案例研究assignment代写:护理Nursing作业
100%原创包过,高质量代写&免费提供Turnitin报告--24小时客服QQ&微信：273427
案例研究assignment代写:护理Nursing作业
你是一个新的研究生护士，在夜班的普通外科病房工作。这是1600hrs你收到急救部门的新入场。Vera Wong女士是一位24岁的女性，已经承认有12小时的历史，下腹部疼痛，增加强度的Iliac fossa的最后4小时（RIF）。她虽然她是肥胖的体重和身高168cm 145kg无相关病史。
她在急诊科接受外科手术组的检查，并对急性阑尾炎作了临时诊断。如果病人的症状持续下去，她也将于晚上晚些时候在病房接受手术检查。Wong女士目前是零对嘴，麦吉尔疼痛评分为7/10分。你回顾她服药和注意以下PRN药物：吗啡100 IMI 1次，甲氧氯普胺10mg IMI q8h和扑热息痛1gm坡组。
你把自己介绍给Wong女士，她告诉你她处于严重的疼痛中，并要求减轻疼痛。你告诉Wong女士你要给她注射吗啡止痛。你问一个注册护士检查了吗啡，在下面的安瓿优势提供：10mg／1ml和30mg／1ml。你看看3x 30mg安瓿和1x 10mg安瓿而正确地完成S8登记。你准备注射用甲氧氯普胺10mg随着无菌技术。你执行医嘱IMI Wong女士。
现在1800hrs你承担您的用药和观察四周，当你到了Wong女士，你觉得她是unrefusable 6与呼吸速率。你立即启动快速反应小组。当团队到达时，他们进行一次初步调查并评估病人笔记。你告诉他们你服用的药物。治疗组口服盐酸纳洛酮1200μg。Wong的意识水平和呼吸频率改善。手术登记参加了电话也和美国他不小心写了100mg替代吗啡剂量10mg。
Q1。这一案例研究说明了药物错误，其中错误的剂量被规定和管理。用500个词说明这种不良事件是如何预防的。你应该系统地完成这六项权利，并讨论你将采取什么策略来确保你正确的剂量。
在上述情况下，一个新的研究生护士负责照顾一个持续12小时的下腹痛患者。当她被告知右髂窝病人疼痛剧烈时，新护士检查了病人的用药图，并告知病人将注射吗啡来减轻疼痛。然而，一次可怕的医疗事故发生了，原因是外科注册员犯了一个愚蠢的错误，他无意中给病人开了吗啡。和新来的护士给病人注射吗啡没有复查处方。
经过仔细分析，我认为是这家医院的工作程序造成了这样的不良事件。医院应为护士设计一套完善的工作程序，并要求他们按照程序进行。在给予任何药物的病人，护士要负责确保他们知道的所有详细信息患者包括年龄、病史、使用等，护士还应用于病人如正常剂量，药物的基本知识，药物的副作用，等等（Dolansky等Al。2013）。
在我看来，护士应该遵循“六权”，以减少医疗事件的发生率，使病人受益（护士和助产士的用药管理指南，2010）。首先，护士必须确保给病人服用的药物是正确的。护士应了解药理学、毒理学和生理学等药物的作用和注意事项。此外，护士还应注意给病人用药的正常剂量范围。在给病人注射药物前，护士应先阅读容器标签，然后计算。
案例研究assignment代写:护理Nursing作业
You are a new graduate nurse working in a general surgical ward on an evening shift. It is 1600hrs and you receive a new admission from the Emergency Department. Ms. Vera Wong is a 24 year old female who has been admitted with a 12 hour history of lower abdominal pain, increasing in intensity over the last 4 hours in the right Iliac fossa (RIF). She has no relevant medical history although she is obese weighing 145kg and is 168cm tall.
She was reviewed by the surgical team in the Emergency Department and a provisional diagnosis of acute appendicitis was given. She is also to be reviewed by the surgical registrar on the ward later in the evening for possible surgery if her symptoms persist. Ms. Wong is currently Nil by Mouth and has a McGill pain score of 7/10. You review her medication chart and note the following PRN medications: Morphine 100mg IMI q4h, Metoclopramide 10mg IMI q8h and Paracetamol 1gm PO q6h.
You introduce yourself to Ms. Wong and she informs you that she is in significant pain and requests pain relief. You inform Ms. Wong that you will administer a Morphine injection for her pain. You ask a fellow Registered Nurse to check out the Morphine which is supplied in the following ampoule strengths: 10mg/1ml and 30mg/1ml. You check out 3x 30mg ampoules and 1x 10mg ampoule whilst correctly completing the S8 register. You prepare the injection using a sterile technique along with Metoclopramide 10mg. You administer the medication IMI to Ms. Wong.
It is now 1800hrs and you are undertaking your medication and observation round, when you get to Ms. Wong, you find her to be unrefusable with a respiratory rate of 6. You immediately activate the Rapid Response Team. When the Team arrives they undertake a primary survey and assess the patient notes. You inform them of the medication you have administered. The team administers Naloxone Hydrochloride 1200μg IV. Ms. Wong’s level of consciousness and respiratory rate improve. The surgical registrar attends the MET call also and states he accidentally wrote 100mg instead of 10mg for the morphine dose.
Q1. This case study illustrates a medication error where the wrong dose was prescribed and administered. In 500 words, state how this adverse event could have been prevented. You should systematically work through the six rights and discuss what strategies you would employ to ensure you administer the right dose.
In the case mentioned above, a new graduate nurse is responsible for taking care of a patient with a low abdominal pain lasting for 12 hours. When she was told that the pain of patient in the right iliac fossa was intense, new nurse checked the patient’s medication chart and informed the patient that Morphine injection would be administered to relieve the pain. However, a terrible medical accident occurred because of silly mistake which was made by surgical registrar who inadvertently prescribed the overdosed morphine to the patient. And the new nurse injected the morphine to the patient without recheck the prescription.
After carefully analysing this case, I think that it is the working procedure of this hospital which causes such an adverse event. The hospital should design a sound working procedure for the nurse and require them to follow the procedure. Before giving any drugs to patient, the nurse is responsible for making sure that they know all the detail information about the patient including the age, medical history, the drug used etc. The nurse should also have the basic knowledge of drugs used for the patient such as the normal dose, side effects, and so on (Dolansky et al. 2013).
In my opinion, the nurse should follow “six rights” to diminish the ratio of medical events and benefit the patient (Medication management guidelines for Nurses and Midwives, 2010). First, it is vital that the nurse should make sure that the drug administered to patient is right. The nurse should have knowledge of the effect and caution of drugs including pharmacology, toxicology, and physiology. Besides, the nurse also should keep in mind the normal dose range of the drug administered to patient. Before injecting the drug to the patient, the nurse should read the container label, calculate the does.
