what are you going to do with this order?

Nurses Medications

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avastin 5mg/kg, 400mg for infusion today. Pt weigh 143lbs. what are you going to do? Go ahead star infusion? or back to doctor? Thanks for your comments

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Specializes in PACU.

I'd fold it into an awesome paper airplane and then do my own homework.

All kidding aside, what information would you like to have that you don't have? Is that information necessary to safely give the drug? Does your P&P manual provide the missing information? We can help you, but your learning experience will be more helpful if you work it out yourself.

edited because the smiley didn't work.

Also, compare the dosing information provided for the patient's weight. Do they match?

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Specializes in Hospital Education Coordinator.

incomplete order. Back to MD

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Sorry for incomplete post. The order was avastin infusion: dose 5mg/kg; calculated dose 400mg; diluent/route: in 100ml NS IV over 60-90 min. my concern is that calculated dose is much greater than order dose ( over 20% ). Should I back to MD or just do it?

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Specializes in Med Surg.
Sorry for incomplete post. The order was avastin infusion: dose 5mg/kg; calculated dose 400mg; diluent/route: in 100ml NS IV over 60-90 min. my concern is that calculated dose is much greater than order dose ( over 20% ). Should I back to MD or just do it?

What do you think you should do?

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Specializes in Cardiac, ER.

Who calculated the dose?

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Specializes in Case mgmt., rehab, (CRRN), LTC & psych.
I'd fold it into an awesome paper airplane and then do my own homework.
Based on posting history, the OP has held an RN license for more than three years, so this might not necessarily be a homework question.
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Based on posting history, the OP has held an RN license for more than three years, so this might not necessarily be a homework question.

If that's the case, then the OP should either clarify with the ordering MD/pharmacy, starting with the ordering MD. If the OP is questioning this as a current order on this forum, it's inappropiate/too late. ANYTIME a nurse has a question re a dose, s/he should contact the ordering MD/pharmacy immediately. ​Or am I missing something here?

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Specializes in Critical Care, Capacity/Bed Management.

Since we are on the topic of medication questions: I actually had a final in my math of pharmacology course yesterday and one questions really had me thinking. I calculated the child's weight based dose as 130mg Q6 PO but the doctor ordered 125mg Q6 PO, I said that I would not give this medication (it was an antibiotic) as we might be underdosing the child and would call to clarify with the physician. Am I wrong, is a 5mg difference negligible?

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Specializes in Psych.

Re: 125mg vs. 130mg

It entirely depends on the med as to whether that difference is inappropriate or not. And in real life, if you aren't sure, you check with your pharmacy or doctor before potentially doing anything damaging.

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