Pharmacology and the Nursing Process
7th Edition
ISBN: 9780323087896
Author: Linda Lane Lilley
Publisher: Elsevier Health Sciences
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Chapter 8, Problem 6NERQ
Summary Introduction
DNA is the genetic element of all the living organisms. They contain the genetic heredity information passed to next generations. DNA consists of
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Usual Padiat
Patient's Doss
Directions for Micing
NDC 61442-202-01
CEPHALEXIN
For Oral Suspension USP
Low 250 mg per 5 mL
Each 5ml Arom
than contain: Cephalesin Manched
quant to 250 ing Cephasn
Rev. 09 10
Rx Only
Carlsbad Technology, Inc.
100 ml (When Mored)
61442 2020
Lot CCP50
Order: cephalexin 350 mg p.o. every 6 hrs for 7 days for a child who weighs 70 lbs.
What is the child's weight in kg to the nearest tenths?
Calculate the safe total "daily dose range" for this child (round to whole number)
Calculate the safe "single dose range" for this child (round to a whole number)
Is the ordered dose a "safe dose"?
How many mLs will the nurse administer for each dose?
31
798 mg/day; 1,599 mg/day
198.7 mg/dose; 397.5 mg/dose
Yes
7 mL
O 31.8
795 mg/day; 1,590 mg/day
199 mg/dose; 398 mg/dose
Yes
7 mL
31.8
795 mg/day; 1,590 mg/day
198.75 mg/dose; 397.5 mg/dose
Yes
7 mL
31
795 mg/day; 1,590 mg/day
199 mg/dose; 398 mg/dose
No
7 mL
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Considering the kcals the patient is receiving from propofol and D51⁄2NS, what should be the rate (ml/hr) of the tube feeding you selected?
30 ml/hr
45 ml/hr
55 ml/hr
65 ml/hr
You are seeing a 68 year-old male patient admitted to the ICU. He is sedated on the ventilator with propofol at 20ml/hr, D51⁄2NS running at 75ml/hr. and a past medical history of DM2, obesity, CAD, HTN, and Pneumonia. Ht 172cm, Wt 72kg, Alb 2.3, VE=7.9 L/min, Tmax =38.4 C
4.1 What is the total kcal this patient is receiving before the initiation of TF (Hint: include propofol and D51⁄2 NS in calculation)?
306 kcal
528 kcal
678 kcal
834 kcal
What is the estimated kcal goal for this patient?
1787 kcal
1847 kcal
1927 kcal
2317 kcal
What is the estimated protein need for this patient?
45 – 50 g/day
86 – 108g/day
108 – 180g/day
144 – 188 g/day
What type of tube feeding formula would you recommend for this patient?
Standard 1.5 kcal/ml formula
Glycemic control product, 1.0 kcal/ml
Low residue, high protein, nutritionally balanced,1.2 kcal/ml
High protein, calorie control product, 2.0 kcal/ml
Chapter 8 Solutions
Pharmacology and the Nursing Process
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- You are seeing a 68 year-old male patient admitted to the ICU. He is sedated on the ventilator with propofol at 20ml/hr, D51⁄2NS running at 75ml/hr. and a past medical history of DM2, obesity, CAD, HTN, and Pneumonia. Ht 172cm, Wt 72kg, Alb 2.3, VE=7.9 L/min, Tmax =38.4 C 4.1 What is the total kcal this patient is receiving before the initiation of TF (Hint: include propofol and D51⁄2 NS in calculation)? 306 kcal 528 kcal 678 kcal 834 kcal Which estimated prediction equation will you recommend to calculate the kcal need for this patient? Penn State Equation (2003b): Mifflin(0.96)+ VE (31) + Tmax (167)-6212 MifflinStJeor =(10xW)+(6.25xHt)–(5xAge)+5 Harris-Benedict equation: kcal/day (male) = 66 +13.8 (W) + 5.0(H) – (6.8 x A) Ireton-Jones equations (1992)(ventilator-dependent): 1925 – 10 (A) + 5 (W) + 281 (S) + 292 (T) + 851 (B) What is the estimated kcal goal for this patient? 1787 kcal 1847 kcal 1927 kcal 2317 kcal What is the…arrow_forwardYou are seeing a 68 year-old male patient admitted to the ICU. He is sedated on the ventilator with propofol at 20ml/hr, D51⁄2NS running at 75ml/hr. and a past medical history of DM2, obesity, CAD, HTN, and Pneumonia. Ht 172cm, Wt 72kg, Alb 2.3, VE=7.9 L/min, Tmax =38.4 C 4.1 What is the total kcal this patient is receiving before the initiation of TF (Hint: include propofol and D51⁄2 NS in calculation)? 306 kcal 528 kcal 678 kcal 834 kcal Which estimated prediction equation will you recommend to calculate the kcal need for this patient? Penn State Equation (2003b): Mifflin(0.96)+ VE (31) + Tmax (167)-6212 MifflinStJeor =(10xW)+(6.25xHt)–(5xAge)+5 Harris-Benedict equation: kcal/day (male) = 66 +13.8 (W) + 5.0(H) – (6.8 x A) Ireton-Jones equations (1992)(ventilator-dependent): 1925 – 10 (A) + 5 (W) + 281 (S) + 292 (T) + 851 (B) What is the estimated kcal goal for this patient? 1787 kcal 1847 kcal 1927 kcal 2317 kcal What is the…arrow_forwardHealth education is central to nursing practice. Discuss.arrow_forward
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