Grace

Question 1

What is the pharmacology, action, rationale and nursing responsibilities of Meloxicam?

Answer 1

Pharmacology: non-selective COX inhibitor and therefore decreases inflammation and pain
Action: decreases inflammation and pain
Rationale: osteoarthritis
Nursing responsibilities: 5 moments of hand hygiene, 8 rights of medication administration + allergies, check drug guide to ensure knowledge, ensure patient knowledge, monitor signs of bleeding, history of gastric ulcers

Question 2

What is the pharmacology, action, rationale and nursing responsibilities of Felodipine CR?

Answer 2

Pharmacology: calcium channel blocker - prevents contraction and causes vasodilation decreasing afterload and work of heart
Action: antihypertensive
Rationale: hypertension
Nursing responsibilities: 5 moments of hand hygiene, 8 rights of medication administration + allergies, check drug guide to ensure knowledge, ensure patient knowledge, tachycardia, hypotension, caution if with B-BLOCKER, ANTIHYPERTENSIVES, NITRITES

Question 3

What is the pharmacology, action, rationale and nursing responsibilities of Cefazolin Sodium?

Answer 3

Pharmacology: inhibits bacterial cell wall synthesis
Action: antibiotic
Rationale: to prevent bone infection
Nursing responsibilities: 5 moments of hand hygiene, 8 rights of medication administration + allergies, check drug guide to ensure knowledge, ensure patient knowledge, liver/renal function, allergies to similar ABs, complete full courses, take at same time, wash hands,

Question 4

What is the pharmacology, action, rationale and nursing responsibilities of oxygen?

Answer 4

Pharmacology/action: increases oxygenation of tissues
Rationale: low O2 sats, also on opioids with sleep apnoea
Nursing responsibilities: 5 moments of hand hygiene, 8 rights of medication administration + allergies, check drug guide to ensure knowledge, ensure patient knowledge, monitor oxygen toxicity/hypercapnia, ensure not near flame

Question 5

What is the pharmacology, action, rationale and nursing responsibilities of fentanyl?

Answer 5

Pharmacology: blocks opioid receptors in brain and spinal cord and inhibits presynaptic neurotransmitter release
action: inhibits pain signal and pain
Rationale: pain from operation, osteoarthritis
Nursing responsibilities: 5 moments of hand hygiene, 8 rights of medication administration + allergies, check drug guide to ensure knowledge, ensure patient knowledge, 2 nurses, book, record discard, monitor resp depression, dependence, urinary retention, intracranial pressure, have naloxone available