Brett

Question 1

What is the pharmacology, action, rationale and nursing responsibilities for Heparin sodium?

Answer 1

Pharmacology: inhibits factor 10a preventing conversion of prothrombin to thrombin
Action: prevents clotting - anticoagulant
Rationale: bed rest, potential compartment syndrome
Nursing Responsibilities: 5 moments of hand hygiene, 8 rights of medication administration + allergies, check drug guide to ensure knowledge, ensure patient knowledge, don’t give IM, monitor for bleeding/don’t give if unstoppable bleeding, pork allergy/culture, have protamine sulphate available

Question 2

What is the pharmacology, action, rationale and nursing responsibilities for Ondansetron?

Answer 2

Pharmacology: serotonin antagonist to prevent post op nausea and nausea from opioid
Action: treats and inhibits nausea and vomiting
Rationale: post op surgery and oxycodone
Nursing Responsibilities: 5 moments of hand hygiene, 8 rights of medication administration + allergies, check drug guide to ensure knowledge, ensure patient knowledge, monitor serotonin syndrome, monitor for intestinal obstruction, liver/hepatic impairment

Question 3

What is the pharmacology, action, rationale and nursing responsibilities for Docusate Sennoside/sodium

Answer 3

Pharmacology: increases the amount of water absorbed by the stools
Action: stool softener
Rationale: constipation - bed rest
Nursing Responsibilities: 5 moments of hand hygiene, 8 rights of medication administration + allergies, check drug guide to ensure knowledge, ensure patient knowledge, liver/hepatic function, swallowed whole or rectal, don’t give if have abdominal obstruction or paralytic ileus

Question 4

What is the pharmacology, action, rationale and nursing responsibilities for Actrapid?

Answer 4

Pharmacology: Binds to insulin receptors & increases glucose uptake. Inhibits hepatic glucose output
Action: decreases blood glucose
Rationale: type 1 diabetes
Nursing Responsibilities: 5 moments of hand hygiene, 8 rights of medication administration + allergies, check drug guide to ensure knowledge, ensure patient knowledge, liver/hepatic function, discard cloudy solutions, don’t give if Hypoglycaemic, monitor BGL, give with glucose during IV, patient education, lipodystrophy

Question 5

What is the pharmacology, action, rationale and nursing responsibilities for Oxycodone?

Answer 5

Pharmacology: block opioid receptors in the brain and spinal cord and inhibits presynaptic neurotransmitter release
Action: decrease pain transmission
Rationale: moderate - severe pain due fracture and ICC insertion/wound site
Nursing Responsibilities: 5 moments of hand hygiene, 8 rights of medication administration + allergies, check drug guide to ensure knowledge, ensure patient knowledge, monitor for resp depression, urinary retention, dependence, intracranial pressure