Describe the patient’s presenting problem focusing on the pathophysiological issues.

Formative Assessment Task 1= 40%, 1500 words (due week 4) Due Date – 08-Nov-2018
Students are required to submit a critical discussion paper related to the nursing management of Mr Ferguson’s
case study below:
The critical discussion paper should address the following issues:
1. Describe the patient’s presenting problem focusing on the pathophysiological issues.
2. Review and use of literature to explain the pharmacokinetics of the prescribed medications and their indications.
3. Discuss the nursing management appropriate for the patient including management of the adverse effects of the medication(s) using evidence-based literature.
4. Describe in detail the information you would share with the patient and how you will educate the patient about the interactions and long term effects of the medications prescribed in the ED?
Mr Ferguson is a 76 year old male who presented to your emergency department at 0800hrs complaining of a 2/24 history of chest heaviness. He has self administered x2 sprays of his glyceryl trinitrate pump spray totaling 800mcg with minimal relief. On arrival to your allocated bed Mr Ferguson appears pale, diaphoretic & short of breath.
Regular Medications Medications Prescribed Administered in ED
Aspirin 100mg PO, OD Aspirin 300mg Po
Metoprolol 50mg PO, OD Morphine sulphate IV 2.5mg administered on four (4) occasions PRN
Rosuvastatin 10mg, PO, OD Low molecular weight (LMW) heparin infusion
glyceryl trinitrate pump spray- PRN Fentanyl 50mcg IV, x2 STAT doses
Vitals Signs
Blood pressure 172/86
Heart rate 103bpm, irregular
Spo2 97% RA
Respiratory rate 24b/min
Temperature 36.8C tympanic
Glasgow Coma Scale 15/15 – E4V5M6
AMPLE
A llergies: Amiodarone
M edications: as stated above
P ast medical history: Angina
Non ST Elevated Myocardial Infarction (NSTEMI) (1998 & 2006) Hypertension
Hypercholesterolemia
Last time the patient ate and drank: toast and tea at 0630hrs
E vents preceding admission: chest heaviness 2/24
Table 1: Marking guide Formative Assessment Task – 40%
Criteria Available mark % Awarded mark % Comments
Introduction and conclusion
A clear introduction outlining the purpose
of the paper 5
Content
a. A very clear description of the
health issue, prescribed
medication, Drug interaction
and long term effect.
b. A clear presentation of
management plans from the
literature 5 5
Application of pharmacology to practice
a. Knowledge of pharmacokinetics and
management plan to prevent the
adverse events.
b. Evaluations of the therapeutic
management plans presented in the
literature.
5 5
Quality of Presentation/Writing
a. Logical and sequential arrangement
of arguments and discussions
based on literature findings
b. Grammar, syntax, expression,
spelling, style, presentation &
legibility 5 5
APA Referencing
a. Citations where appropriate
b. Accuracy of bibliographic details 2.5 2.5
Subtotal 40