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Patient Demographics:

Mr Robert Kickett                                                      URN: 895321

DOB 18/04/1960                                                        Medicare No. 3426 76541

Tel: (08) 92385678

Consultant: Mr Jones

6 Princess Road                                                         Page no: 3644

Balga                                                                        R.M.O. Dr Biggs

WA 6061                                                                  Page no: 4588

 

GP: Dr Smith

Perth GP Practice                                                       Ward: 1 [Tel extension no: 7433]Tel: 08 93245611

Past Medical History:

Type 1 Diabetic Angina Glaucoma

Epilepsy Depression

Regular Medications:

Metroprolol GTN patch Aspirin

Timolol Maleate Quetiapine Sodium Valporate Mixtard 30/70

New Medications (this admission):

Azelasine Hydrochloride Cephalexin Chloramphenicol Oxycodone Hydrochloride

PRN Medications: Gylcerol Suppository Paracetamol Metoclopramide

GTN Spray

Allergies:

No Known Allergies

Social History:

Mr Kickett is a 57 yearold Aboriginal man, who lives in a flat withhis aunty. He works part-time as a mechanic. Poor diet and difficultly controlling his blood glucose levels and some non-compliance with insulinadministration. He has suffered epilepsy since infancy which is well controlled with the use of sodium valproate. He is anxious about having his neurological observations taken as he feels making eye contact with the nurse is disrespectful to him. He is an ex-smoker. He has one son livingin Geraldton and a daughter who

lives Perth who visits occasionally. (Daughter: Tel 08 96315926)

Additional relevant information related to his admission:

Admission:

Attended ED with shortness of breath, fatigue, loss of appetite over last week and a cough which produces greenish mucous. Transferred to ward for admission, has stated "I don't like these places they make me uncomfortable; you ask too may questions." He is sitting in the bed with his head bowed down and is drinking a cup of tea without indicating he is experiencing any swallowing difficulties. Bobby is answering the questions asked by staff.

 

Day 5:

While mobilising to the toilet Bobby had a fall and sustained a lacerations to his head.

 

Day 6:

While in bed Bobby experienced Chest Pain and called the nurse for attention

 

Treatment:

Forehead suturing 

Oxygen via NP at2 litres/minute.

Medication as charted

 

 

 

 

Administer an oral medication for Mr Kickett - metoprolol

1. Why is Mr Kickett on metoprolol?

 

2. What are 2 potential side effects of metoprolol?

 

 

3. What education would you provide to Mr Kickett after administration of this medication?

 

 

 

Administer an intramuscular injection to Mr Kickett - metoclopramide

1. Why does Mr Kickett require metoclopramide?

 

2. What are 2 potential side effects of metoclopramide?

 

 

3. Which site would you choose to administer this injection, and what is the maximum volume that can be injected into this muscle?

 

4. What is another site that you can administer an IMI into, and what is the maximum volume that can be injected into this muscle?

 

 

5. What is the emergency management for Mr Kickett if he experiences an adverse reaction to this medication?

Answer & Explanation

Solved by verified expert
Answered by mausisajohn9 on coursehero.com

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Step-by-step explanation

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