A protocol defines a set of procedures or steps to be followed for the accomplishment of a given task

 

The deadline for Assignment 3: Creating a Drug Protocol 

Percentage: 50%
A protocol outlines a series of procedures or actions that must be taken in order to complete a specific activity. In order to fulfill the safety and quality requirements for giving your chosen medication (as per the case studies below), you must create a drug protocol that outlines all the steps you and other medical workers must take in a hospital ward environment.
Basic Information
You are a recently registered nurse in this region and are working on a ward. One of the patients given to you (who corresponds to one of the case studies shown below) requires that you administer medication. You look for the medication protocol for the unit but are unable to locate one since you are unaware of how to administer the medication. You approach the Nurse Unit Manager, who advises you to create a drug plan for this medication to be used on the ward that takes the patient’s future education into account.
Instructions:
1. For your homework, you must select one of the case studies from the list below.
2. There are two components to the task (see point 3).
You must download the template (which will make up Part A of your assignment), which is provided in Word document format, so that you can easily add the necessary details to each section. Italicized text from the template should be erased and replaced with your information. No field on this form may be left empty. ‘N/A’ (denoting ‘not applicable’) should be used if no information is provided.
Do not send this template or convert it to a PDF. This finished document must be uploaded to the evaluation section of the Moodle website along with your discussion (Part B) as one document (see an example on the Moodle website).
3. The task consists of two halves.
Part A: Create a drug protocol (see an example on the Moodle site).
Utilizing the template provided (which has all the headings and additional information [in italics] guiding you as to what is required), your task for this portion of the assignment is to develop a drug protocol that is specific medication related to the illness or disease stated in your chosen case study.
This implies that, if you so decide:
Case Study 1: You must create a drug administration plan for the use of salbutamol as an asthma treatment.
Case Study 2: You must create a medication administration regimen for the use of rivaroxaban in the treatment of atrial fibrillation patients.
Case Study 3: You must create a drug administration regimen for the use of ibuprofen to treat pain and fever in children (birth to five years of age).
From the list of case studies below, you may select just one.
Part B: Justification and Analysis (1200 maximum words)
In your chosen case study, you must defend and explain the use of this drug to treat a sickness or ailment. This means that if you select Case Study 1, you must explain or justify why salbutamol is the drug of choice to be prescribed for the treatment of asthma, including the mechanism of action, any local guidelines that may exist, the body of evidence that supports the use of this medication, and any other factors that may or may not be relevant. This part should not exceed 500 to 600 words in length.
Using the drug procedure from Part A, you must also critically discuss giving this medication to your patient. In essence, your job is to modify the pharmacological protocol to meet the needs of your patient. The drug protocol is a general protocol that includes information of a general kind. To help with answering this part of the debate, each case study includes questions. You should think about cultural and educational issues. For instance, the discussion for this section may be influenced by the portion of your medication protocol headed “Patient Advice and Education”: For instance, if your patient’s education and counseling booklet contains a booklet, you should talk about whether or not it is appropriate given the patient’s culture or social background. Is it age-appropriate in terms of education for the patient? What more factors would you need to think about? You might need to take into account the laboratory results and/or additional prescribed medications that were perhaps provided in your case study in your discussion. These are merely suggestions to serve as a general framework. This part should not exceed 500 to 600 words in length.
NB: Since the justification and critical discussion are not separate sections and must be included in the same introduction and conclusion for the full discussion, this section (Part B) must follow the pattern for an academic essay.
APA format is necessary for references. Please refer to the articles under the Assessment tab on the Moodle page for aid with academic essay writing, or visit the ALC (Academic Learning Center) for support. There is only one reference list needed for the pharmacological regimen, discussion, and presentation at the conclusion of the evaluation.
The study guide, course profile, and powerpoints provided on the course Moodle site are good resources to help you with your answers but should not be used as references. Only use textbooks and journal articles that are no more than five years old.
The total word count for Section B is between 1000 and 1200 words (maximum), excluding in-text citations.
a case study
The case studies that follow are made up, including the names and any personal details. Any connection to a specific person or location is entirely coincidental.
You must select one of the case studies from the list below for your project.
First case study
18-year-old Miss Shana Bell has a history of asthma. She arrived at the emergency room via ambulance with a severe asthma attack and was then admitted to the medical ward. She arrived at the emergency room unable to speak in full phrases and with a three-day history of shortness of breath that required increasing use of her salbutamol puffer (which she had run out of that morning).
Miss Bell travels to the ward with her partner and a young child. Since she was 14 years old, Miss Bell has been a heavy smoker. Miss Bell’s acute asthmatic symptoms have subsided, and she is now being prepared for discharge from the hospital’s medical department in the coming days. She and her partner both lack jobs and share a one-bedroom apartment, leaving them with little money for prescription drugs.
Miss Bell has been prescribed two puffs of salbutamol (Ventolin) metered dose inhaler (MDI) every four hours and three days of high-dose prednisolone 50 mg/day by the doctor. She is being regularly observed every fourth hour. Recent data is within expected bounds. Blood tests were performed on Miss Bell, and the results are unremarkable.
The following is a list of every drug:
Previous presentations of uncontrolled asthma without a prior history of hospital admissions are recorded in the patient’s medical history.
Prescriptions during check-in:
Prednisolone 50 mg daily for 5 days and salbutamol (Ventolin) inhaler, 2 puffs every 4 hours on demand
Fluticasone propionate 250 mcg (Flixotide) MDI, 2 puffs per day, is the inhaled corticosteroid that Miss Bell will be put on before being discharged.
Questions (to help with responding to the critical discussion part of Part B): a) Does this protocol apply to Miss Bell, or can it be used for her?
b) Go through the significance of this drug in Miss Bell’s asthma treatment. Are there any observable problems that are pertinent to Miss Bell’s situation?
c) What potential issues would Miss Bell encounter in maintaining her asthma treatment regimen? What approaches could be proposed to help her monitor or reduce asthma attacks?
d) What guidance and information may be given to Miss Bell and/or her family to encourage compliance with her medication schedule, which now includes taking the novel inhaled medicine fluticasone?
Case Study 2: Mr. Lee, a 78-year-old man from China who recently immigrated to Australia, is illiterate in English. After arriving in the emergency room with newly developed atrial fibrillation, he was admitted to the medical ward for observation and the start of an anticoagulant. Mr. Lee is 158 cm tall and weighs 75 kg. Every time, Mr. Lee is joined by his wife Chen and daughter Xia, who is an adult. At the moment, Mr. Lee and his wife are residing at the home of their daughter. In all interactions with the employees, his daughter represents him and communicates basic information, such as his menu preferences, in his place. His wife helps Mr. Lee with his ADLs. Mr. Lee’s heart rhythm is still in atrial fibrillation, and he will be discharged in a few days. Apart from high blood pressure and cholesterol, the past medical history is ordinary.
When Mr. Lee was admitted to the medical ward, the doctor charted him for 10 mg of rivaroxaban orally due at 6 p.m. every day. Below is a list of every other drug.
Additional prescriptions at check-in:
Metoprolol, atorvastatin, and aspirin all come in dosages of 50 mg daily.
newest observations and test results:
• When the radial artery is palpated, the heart rate is erratic and ranges from 72 to 87 beats per minute.
Afebrile temperature, atrial fibrillation on the ECG, and a CrCl flow rate of 50 mL/min
Question 1: Does this protocol fit, or can it be used, for Mr. Lee? Question 2: Does this protocol fit, or can it be used, for the critical discussion section of Part B?
b) Address any possible complications from combining rivaroxaban with already-taken drugs.
c) What tips, information, and/or tactics may be given to Mr. Lee and his daughter or wife to help them follow their medication schedules and safely use rivaroxaban at home? Think about cultural factors.
Case Study 3: You work as a nurse at a neighborhood clinic. Makayla, a 2-year-old daughter of Mrs. Broome, was brought in due to worries about a persistent earache. Makayla comes from an indigenous background and lives in a rural and remote part of Australia with her extended family. She had traveled a fair distance with her mother to see the doctor. Makayla has a temperature of 38.5 and is uneasy, weeping frequently. Makayla has an acute otitis media (middle ear infection), which the doctor has diagnosed and treated with antibiotics. Makayla has taken no regular medications and has only experienced four episodes of otitis media in the past 12 months. She is otherwise healthy. You are called to provide a dose of ibuprofen before Makayla and her mother leave the clinic because the doctor has advised Mrs. Broome to administer it to treat the pain and fever brought on by this infection. 14 kg is Makayla’s weight.
For the pain and fever, the doctor has recommended 140 mg of ibuprofen six hours per day, PRN.
Questions (to help with Part B’s critical discussion section answers):
a) Does Makayla Broome fit this protocol, or may it be used for her?
b) Talk about whether Makayla can take this drug safely.
c) Talk about the education Makayla’s mother will need to follow in order to take ibuprofen safely. Think about cultural factors.
d) What information and suggestions could be given to Makayla’s mother to help her prevent future cases of otitis media in order to use preventive measures and reduce medication needs? Think about cultural factors.

 

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