Question

Chapter 7 Nursing Care of Patients Receiving Intravenous Therapy 29 3. Dave has an IV of normal saline ordered as I Love 12 hours. How many ml. per hour should he receive? CALCULATION PRACTICE Calculate the answers to the following problems. Round each answer to the nearest whole number 1. June has an IV of 5% dextrose in water ordered to infuse at 83 mL/hr. How many drops per minute should be set if the tubing delivers 15 drops per mL? 4. Lucy has an order to administer 800 units of heparin per hour. The registered nurse hangs heparin 50.000 units in 500 mL of 5% dextrose in water. It will run on an electronic infusion device. How many mL should be administered per hour? 2. Frank has a piggyback antibiotic of 500 mg in 50 mL of 5% dextrose in water. The medication must infuse over 20 minutes. The tubing drip factor is 10. How many drops per minute? 5. Jack has an order for 1,000 mL of normal saline over 24 hours. How many drops should be administered per minute, using microdrop tubing? - REVIEW QUESTIONS CONTENT REVIEW Choose the best answer unless directed otherwise. 1. Which of the following complications can occur if a clotted cannula is aggressively flushed? 1. A clot can enter the circulation. 2. An air embolism can enter the circulation. 3. A painful arterial spasm can occur. 4. The patient can experience speed shock. 4. A patient in an outpatient oncology clinic is going have a peripherally inserted central catheter line pla and wants to know what that means. What is the be response by the nurse? 1. "It is a catheter that is inserted into your jugula and ends in the central circulation." 2. "It is just a regular IV, but an extra-small cathe used to prevent vein irritation." 3. "It is a percutaneous intravenous core cathete 4. "It is an intravenous device that is inserted in arm and ends in the circulation near your hea 2. Which of the following symptoms most likely indicates that an infusion is infiltrated? 1. Redness at the site 2. Pain at the site 3. Puffiness at the site 4. Exudate at the site 3. An 87-year-old patient recovering from abdominal surgery has a continuous intravenous infusion to supply nutrients and antibiotics. What complication should you suspect when signs and symptoms of redness, warmth, and pain at the infusion site are reported? 1. Phlebitis 2. Thrombosis 3. Hematoma 4. Infiltration

Answer 1

Ans 1

June has ordered iv dextrose 5%@ of 83ml/hr

We will have to calculate ml/min.

Ml/min =83/60

=1.3833ml/min.

Drop factor is 15,means 1ml consist by 15 drops

So

1.3833 ml contain drops=1.3833x15

Infusion drop rate =21 drop/min

Ans 2

500mg drugs added in 50 ml dextrose and infusion time is 20 min

And we have to calculate drop/min

=Drop/min=total volume (ml)xdrop factor/time in min.

=50x10/20

=25 drop/ min

Ans 3

Dave has ordered 1000ml saline for 12 hours

Ml/hr=total volume in ml/hours

=1000/12

=83.33ml/hr

Ans 4

Lucky has ordered heparine 800unit/hr and total dilution is 500ml with 50000 unit hep.

Drug /ml=50000/500

=100unit /ml

Infusion rate =required infusion per hr./drug/ml

=800/100

=8ml/hr