Saint Louis University

School of Nursing
1 Semester 2021-2022
st

Name: Section and Group:

Pharmacology Laboratory
MODULE 4: THE “RIGHTS” AFTER DRUG ADMINISTRATION

CASE ANALYSIS:

It is October 12, 2021. You are the incoming nurse on duty for a 7-3 shift. You were assigned to Ana, a 3-
year-old toddler who was admitted due to an asthmatic attack.

At around 8 am, the doctor came and had rounds. New orders were given, which included an antibiotic:
 Start Clarithromycin 250 mg/5mL, 3 mL PO TID for 5 days

At 9 am, you administer the first dose of oral clarithromycin. Immediately after administration, the patient
vomited. It was non-projectile, non-billous, mostly milk that was previously ingested. You come back
after 20 minutes to give another dose to Ana. However, Ana started to scream and refused to drink the
antibiotic. You attempted to pacify the child, but to no avail. You refer the situation to the doctor.

1. Document the events on the medication sheet and nurse’s notes. (5 points for the medication sheet. 1-
point demerit for every incorrect entry. 1-point demerit for every omitted entry.)

MEDICATION SHEET

YEA 2021 Oct.

MONTH
R
DATE
DATE TOTA
ORDERE MEDICATION ORDER
L
D
SHIF 12 13 14 15 16 17
T

October Clarithromycin 250 mg/5 mL, 3 mL 7-3

12, 2021 PO TID for 5 days
3-11

11-7

(5 points for the medication sheet. 1-point demerit for every incorrect entry. 1-point demerit for every
omitted entry.)

Property of and for the exclusive use of SLU. Reproduction, storing in a retrieval system, distributing, uploading or posting online, or transmitting in any form or by any
means, electronic, mechanical, photocopying, recording, or otherwise of any part of this document, without the prior written permission of SLU, is strictly prohibited.
 Date and NURSE’S NOTES
Time

2. Your patient has an ongoing first IVF of D5IMB 500 mL X 20 hours. It was consumed at 5PM
(October 13, 2021). You checked the doctor’s order and it says:
 IVF to follow: D5IMB 500 mL X 20 hours

You changed the empty IVF bottle based on the doctor’s order. Document using the IV fluid sheet.
(5 points. 1-point demerit for every incorrect entry. 1-point demerit for every omitted entry.)

IV FLUID SHEET

DATE and TIME Date and TIME NAME and SIGNATURE

IV FLUID
STARTED CONSUMED

3. Patients discharged from the hospital are usually prescribed drugs that they have to take at home.
Discuss 1 potential harm that can happen to the patient if they are not given appropriate health
education about these drugs. Be very specific. Explain briefly. Limit your answer to the space
provided. (20 points)

Property of and for the exclusive use of SLU. Reproduction, storing in a retrieval system, distributing, uploading or posting online, or transmitting in any form or by any
means, electronic, mechanical, photocopying, recording, or otherwise of any part of this document, without the prior written permission of SLU, is strictly prohibited.
Property of and for the exclusive use of SLU. Reproduction, storing in a retrieval system, distributing, uploading or posting online, or transmitting in any form or by any
means, electronic, mechanical, photocopying, recording, or otherwise of any part of this document, without the prior written permission of SLU, is strictly prohibited.