Question

c. Course of action. ml of D5 0.45% NS was to infuse in 5 hours at 33 macrott min. The drop factor is 20 gtt/mL. After 2 hours, you notice 250 mL remaining. a. Recalculated rate: b. Percentage of change: c. Course of action: 100 units of Regular Humulin insulin in 250 mL 0.9% NS to infuse at 4 mL hr. How many units per hour will be delivered? 16, Order: Cardizem 0.25 mg/kg IV bolus. Infuse over 2 minutes. Client weighs 50 kg. Available: Cardizem 25 mg (5 mg/mL) a. How many milligrams should the client receive? b. How many milliliters will you give?mL 17. mg c. How many milliliters will you infuse per minute?m/min Order: Integrilin 180 mcg/kg IV bolus initially. Infuse over 2 minutes. Client weighs 154 lb. Available: 2 mg/mL 18. b. How many milligrams should the client receive? mg c. How many milliliters will you infuse per minute? m/min 19. The type of administration set that will be selected for an IVPB solution is 20. When an IV medication is injected directly into a vein, the procedure is referred to as n (units/hr)

Answer 1

15. A. ANSWER.

FLOW RATE ( gtts/min) = volume (ml) /time (min) x Drop factor (gtts/ ml)

volume was 500 ml , new volume is 250 ml

time was 5 hours , after 2 hours it is 3 hours

CONVERING 3 HOURS IN MIN = 3 X 60 = 180 MIN.

FLOW RATE = 500 / 180 *20

= 55.5  gtt/ min.

15. B ANSWER

PERCENTAGE CHANGE = NEW- OLD /OLD *100

= 55.5- 33/33*100

= 2.04 / 3 *100

= 68.18 APPROX

=68 %

15 .C ANSWER

COURSE OF ACTION

REPORT MEDICATION ERROR TO THE DOCTOR, SUPERVISOR AND THE PATIENT, AND ALSO NOTE THE ERROR INTO THE NURSES NOTES, INFORM MEDICATION ERROR TO THE HOSPITAl GUIDELINES.

16. ANSWER.

4 ml/hr/*100/250 ml

1.6 UNIT PER HOUR WILL BE DELIVERED.

17. ANSWER

CLIENT SHOULD RECEIVE 0.25 X 50 ( WEIGHT OF CLIENT)= 12.5 MG SHOULD BE ADMINISTERED TO THE CLIENT.

A ANSWER.

CLIENT SHOULD RECEIVE 12.5 MG OF CARDIZEM.

B ANSWER

AS EACH 1 ML CONTAINS 5 MG AND AVAILABLE FORM IS 25 MG WITH 5 ML AVAILABILITY

SO THE PATIENT WILL RECEIVE 12.5 MG THAT WILL BE

1 ML = 5MG

2 ML = 10 MG

0.5 ML = 2.5 MG

TOTAL WILL BE 12.5 MG IN 2.5 ML

2.5 ML WILL BE GIVEN TO THE CLIENT.

C. ANSWER

TOTAL 2.5 ML SHOULD BE GIVEN IN 2 MIN

SO, IN 1 MIN IT WILL BE 2.5/2

1.25 ML WILL BE GIVEN.

18.ANSWER

A ANSWER

CLIENT WEIGHT IN POUND IS 154 LB

1 LB = 0.453592

154 LB = 0.453592 X 154

= 69.8532 KG

APPROX 69.8 KGS

B ANSWER

TO CONVERT MCG INTO MG

1000 MCG = 1 MG

1 MCG = 1/ 1000

=0.001 MG

180 MCG = 0.18 MG

CLIENTS WEIGHT IS 69 KGS

69 X 0.18 = 12.42 MG WILL BE GIVEN TO THE PATIENT.

C ANSWER

1 ML = 2 MG

6 ML = 6 X 2 = 12 MG

0.5 ML = 1 MG

0.25 ML= 0.5 MG

SO, TOTAL 6.25 ML( APPROX) WILL BE ADMINISTERED.

IN ONE MIN IT WILL BE 6.25/ 2 = 3.12 ML/ MIN WILL BE ADMINISTERED.

19 ANSWER.

IV PIGGYBACK INFUSION, A VOLUME CONTROLLED ( INTERMITTENT INFUSION ) SET IS USED FOR IVPB.

20 ANSWER.

WHEN AN IV DRUG IS ADMINISTERED DIRECTLY INTO THE VEIN, THIS PROCEDURE IS CALLED INTRAVENOUS INJECTION.