[Verified Answer]: Kenneth Bronson is a 57-year-old farmer who…

Kenneth Bronson is a 57-year-old farmer who lives on his own 70km from the local hospital. He has presented to the Primary Health Care clinic this morning after bringing the cattle into town. He has been unwell with vomiting and diarrhoea for the last two (2) days. He has been too busy to come to see the doctor earlier, but now feels quite unwell. He is only tolerating small amounts of fluids. Nil previous medical history and has not taken any medications prior to coming to the clinic. Vital signs upon arrival: Temperature: 37.8 C Pulse: 88bpm Blood pressure: 110/68 mmHg. Respiratory rate: 16 Oxygen saturation (SpO2): 97% on RA. Kenneth has been seen by the doctor, who ordered the following on the medications: • Metoclopramide 10mg IM PRN • Paracetamol 1g PO stat And made the following note in Kenneth Bronson’s progress notes: “To commence on oral rehydration – Once able” Task Refer to the medication chart to review the order. Review your answers to MyLO Module 2 Activity: Intramuscular Injections if needed. Answer the following questions and note that this is essential knowledge for PEP and your OSCE assessment in intensive 3. a) Where (which site) will you administer the injection and why? What is the preferred site? b) Calculate correct dosage c) What is the appropriate needle size to administer this injection. d) Briefly describe the appropriate injection technique. e) How long will it take for the Kenneth to feel the effect of the medication? f) What are the signs of a reaction to metoclopramide (other than an allergic reaction) and is there a reversal/antidote for this reaction? Task Use the resources available in the simulation space to prepare and administer this IM medication to Kenneth. Follow the Skill Assessment Marking Guide at the end of the workbook for an intramuscular injection. Prior to administration, consider the aspects identified in your online learning and above. Now draw up the required volume in a syringe and administer the metoclopramide to Kenneth using appropriate injection technique. Post administration consider the following. a) Are there any other considerations in relation to Kenneth’s IM injection? b) Discuss the side effects of this drug and any nursing implications. c) Identify any nursing care that is also required for Kenneth.