HLTENN007 exam revision Q1-10.docx

HLTENN007 ADMINISTER AND MONITOR MEDICINES AND INTRAVENOUS THERAPY EXAM PRACTICE Case study John is a 68 year old man admitted with an exacerbation of COPD. He has a past history of Hypertension, Angina, GORD, Osteoarthritis, and CCF. His vital signs are T 36.9°C, HR 88bpm regular, RR 22, BP 145/65...

HLTENN007 ADMINISTER AND MONITOR MEDICINES AND INTRAVENOUS THERAPY EXAM PRACTICE Case study John is a 68 year old man admitted with an exacerbation of COPD. He has a past history of Hypertension, Angina, GORD, Osteoarthritis, and CCF. His vital signs are T 36.9°C, HR 88bpm regular, RR 22, BP 145/65 SaO2 92% RA. His medications are: Perindopril 5mg daily Anginine (GTN) spray prn Metropolol 25mg bd Mylanta 20 - 30 mL prn Omeprazole (PPI) 20mg daily Salbutamol (Ventolin) 5mg nebules or salbutamol MDI 4/24 prn Frusemide 40mg bd Prednisolone (Corticosteroid) 10mg daily Pulmicort Turbuhaler (Corticosteroid) 200mcg BD Aspirin 100mg daily How does salbutamol work in the treatment of asthma? Corticosteroids are effective for the treatment of asthma. How do they help relieve the symptoms of COPD? John has been prescribed an inhaled corticosteroid. What advice must you give to him to prevent a hoarse voice or pharyngeal thrush infection following the inhalation of this medication? Why is it important that John knows the difference between relievers and preventers? John’s blood pressure is elevated. What education could you give John about non-pharmacological interventions for the management of hypertension? How does Perindopril work to treat John’s hypertension? What are the four actions of Metoprolol? Prior to administering Metoprolol the nurse should check the patient’s……. Other than gastrointestinal upset, name two (2) side effects of Metoprolol. A diuretic has also been prescribed to treat John’s hypertension. What is the action of a diuretic and how does this help reduce blood pressure?