HLT51612 Diploma of Nursing

HLT51612 Diploma of Nursing

HLTEN507C ADMINISTER AND MONITOR MEDICATIONS IN THE WORK ENVIRONMENT

ASSESSMENT TASK 3: Project: Haematological medications

HAEMATOLOGICAL MEDICATIONS

Student Instructions:

  • Read the following case scenarios and answer the questions provided. Word count 200 words (+/- 10%)
  • Use Harvard referencing to support your responses and provide a reference list
  • This task will be available online and students are required to submit this assessment task online by the due date supplied by the teacher/unit outline
  • This assessment is 1 of 5 tasks.
  • Students must achieve satisfactory (S) outcome in all 5 tasks to attain Competency (C) in this unit.

Mr Pap a 55 year old Greek gentleman has been admitted to the Elgar ward for treatment of a left leg Deep Venous (Vein) Thrombosis (DVT). He has been commenced on Warfarin therapy. Mr Pap is having daily blood International Normalized Ratio (INR) levels. Mr Pap is also a vegetarian and has a diet largely consisting of grains, salads, and vegetables.  

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  1. What action does Warfarin have on the body? How might this action help treat Mr Pap’s DVT?
Criteria Satisfactory (S) Not yet Satisfactory (NYS) S/NYS
Medication action Explanation provided is accurate and an  understanding of pharmacodynamics and physiology evident Inadequate, incorrect or no response provided  
Right medication response Student demonstrates  understanding Inadequate, irrelevant or no response provided  

 

  1. What are 2 adverse reactions for Warfarin therapy?
Criteria Satisfactory (S) Not yet Satisfactory (NYS) S/NYS
Adverse reaction Response identifies 2 correct adverse reactions Inadequate, incorrect or no response provided  

 

  1. What is the antidote for Warfarin overdose?
Criteria Satisfactory (S) Not yet Satisfactory (NYS) S/NYS
Warfarin antidote States the correct answer Inadequate, incorrect or no response provided  

 

  1. Name 2 medications that interact with warfarin and include what group the medication comes from?
Criteria Satisfactory (S) Not yet Satisfactory (NYS) S/NYS
Medication 2 medications are correctly identified Inadequate number, incorrect or no response provided  
Medication group Correct medication group identified Inadequate, irrelevant or no response provided  

 

  1. Mr Pap asks if he can still take Aspirin when on Warfarin. Why is Aspirin often contraindicated in patients taking warfarin?
Criteria Satisfactory (S) Not yet Satisfactory (NYS) S/NYS
Medication administration Explanation provided is patient centred, informative, accurate Inadequate, incorrect or no response provided  
Contraindications Response is correct and demonstrates good understanding Inadequate, irrelevant or no response provided  

 

  1. What is the scope of practice of the Enrolled Nurse in relation to the administration of Warfarin therapy?
Criteria Satisfactory (S) Not yet Satisfactory (NYS) S/NYS
EN Scope of Practice with warfarin administration Response demonstrates a clear understanding of the role and responsibilities of the EN Inadequate, incorrect or no response provided  

8. You and the Registered Nurse (RN) are administering Mr Pap his 1700hour dose of Warfarin.

  1. What blood test result needs to be checked before administering Mr Pap his Warfarin dose?
  2.  What is a normal therapeutic range for the INR for prophylaxis of a DVT?
  3. Why is it not advisable to interchange the two Warfarin trade names of Coumadian and Marevan?
Criteria Satisfactory (S) Not yet Satisfactory (NYS) S/NYS
Preliminary checks prior to administration Correctly identified and complete response Inadequate, incorrect or no response provided  
Therapeutic Range for INR Correct INR therapeutic range identified for warfarin Inadequate, incorrect or no response provided  
Patient education regarding medication compliance Accurate and depth of understanding of the importance of not changing brands Inadequate, incorrect or no response provided  

9. What education would you provide Mr Pap in relation to his Warfarin therapy prior to his discharge from the Elgar ward:

  1. Drug timing
  2. Drug interactions
  3. Diet
  4. When to seek medical advice
  5. How would you evaluate Mr Pap’s understanding of the education given?
Criteria Satisfactory (S) Not yet Satisfactory (NYS) S/NYS
Patient education regarding timing of warfarin Patient education provided is patient centred, informative, accurate and relevant Inadequate, incorrect or no response provided  
Patient education regarding drug interactions Patient education provided is patient centred, informative, accurate and relevant Inadequate, incorrect or no response provided  
Dietary considerations Exhaustive list of specific dietary foods to avoid is provided and relevant to patient Inadequate, incorrect or no response provided  
Patient safety Exhaustive list of significant side effects  to monitor for  and would warrant medical advice is provided Inadequate, incorrect or no response provided  
Evaluation of patient understanding following health education Demonstrates a good understanding of how to assess patient understanding following health teaching

Example provided

Inadequate, irrelevant or no response provided  

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