urgent need some out there to take care of tis question

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your patient is to recieve morphine sulfate 4mg IVPB for breakthrough pain q2hrs prn. The patient is on continous mophine drip at 4mg/hr from a peripherial inserted central catheter (picc) line, with a morphine sulfate concentration of 50mg in 50ml. over an 8hr shift the patient receives three PRN doses. What is the total mg of morphine sulfate the patient received for the shift?

Hint: the 50mg/50ml is not relevant.

A patient receives a medication at 1 g intravenous piggybak (IVPB) every 12hrs. The medication comes in a unit dose og 1g in 250ml and according to the manufacturer recommendation, should be administered over 1hr.The medication pump are all in use a primary tubing with a 15gtt/min/ml factor.At what rate (ingtt/min) must the iv run?

Specializes in Complex pedi to LTC/SA & now a manager.

Since we are not here to do your work for you but guide you, what do you think? What have you figured out so far?

Specializes in Complex pedi to LTC/SA & now a manager.

So, what do you think? allnurses will not do your homework for you.

Specializes in Critical Care/Vascular Access.

come on now, do you really expect us to give you the answer? I doubt I'm the only one that doesn't want a nurse that can't do his/her own problems taking care of patients, so figure it out on your own.

volume x drip factor / time in minutes

Specializes in Complex pedi to LTC/SA & now a manager.

The first problem is basic multiplication & addition.

Specializes in Physical Medicine & Rehabilitation.
come on now, do you really expect us to give you the answer? I doubt I'm the only one that doesn't want a nurse that can't do his/her own problems taking care of patients, so figure it out on your own.

I doubt I'm not the only one that doesn't want a nurse that won't provide supportive teamwork :no: and just "figure it out on your own." You did however, provide the formula, but instead of just assuming this person can't take care of his/her own problems, you should probably nicely ask him/her where they are at in solving the problem (as one poster did above). Not only that, but I'm pretty sure the poster is in nursing school, so he/she is here to learn, not to be told to figure it out on his/her own.

The poster wouldn't have posted this question if he/she didn't know how to approach it and is seeking help

Specializes in Cath/EP lab, CCU, Cardiac stepdown.

The first question you have to calculate how much regular order morphine the patient is getting in one shift. So in a shift of 8 hours, what is the mg/hr on the order. Calculate what the total dosage for the regular order is. After that you have to calculate the additional morphine the patient received for break through pain, so what is the amount for the prn order? How many times did the patient require the prn? Since the prn is in top of the regular order, all you have to do is add the totals together to know how much mg morphine was received in the shift.

Specializes in Cath/EP lab, CCU, Cardiac stepdown.

The second question, you need to know the formula for calculating flow rate. The formula is volume to be infused divided by time (in minutes) to infuse. Then you multiple that by the drop factor and you will get your flow rate. Honestly these questions were pretty straight forward, so I really recommend that you brush up on your med math. And it is frowned upon to give students the answers, so next time you ask for help, make sure you provide some sign that you've made attempts to do the problem. People are here to give you guidance but not answers. And by showing us what you did we can identify where you went wrong. Best of luck!

Specializes in Critical Care/Vascular Access.
I doubt I'm not the only one that doesn't want a nurse that won't provide supportive teamwork :no: and just "figure it out on your own." You did however, provide the formula, but instead of just assuming this person can't take care of his/her own problems, you should probably nicely ask him/her where they are at in solving the problem (as one poster did above). Not only that, but I'm pretty sure the poster is in nursing school, so he/she is here to learn, not to be told to figure it out on his/her own.

The poster wouldn't have posted this question if he/she didn't know how to approach it and is seeking help

Yes, my first response might have come across a bit more blunt than I intended. In my head I was saying that more sarcastically which didn't translate well.......but still, the OP seemed to be asking for the answer, not to be talked through it. As someone else said, the OP should have given some indication that they had been working on the problem and where they were stuck at.

Hi barcode, no disrespect here...But I think that's EXACTLY what the OP wants -- to have someone give him the answer. A long, long time ago, when I was in nursing school in 2011, we had to rely on obscure resources called books, professors, and fellow students to help us solve problems. But, then again, why bother now that we can cut and paste our homework into an anonymous website and see if some kind sucker will bite and do the work for us.

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