Explain the doctor’s rationale for prescribing prednisolone. Describe the action and side effects.

Week One and Two laboratory sessions

Worksheets represent the independent enquiry-based learning portion of MSN. Answers should have correct paragraph and sentence structure and be referenced according to UTS Harvard guidelines, including in-text citations and a complete reference list.  Assistance with academic writing and referencing is available through the UTS library and the HELPS service. It is up to you, as independent adult learners to seek assistance. Preliminary sources of information are suggested in your charts and checklist books, however the expectation is that you read widely and evidence this through referencing reputable sources.

Week One

Question One:  Pathophysiology, symptomology (max. 250 words)

Examine Dr Bennett’s presenting history, medical history, vital signs, and Chest x-ray; explain how these are suggestive of a diagnosis of an acute exacerbation of COPD?

 

 

Question Two: Nursing Management (max. 250 words)

Explain why oxygen is indicated for Dr Bennet? Discuss the suitability and nursing considerations of the different types of oxygen devises that are available and appropriate in the context of Dr Bennett’s condition.

 

Question Three: Associated Pharmacology (max. 250 words)

Prednisolone

1. Explain the doctor’s rationale for prescribing prednisolone. Describe the action and side effects.

 

 

 

 

2. Dr Bennet is ordered Prednisolone 40mg. Using the MIMS online look at the available strengths and decide which ones would be appropriate to administer to reach the total 40mg.

 

 

 

 

Thyroxine

1. Explain why Dr Bennet is prescribed thyroxine?

 

2. What is the action and common side effects of thyroxine?

 

3. Is the medication thyroxine charted correctly in the medication chart (located in the charts and checklist folder – Lab week 2). Describe your actions if you find an error on the medication chart.

 

 

 

Question 4 – Pathology

Describe and explain the purpose of the following diagnostic studies:

 

1. Haemoglobin:

 

2. Haematocrit:

 

 

Question 5 – Psychomotor

 

Complete the care plan for Dr Bennett by discussing how you will meet the outcome.

 

Issue	Goal / Outcome	Method
Patient is short of breath	To relive the symptoms of breathlessness and promote comfort

 

 

 

 

 

Week Two

 

Question One:  Pathophysiology, symptomology (max. 250 words)

Define the action of the two hormones, Insulin and glucagon in the body and discuss why it is necessary for Dr Bennett to be prescribed oral metformin. Then read Dr Bennett’s Week one and week two progress notes available in the charts and checklist folder.  Use supportive literature to discuss the need for parenteral insulin for Dr Bennett at this time and explain why insulin is injected rather than given orally.

Question Two: Nursing Management (max. 250 words)

What is meant by the term hypoglycaemia and hyperglycaemia?  What are the signs and symptoms?  How would you respond to these signs and symptoms?

Question Three: Associated Pharmacology (max. 250 words)

Metformin

1. Dr Bennett is ordered Metformin 1gram. Look in the MIMS online accessed through the UTS Library site and decide which strength tablets you can administer. Show your working.

 

 

2. What is the action and side effects of metformin?

 

 

3. Dr Bennet administers her own metformin and you write the code Ⓢ on the medication chart to indicate that they have self-administered. Why do nurses circle the code letter when documenting non-administration of a medication?

Protaphane

 

4. Looking in the MIMS online what technique do they recommend for administering Protaphane? Provide a rationale for this technique.

 

 

 

5. What is the action and side effects of Protaphane?

 

 

 

Question 4 – Pathology

 

Describe and explain the purpose of the following diagnostic studies:

 

1. Fasting Blood sugar

 

 

2. HbA1c

 

Question 5 – Psychomotor

Explain the technique of administering a subcutaneous injection and provide rationales for each step.

 

 

Progress Notes

Two nursing entries are to be recorded in the below table referring to the week one and week two care of Dr Bennett.  Follow on each entry from the progress notes supplied in your charts and checklist book.

Date and Time	Progress Notes

 

References

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