 & 2006) Hypertension


L ast time the patient ate and drank: toast and tea at 0630hrs
E vents preceding admission: chest heaviness 2/24

Table 1: Marking guide Formative Assessment Task  – 40%

Criteria Available mark % Awarded mark % Comments
Introduction and conclusion


Aclearintroductionoutliningthepurposeofthe paper



a.    A verycleardescriptionof thehealthissue, prescribed medication,Drug interaction and long term effect.

b.    Aclearpresentationofmanagementplansfromthe literature







Application of pharmacology to practice


a.      Knowledge of pharmacokinetics and management plan to prevent the adverse events.

b.      Evaluationsofthe therapeutic managementplanspresentedinthe literature.







Quality ofPresentation/Writing


a.                  Logical and sequential arrangement of  arguments and discussions based on literature findings

b.      Grammar, syntax, expression,spelling,style, presentation&legibility





APA Referencing


a.    Citationswhereappropriate

b.    Accuracyofbibliographicdetails





Subtotal 40    

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GCNNK1 Nursing Knowledge Assignment

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