What is important to look for in the parenteral manual?

  1. Hello
    i am a new graduate for the LPN program in Alberta Canada and I am a little confused about the parenteral manual.
    The manual apparently has changed recently and is not the same as what I learned while in school. I have an interview coming up and I am just wondering if anyone can tell me which key points of the manual I need to know to calculate the dosage problems correctly!

    Please help!!
    Thank you!
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  2. 5 Comments

  3. by   Fiona59
    Quote from Ko15
    Hello
    i am a new graduate for the LPN program in Alberta Canada and I am a little confused about the parenteral manual.
    The manual apparently has changed recently and is not the same as what I learned while in school. I have an interview coming up and I am just wondering if anyone can tell me which key points of the manual I need to know to calculate the dosage problems correctly!

    Please help!!
    Thank you!
    I've never had the parenteral manual brought up in a job interview.

    Dosage calculations are what you are taught in school. All the manual tell you is what size bag of fluid you can dilute the meds in.

    The AHS parenteral manual is constantly being upgraded, so I'm really not sure what your question is about.
  4. by   Ko15
    A friend of mine recently had an interview for a surgical floor and she said there were questions where she had to use the parenteral manual.

    I have also heard the manual has recently been upgraded as well.

    So in the interview dosage test, all I need in the manual is the size bag to dilute the medication in?
  5. by   Fiona59
    The parenteral manual is the bible on the drug. It tells you who may give it and by which method. What side effects may occur, how it affects people, which IV solutions it's compatible with, etc. If it appears with a med calc exam, all the information is there. So you would only get the pages relevant to the drug in question. Not the entire manual.
  6. by   NotReady4PrimeTime
    Sorry, the light bulb just came on... I know now what you're asking. These parenteral manual interview questions are a relatively new thing for AHS and have also become part of the annual continuing competence blitz days as well. It's an accreditation thing. The questions asked will be specific to the area of nursing so the questions I have to answer annually will be different from yours. There are several related questions in each part; there's a brief description of the patient with pertinent information included then 2-3 questions related to the drug order. In a peds setting, this would include age and weight. An example would be something like this...

    "Mary is an 11 month-old weighing 9 kg who presented to the ER with a 2-day history of increased work of breathing, mildly decreased level of consciousness and poor feeding. She presents as lethargic with moderate indrawing, drooling, audible stridor and a temp of 39.8°C. The ER physician orders ceftriaxone 1gm IM now, then 750mg q12h for 10 days for presumed epiglottitis.

    a) Are these safe doses for Mary?
    b) How much fluid would you use to reconstitute the ceftriaxone for IM administration? Is the dose volume suitable for injection in a single site?
    c) What is the maximum concentration for IV administration? How much fluid would you use to dilute the dose? What rate would you program into the pump to deliver the dose via peripheral IV?"

    All the information you would need to answer these questions are found in the monograph that is provided with the questions. Be very careful to read exactly what the questions ask, don't skim over or assume anything because they can be tricky. Take your time so you don't make rookie errors. (Been there!) They're testing several different spheres with these questions, including how familiar you are with the way information is organized in the manual. The math is an important part of it, but not the only part. Does that help?
  7. by   Ko15
    Well I'm a new grad and the manual has bee. Updated now apparently since I have graduated. So I'm kindoff anxious about this interview but oh well it is what it is. I'll just do my best. That's all I can do.

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