Mr B is a 65 year old man admitted to your ward, diagnosed with community-acquired pneumonia. At 10am, the Registered Nurse dilutes his intravenous Amoxicillin 1gm in 100ml minibag and connects it to his IV cannula. He has frail veins so the flow rate is set to run slowly via gravity infusion.

After a short period of time Mr B buzzes for a nurse, when you enter the room, Mr B states that he is feeling itchy all over (especially the chest area). You note that he has noisy breathing and he can't talk properly because his tongue is swelling. Mr B is having trouble breathing, and pointing to his chest, indicating chest tightness.

a) Define adverse drug reaction.

b) Describe your role as an EN responding to Mr B's nurse call bell. Include in your answer,

1. Your immediate priority
2. Follow-up assessments you as the EN may do over the next 15mins ( name at least 4),
3. Who would you consult with throughout this event?
4. What would you need to document?

c) Discuss the education that should be provided to Mr B after he recovers from this event?