You 7-Jun-2017 03:11 pm Student Escalate Ticket Total Escalation:1 Issue Type: Good work - Minor changes required Hi team, I am very happy with the help with my assignment, however I have an emergency. I just realized there is a "part 2" which has 4 more questions needing to be answered. 1000 words. Due Date- Thursday the 8th of June 8pm. What is quote for this please. I would like if available to have the person who originally helped with my assignment so that it flows. These are the questions to be added to the original assignment. Part 2. As you recall, the respiratory consultant reviewed Mr. Hunter and prescribed endone (30mg) rectal suppository PRN and oxycontin 10mg orally 12 hourly PRN. As directed by the consultant, the registered nurse asks you to check a dose of oxycontin for administration to Mr. Hunter immediately. You are required to give oxycontin 10mg tablet but the available stock in the drug cupboard is 20mg tablets. The registered nurse breaks a 20mg tablet in half with a pill cutter and asks you to administer this to Mr. Hunter. Making reasoned judgments Question 5. Should a nurse administer a ‘broken’ tablet of oxycontin to a patient? Apply your knowledge of the absorption properties of ‘controlled-release’ preparations of oxycodone to justify your answer to this question, and comment on what the potential outcome would be for the patient if this medication were administered after being cut in half. Q6. Give a rationale for why nurses would administer, or withhold concurrent doses of morphine solution (nocté), oxycontin 10mg PO 12 hourly and endone 30mg PR PRN to Mr. Hunter. Planning care associated with opiate use Question 7. Relate the mechanism of action of opioids to the adverse effects on the peripheral nervous system to explain how opioids cause constipation? At what point should laxatives be prescribed for patients taking opioids? What action of Coloxyl (docusate) with Senna prevents/relieves constipation? What non-pharmacological therapies can be encouraged early to help prevent constipation? Question 8. What are the advantages of the drug ‘Targin’ compared to controlled–release oxycontin tablets? Reflection: • What are the two most important things that you have learned from this scenario? • What actions will you take in your future practice as a result of what you have learned from this scenario?
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