Question

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1. Greta VanFleet is 24 hours post-op from a Right Knee Replacement. When you go in to do a pain assessment, Greta states her pain as a 8 on a 1-10 pain scale at 1700. Greta has an order for oxycodone 5mg/acetaminophen 325mg 1 to 2 tablets PO q6hrs PRN for moderate to sever pain.
   1. For what condition(s) is oxycodone indicated?
   2. For what conditions(s) is acetaminophen indicated?
   3. What is the usual recommended adult dosage range?
   4. What is the maximum recommended daily dosage of acetaminophen?

2. Calculate the dose for the following medications:
   
   Order: codeine 30mg PO q4hr PRN for pain
   Supply: codeine 15mg scored tablets
   Give: _______________ tablets
   
   Order: Tylenol with codeine 15mg PO QD
   Supply: Tylenol with 7.5mg codeine unscored tablets
   Give: _____________ tablets

3. Stevie Nicks is a 79 year old women who was admitted to the orthopedic floor from the Emergency Department with a fractured hip from a fall. The doctor ordered to start 0.9% Sodium Chloride. Your order states: 500mL 0.9% Sodium Chloride IV to run from 1200-1600. Available macrodrip is 20gtt/mL. The orthopedic unit is full and there are currently no IV pools available so you must calculate macrodrip rate. Round to the nearest whole number.(in gtt/minutes)

4. At 1700, Stevie Nicks states her pain is a 9 out of 10. You check your orders and you have an order for Morphine sulfate 4mg IV q4hrs PRN for severe pain. You get the Morphine Sulfate injection ampul out of the PIXIS. The concentration is 10mg/ml. How many mL’s will you draw up to administer?

5. Another nurse on the unit asks you to witness drawing up IV Hydromorphone (Dilaudid) for her patient who is experiencing some severe surgical pain. You go into the medication room with the nurse and you check the concentration of the Hydromorphone (Dilaudid) which is 2mg/mL. The other nurse draws up 1.5mL’s of IV Dilaudid. What is the dose in mg?

6. List recommended IV dose ranges and frequency of doses for the following medications:

1. Morphine:
2. Hydromorphone (Dilaudid):
3. Fentanyl citrate (Sublimaze):

7. George Good is a 64 year old male who has a history of Chronic Kidney Disease Stage 3. He was admitted 2 days ago because he was involved in a motor vehicle accident where he dislocated and fractured his left ankle. You review his morning labs and notice his Creatine was 3.0 mg/dL. At 1200 Mr. Good rates his pain a 6 out of 10. Which of the following pain medication orders would you question the physician and not give this patient and why?

1. IV Toradol 30mg q6hrs PRN
2. PO Acetaminophen 325mg q6hrs PRN
3. PO Oxycodone 5mg q6hrs PRN

  

Answer 1

0 oxycodone is a opioid analgesics. When a person is suffering from severe to moderate pain oxycodone is prescribed & Oxycodone works by the relieving the - pain by changing the body way of responding to pain by acting spon brain and CNS. @ Acetominophen is also an analgesic used for I relieving minor aches and also used for I reducing fever © Oxycodone : 30ng/ day - Acetominophen: 4g daily dose o codein ordered 30 mg. tablet : 15 gmg so d tablets should be given to the patient. I Ordered tylenol dose - 15 mg tablet = 7.5 mg so d tables should be give to patient.