Question

The camp nurse sees campers throughout the day to administer routine medications. In addition, the nurse provides various over-the-counter (OTC) medications as needed for cuts, scrapes, diarrhea, nausea, and various allergy complaints. The following patients have come to the clinic today:

• Sahid, who is 12 years old, is complaining of mosquito bites that itch. Sahid has no other health problems and no medication allergies.

• Jabary, who is 14 years old, is complaining of a runny nose and itchy eyes. He has a history of seasonal allergies and takes loratadine (Claritin) as needed. Jabary has an allergy to penicillin and sulfa drugs.

• Kevonne, who is 55 years old, is asking for a decongestant to treat her allergies. She has a history of hypertension, which is controlled by medication.

1. What medication would the nurse recommend for Sahid? What route would the nurse recommend?

2. What medication would the nurse recommend for Jabary?

3. How will the nurse respond to Kevonne’s request for a decongestant?

4. Physician ordered 80mg of Furosemide IV STAT. You have on hand 40mg/5ml vial of Furosemide. How many mls of Furosemide will you administer?

5. Physician order reads: administer Furosemide IV over 30 minutes in a 50 ml bag. The drop factor of tubing is 15 gtts/ml. What is the drip rate?

Answer 1

1.The mosquito bite leads to secretion of histamine in the area as mechanisms which causes redness,swelling,itching and pain at the site of bite.The nurse can prescribe an antihistamine (cream,lotion,ointment ).A long with this simple home remedy like oatmeal application, ice application can relieve pain and itching .The route of administration is external application on skin

2.The nurse shoukd recommend Jabary to take loratidine. This is because patient is already used to it and has not side effects because of this medication .The nurse cannot prescribe a new medication because of allergic history

3.The patient who has hypertension cannot be prescribed decongestants because it can further aggrevate or elevate the blood pressure. The nurse can recommend hi me remedy like taking luke warm water, increase fluid intake,avoid cold foods like ice cream ,ice water,ginger.

4.Given

Medication:Furosemide (diuretic )

Dose:80mg

Route :IV

Frequency :Stat (at once)

Available :40mg/5ml

Therefore 80 mg=??

Cross multiply and divide

=10ml (80×5÷40)

Ans:10ml of Furosemide to be administered

5.Given:

Total volume:50ml

Time:30minutes

Drop factor:15gtt/ml

Drip rate= Total fluid volume×Drop factor÷Total Time in hours×60

Let's calculate for 1 hour

=50×15÷1×60

=12.5 drops /mt or 13 drops /minute

So 30 minutes is half of 1 hour

=6.5 or 7

Ans:The drip rate has to be set at 7 drops /minute