Question

1. A patient with a methicillin resistant Staphylococcus aureus infection Cipro 400 mg in 200 ml DSW ordered. The pharmacy recommends that the Cipro be infused at a rate of 200 mg/h. What should be the pump rate? – 2. Mrs. England has sepsis and has an order for Kefzol i Gm in 50 mL of DSW IVPB over 15 minutes. Available tubing has 60 gtts/mL. What should be the infusion rate? 3. A patient with rapid atrial fibrillation has an order for diltiazem at 20 mg/h. The diltiazem concentration is 100 mg in 100 mL of 0.9% NS. What should be the pump rate? 4. A patient with a thrombosis has a heparin infusion at 15 mL/h. The heparin concentration is 25,000 units in 250 mL of D5W. How much medication is the patient receiving hourly? 5. The physician orders Orapred 45 mg twice a day for an asthmatic patient who weighs 94 pounds. You have Orapred 15 mg/5 ml. The recommended oral dosage is 0.5 to 2 mg/kg/24 h in divided doses. Maximum dosage is not to exceed 80 mg/24h. a. What is the safe dose range for this patient? b. Is the order safe? c. If the order is safe, how much medication will you administer? d. If the order is not safe, what will you do? 6. The physician has ordered 100 ml Lactated Ringers Solution with 40 Gm magnesium sulfate The nurse is to give a bolus of 1 Gm in 20 minutes, then maintain a continuous infusion at Gm/h. a. What will be the IV rate for the bolus order? b. What will be the IV rate for the continuous infusion?

Answer 1

Answer for the question 1.

Drug amount: 400 mg

Volume: 200 mL

Dose ordered: 200 mg/hour

So, drug ratio is 2mg/ML and drop rate is 100 gtts/minute

Infusion Rate (Pump rate) = 100mL/hour

Please ask remaining questions separately.