Question

Please show all work and circle your answer 1. The physician orders Lasix 25 mg IVP Lasix comes 20mg/2cc. How many ml would you administer? What is the drug classification? How does it work? Does your drug book recommend diluting this? Administer how quickly? Show the math. 2. The order reads: Demerol 20 mg IVP 26 prn pain. Demerol comes 50mg/ml. How many ml would you administer? Drug classification? Would you dilute this? Administer over how many minutes? Reversal Agent? Show the math. 3. MD order: Heparin 4000 units SQ bolus then 750 units per hour IV drip. Heparin is dispensed 10,000 units per 1 ml for the SQ injection. How many mLs will you inject? Where? The drip is mixed by pharmacy with 20,000 units in 500 mLs of DSW. How many mL hr would you set the IV pump to? What lab test will you monitor for this transfusion that will be ordered Q6H? What is the reversal agent for Heparin? 4. A patient needs Lanoxin 0.250 mg IVP. The ampule comes in 0.5 mg in 2mL. How much do you give in mL? What is this drug's classification? What vital sign is important and how would you perform this? What are the symptoms of toxicity to watch for? 5. You get an order that reads. Start Cardizem infusion at 15 mg/hr. Cardizem is mixed 125mg/125mL. What is your infusion rate? 6. Dopamine is mixed 250mg/250ml. The physician orders you to start dopamine at 5mcg/kg/min. Your patient weighs 74 kg. What would the infusion rate be? 7. Describe in detail how to insert the female foley catheter.

Answer 1

Ash Lasix ay Given: ordered dose = 25 mg. Available dose = 20mg/2ml To find: - Dose to be given = ? solution : - If 20mg in 2ml Then 25 ing in ami By Cross multiplication ; 20xX = 2 x 25 2 - 2x25 -50 = 2.5m 20 20 . : x= 2.5ml The misse will administer 2.5ml by classification - Lasix is of Drug a Loop Diuretic. O Mechanism of eaction -It works by preventing the reabsorption of sodium & chloride by blocking the plasma pootein membrane in the loop of Henle. dy Dilution : Lasix is given directly undiluted using a constant rate infusion pump. e Administration : Po: 20-80 mg/day. hypertension 40 mg BD hypercalcemia -120mgday in divided daje

Ans. 2 Demerol ay Given: Ordered dose = 20mg. Available dose = 50 mg Iml To hindi mi to be given solution - If 1 ml contains 50 mg Then xml contains 20 mg Cross multiplication ; 1x20 - 50 x x a x = 20 = 0.4 ml .: 0.4 ml wills Obe administered to patient. Ansbo Drug classification : Demerol is a Synthetic opioid analgesic o Demerol is given IV, slowly. | It should be diluted. Dilute each dose of Demerol Oral Solution in one half glass of water because the undiluted solution may exert a Shaht topical anesthetic effect on mucous membranes d. It is administered over 3 to 4 hours intramuscularly e. Reversal agent. Nalaxone is a reversal agent for Demerol overdose.

37 Heparin . ay Given: ordered dose = 750 units/hr.. Available dose = 10,000 units /m1 dose to be given = ? solution ;- If 10,000 units in 1 ml Then 750 units in uml . 10,000 XX=18750 x= 750 = 0.075 ml 10,000 .. 0.075 ml will be injected to the patient. of Reversal agent for heparin .. Protamine Sultate , warfarin & Vitamink injections can be used to reverse the effects of heparin. cAns4. Lanoxin a Given i ordered dose = 0.250 mg Available dose = 0.5 mg/2ml To find : Patient's dose ? solution : If 0.5 mg in 2ml - Then 0.25mg in xml By cross multiplication, 0.5 x x = 2x0.25 x = 2 x 0.25 = 0.5 =lmi 0.5 0.5 1 ml Lanoxin will be given to the patient.

by Drugs classification Thexapeutic : anti asrythmics e inotropics Pharmacologic, digitalis glycosides vital signs check apical pulse (monitored by placing a stethoscope at the apex of the heart & counting for one minute". a> Symptoms of lanoxin toxicity abdominal pain anorexia nausea vomiting visual disturbances bradycardia eans 5 Given. ordered dose = 15 mg/hr. Available dose = 125 mg / 125ml 1.1 ml contains 1 mg. To find infusion rate = ? It 125 mg in 125ml Then 15 mg in ami :2x125°, 125X15 x = 125*15 = 15ml 125 ,. IV rate = volume 15 =15 Time : infusion rate is 15 ml/houre T