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
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 |
ORDER This GCNNK1 Nursing Knowledge Assignment NOW And Get Instant Discount
Assessment 1 (Formative) 2
Graduate certificate in nursing – Version 1.0 Institute of Health & Management
AMPLE
A llergies: Amiodarone
M edications: as stated above
P ast medical history: Angina
Non ST Elevated Myocardial Infarction (NSTEMI) (1998 & 2006) Hypertension
Hypercholesterolemia
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 |
5 | ||
| Content
a. A verycleardescriptionof thehealthissue, prescribed medication,Drug interaction and long term effect. b. Aclearpresentationofmanagementplansfromthe literature |
5
5 |
||
| Application of pharmacology to practice
a. Knowledge of pharmacokinetics and management plan to prevent the adverse events. b. Evaluationsofthe therapeutic managementplanspresentedinthe literature.
|
5
5 |
||
| Quality ofPresentation/Writing
a. Logical and sequential arrangement of arguments and discussions based on literature findings b. Grammar, syntax, expression,spelling,style, presentation&legibility |
5 5 |
||
| APA Referencing
a. Citationswhereappropriate b. Accuracyofbibliographicdetails |
2.5 2.5 |
||
| Subtotal | 40 |
ORDER This GCNNK1 Nursing Knowledge Assessment NOW And Get Instant Discount
ORDER This GCNNK1 Nursing Knowledge Assessment NOW And Get Instant Discount
Get NRS71005 Essentials of Nursing Care Assessment by Professional Writers