Question

One day after the initiation of heparin, Mr. White begins to run a fever with a WBC of 16,000. The physician decides to initiate antibiotic therapy, and orders Levaquin 500 mg IV every 24 hours. The supply of Levaquin is pictured below, and will be mixed in a 150 ml bag of normal saline. It must infuse over 90 minutes. Injection 55150 - 157-30 3 What needs to be considered prior to initiating this infusion? (1/2 point) Describe how you will administer this medication. (1/2 point things to consider sindication Any Allergles will administer through a peripheral in drug-drug interactions .Contendications -compallilities How many mL of medication will you prepare? [1 point) tohardrugs Coutons - Side Efreds 20 me At what rate will you infuse this medication? [1 point) Upon assessing the IV site that the heparin is infusing through, you notice that the site is reddened along the path of the cannula and is warm. Mr. White reports having pain in that area. What complication is occurring at this time? [1 point) What interventions need to occur at this time? [1 point) Shilling/Transitions 07/2019

Answer 1

The things to be considered prior to administration are

• Patient medical condition :if diabetic can lead to hypoglycemia
• Use of any other antibiotics, NSAIDS,pain killer,OTC, because it strongly interact with most drugs
• Assess for any allergic reactions
• Check for hypersensitivity
• Follow the rights of medication administration
• Patient should not take alcohol
• Gastrointestinal status to be assessed because there are chance of side effects like diarrhoea or constipation and abdominal pain

The medication can be administered via a peripheral intravenous line slowly .The standard rate is 500mg over 1 hour

Available

750mg=30ml

So 500mg=??

Cross multiply and divide

=20ml (500×30÷750)

Ans:20ml of the medication to be taken for preparation

Flow rate=Total volume÷time (min)×60

Here total volume :150ml

Time 90 minutes (1hr 30min)

=150÷90×60

=100drops/minute

The presence of pain,redness along the vein pathway ,wariness is a sign of phelbitis

The intervention needed are

• Stop IV and change the peripheral line
• Apply warmth to ensure circulation
• Ice application can soothe the discomfort due to pain
• Anti thrombolytics can be administered superficially