Pharmacology Essay

2523 words - 11 pages

Misty is a patient in an acute ward who is recovering from an appendectomy which she had 18hrs earlier. She is 18, an insulin diabetic and has a record of epilepsy. It it the nurses job to tender and supervise patients of this kind. Acute care patients can provide many challenges of which require a broad scope of assessment skill and holistic treatments. This paper will discuss aspects of the nurses treatment of Misty, particularly the administration of medication, the following of protocols and observance of the patient’s condition. The intent is to provide safe and effective care thorough evidence informed practise and responding to patient needs. This writing will cover the treatment of misty’s wound and the giving of Normal Saline. Following this the treatment of Misty’s wound will be covered along with the administration of Paracetamol, Morphine and Maxolon. Finally, a brief care plan for Misty’s discharge will be discussed.
1 Firstly the nurse must collect a wound swab from Misty following a method of evidence informed practise. It is important that the nurse takes the wound swab before the beginning of antibiotic therapy. The rational for this is that antibiotics can alter swab results causing incorrect or inconclusive pathology results (Cullin & Duncan, 2010). Before commencement of wound swabbing it is necessary that the wound be cleansed first. This is done because the exudate deep in the wound contains the bacteria actually responsible for the underlying wound infection (Starr & MacLeod, 2002). The surface exudate contains an irrelevant bacteria that could combine with the deep bacteria causing an impure swab which is further reason for wound cleansing (Starr & MacLeod, 2002). Antiseptic solutions should be avoided, the nurse should opt for saline solution for the cleansing of the wound (Starr & MacLeod, 2002). The swab should be taken after allowing one to two minutes after cleansing to obtain fresh, pertinent exudate containing as much significant bacteria as possible (Cullin & Duncan, 2010). It is important to take care not to contaminate the specimen with normal skin flora (Starr & MacLeod, 2002). After the swab is correctly taken it should be accompanied with comprehensive and complete clinical information recorded following facility guidelines with the appropriate microbiology request form (Starr & MacLeod, 2002). Anything less than this would result in Misty receiving and incorrect infection diagnosis or unsuitable antibiotics (Starr & MacLeod, 2002).
Before taking a wound swab it is important to assess the wound for proper healing and early identification of any abnormalities. Wound assessment must incorporate; evaluation of Misty’s pain; the type of healing; if there is any wound infection; surrounding skin; exudate; measurement dimensions; tissue loss; location; clinical appearance; wound edges, and the psychological impact of the wound has on Misty’s current health (Carville, 2005). Informed consent must be obtained also...

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