You have been ordered to give phenytoin (Dilantin) IV to your seizure patient. Your patient weighs 80 kg. The dose ordered is 15 mg/kg to be diluted in 250 mL bag of saline to be given at 25 mg/min. How long will the infusion take to complete?
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- You are working a shift from 1200 to 2000 and Mrs. Purcell is under your care. Her IV prescription for ½N/S is scheduled to begin at 1300. The prescriber has ordered 800 mL of ½N/S to run at 85 mL/hr. You begin infusion at 1300 using a 500 mL IV bag and an IV set calibrated to 10 gtt/mL. Show all calculations. a) What is the prescribed drip rate? b) At what time do you expect the IV bag to run empty? At 1500, the IV bag is half empty. c) Is the IV on time, ahead or behind, and by how much? d) What is the new flow rate? e) What is the new drip rate?You are delivering IV fluids according to the following medication order: “Give D10W IV at 40 mL/hr over 5 hours.”After 2 hours, the patient has received 50 mL of D10W. What is the new flow rate for the remainder of the prescription?Indicate the quantity and unit of measure where specified. Quantity: Unit:What are the safety guidelines for vincristine preparation and administration? A. Use an infusion pump to administer intravenously over 25-50 minutes. B. Prepare in a minibag and infuse intravenously over 5-15 minutes. C. Dilute in a 10ml syringe with normal saline and administer IV push. D. Reconstitute in a minibag of 5% dextrose in water and administer IV push.
- The bag contains 200 mg of medication per 100 mL of solution. If the medication will infuse at the rate of 10 mg/min, how long will this infusion take to completely administer to the client?A client is prescribed 1 g potassium phosphate IV to be infused continuously over 6 hr. Available is 1 g potassium phosphate in 250 mL dextrose 5% water. The nurse should set the IV pump to run at how many mL/hr? (round to nearest whole number)The volume of a 20mg dose of medication is 2ml. Dilute 15ml, and administer over 45 min with a 15 mo flush to follow. Determine the following: Dilution volume ml Rate in gtts/min Rate in ml/hr ml
- Amiodarone is prescribed in the treatment of several ventricular arrhythmias. The maximum intravenous dose is 1.2 g per day. What is the maximum volume of this medication that you can administer using a 150 mg/3 mL injectable solution?Indicate the quantity and unit of measure where specified.You have been asked to take a pulse and a blood pressure reading on 80-year-old Mrs. Leonard, who is very frail and thin. The provider is running ahead of schedule and is waiting on you so he can examine the patient. You have to work rather quickly. You take the patient's pulse rate, which is 96 beats per minute. You notice that the patient's heart appears to skip a few beats. The patient's blood pressure is 152/94. A. What type of blood pressure cuff would work best on this patient? B. What may be a contributor to the patient's pulse rate being so high? C. Would the patient be considered to have controlled blood pressure? D. The patient's heart rhythm would be termed as what?A patient needs to receive 50 mL of Claforan (cefotaxime) IV over 30 minutes with a drop factor of 60 gtt/mL. Calculate how many drops per minute are required so that all 50 mL is infused over 30 minutes.
- Edward, a 74-year-old retired professor, has just undergone surgery for a fractured hip. The surgery, which was performed under general anaesthesia, was uneventful. He returns to the surgical ward with IV Dextrose 5% in 0.9% Normal Saline at 100mls/hr and Morphine via Patient Controlled Analgesia (PCA) 1mg at 5-minute lockout (30mg maximum in 4 hours) for pain.1. List two (2) IMMEDIATE postoperative problems that the Nurse might anticipate while caring for this patient 2. Explain the reason that may predispose the patient to the following potential postoperative problem: Atelectasis, Hypovolemic Shock, Acute Urinary Retention and Pulmonary EmbolismAn IV solution of 640 mL at a drip rate of 30 gtt/min using a tubing factor of 10 gtt/mL has been ordered to be initiated at 1500. Calculate the infusion time. (Round your answer to the nearest tenth of an hour.)Can you please answer these two sub questions and show all of the steps to the solution