1. Refer to the enrolled nurses and medicine administration fact sheet. Summarise the legal requirements for practice parameters of enrolled nurse outlined in the fact sheet in relation to the administration of medications including intravenous route of medication administration.
(Nursing and Midwifery Board of Australia, 2019)
2. Identify and
iefly describe the key objectives of the Health (Drugs and Poisons) Regulations applicable to your State/Te
itory.
3. Identify and
iefly describe the key objectives of the Drugs and Poisons Acts applicable to your State/Te
itory.
4. Identify and
iefly describe three (3) NMBA or ICN codes and guidelines that provide a framework for enrolled nurse practice.
5. Briefly describe the key intention of Standard 3 ‘Preventing and Controlling Health Care Associated Infections’ of National Safety and Quality Health Standard (NSQHS).
6. What is meant by Visual Infusion Phlebitis Score (VIPS)? Briefly explain its significance in your nursing practice.
7. Interpret the following schedules of medications and provide two (2) examples of each of these schedules:
a. Schedule 2:
. Schedule 3:
c. Schedule 4:
d. Schedule 8:
8. Complete the following table outlining how you will handle, calculate, administer and store the following forms of medications:
Forms
Examples
Handling
Calculation
(specify the formula where appropriate)
Administration
Storage
Capsules
Gelatin capsules
Drops
Amoxicillin eye
drops
Inhalants
Fluticasone
Liquid
Dexamethasone as liquid drug
Lotions and
creams
Tretinoin cream
Ointments
Ketoconazole
ointment
Patches
Nitroglycerin
patches
Powders
Cholestyramine powder
Tablets
Tab
Acetaminophen
Wafers
Ondaz Zydis
wafers
Suppositories
Dulcolax
9. Briefly describe the following terms relevant to the pharmacology of medications using an example: ▪ Pharmacodynamics
▪ Pharmacokinetics
▪ Pharmacotherapeutics
10. Discuss the term ‘toxicology’.
11. Differentiate between adverse reactions and anaphylactic reactions.
12. Discuss the term ‘contraindications’ of a medication using an example.
13. Precautions and side effects are common expressions in medicine administration. Explain both the terms with an example for each.
14. What causes the following potential complications of a blood transfusion? Identify a reason for each of these complications.
▪ Pain at IV site and arm:
▪ Acute immune haemolytic reaction with signs and symptoms such as loin pain, nausea, vomiting, haematuria and headache:
▪ Urticaria (hives):
▪ Flushing, chills or fever:
▪ Anxiety:
▪ Wheezing, progressing to cyanosis:
▪ Anaphylactic reaction including tachycardia, cardiac a
est or shock that may lead to death:
15. How should an enrolled nurse apply the following rights of medication administration? ▪ Right medication:
▪ Right dose:
▪ Right prescription (documentation):
▪ Right route:
▪ Right time:
▪ Right person:
▪ Right expiration date:
▪ Right to refuse:
16. Briefly describe the steps involved in administering medications via the buccal route.
17. Briefly describe the steps involved in administering medications using metered dose inhaler and spacer inhaler.
Metered dose inhaler:
Spacer inhaler:
18. Briefly describe the steps involved in administering medications via PEG tube.
19. Briefly describe the steps involved in administering medications via intranasal route (e.g. administering a nasal spray via a pressurised canister).
20. Briefly describe the steps involved in administering medications via vaginal route.
21. Identify and
iefly describe an indication to use each of the following IV medication administration methods.
▪ IV bolus:
▪ Gravity or drip infusion:
▪ Electronic pump infusion:
▪ Via burette:
▪ IV piggyback and tandem:
▪ Syringe driver through sub-cut lines:
22. Discuss three (3) factors to be considered while calculating medication dosages.
23. Dose administration aids (DAA) help clients in the community to better manage their medicines. Briefly describe four (4) factors to be considered while using DAA.
24.. Briefly describe the action of acidifiers in controlling pH in our bodies. Provide two (2) examples of acidifiers used for fluid and electrolyte imbalance.
25. Briefly describe the action of alkalisers in treating fluid and electrolyte imbalance. Provide two (2) examples of alkalisers used for fluid and electrolyte imbalance.
26.. Briefly describe the action of diuretics in managing fluid and electrolyte imbalance. Provide two (2) examples of diuretics.
27. Provide two (2) examples of electrolytes used for fluid and electrolyte imbalance. Briefly describe the action of one electrolyte you identified in managing fluid and electrolyte imbalance in the body.
28. Briefly describe the action of intravenous replacement solutions. Provide two (2) examples of replacement solutions used for fluid and electrolyte imbalance.
29. Briefly describe the use and actions of nitrous oxide and desflurane as anesthetic agents.
30. Briefly describe the use and actions of ibuprofen as an analgesic agent.
31.. Briefly describe the use and actions of omeprazole as an antacid.
32. Briefly describe the use and actions of nitroglycerine as an antianginal.
33. Briefly describe the use and actions of lorazepam as an anti-anxiety medication
34. Briefly describe the use and actions of metoprolol as an anti-a
hythmic medication.
35. Briefly describe the use and actions of amoxicillin as an antibiotic.
36. Briefly describe the use and actions of atropine as an anticholinergic.
37. Briefly describe the use and actions of warfarin as an anticoagulant.
38. Briefly describe the use and actions of clonazepam as an anticonvulsant.
39. Briefly describe the use and actions of amitriptyline as an antidepressant.
40. Briefly describe the use and actions of loperamide as an antidia
heal agent.
41. Briefly describe the use and actions of ondansetron as an antiemetic agent.
42. Briefly describe the use and actions of clotrimazole as an antifungal agent.
43. Briefly describe the use and actions of cetirizine as an antihistamine.
44. Briefly describe the use and actions of captopril as an antihypertensive.
45. Briefly describe the use and actions of indomethacin as an anti-inflammatory drug.
46. Briefly describe the use and actions of vincristine as an antineoplastic drug.
47. Briefly describe the use and actions of L-dopa as an antiparkinsonion drug.
48. Briefly describe the use and actions of diphenhydramine as an antipruritic drug.
49.. Briefly describe the use and actions of haloperidol as an antipsychotic agent.
50. Briefly describe the use and actions of iodine as an antiseptic agent.
51. Briefly describe the use and actions of pantoprazole as an antiulcer drug.
52. Briefly describe the use and actions of acyclovir as an antiviral drug.
53. Briefly describe the use and actions of alprazolam as an anxiolytic drug.
54. Briefly describe the use and actions of propranolol as a beta-blocker.
55. Briefly describe the use and actions of salbutamol as a
onchodilator.