Help with case study!!!

[SarahT316]

I am a new nursing student. We were given a case study as part of the final. However, all of this is very new to me and I'm struggling with it. Any help would be appreciated. Thanks! Attaching a copy of the case study...

John Adams is 55 years of age and is a male patient who is admitted to the ICU with the diagnosis of acute esophageal varices bleed. Pt. has long standing history of alcoholism and cirrhosis of the liver. The patient has quit drinking alochol for the past six months and has been active in AA. Also has a history of CAD and angina. Admitting vitals: BP: 88/50, P:110, R:26 and T: 99 F. O2 saturation is 88% on room air and pt. is on 2L/min of Oxygen with O2 saturation of 94%. The patient's hemoglobin is 6 g/dL, hemotocrit is 12% and the platelets are 75,000. The pt. has a prolonged PT and PTT. BUN and serum creatinine are also elevated. THe patient has in place from the emergency department a nasal gastric tube to low wall suction. The emergency department physician placed a right subclavian triple lumen catheter and there is NS infusing at 100 mL per hour. The emergency department nurse administered Vit K. Additional orders on the chart from the gastroenterologist include: octreotide (Sandostatin) 5mcg bolus followerd with continuous infusion 500 mcg in 250 mL D5NS at 25 mcg per hour. Type and cross of 6 units of PRBCs STAT and transfuse 2 units of PRBCs over 2 hours each and administer furosemide (lasix) 20 mg IVP in between each unit. Repeat CBC one hour after the transfusion is completed.

In what order should the nurse institute the physician order? Perform dosage calculations.

The nurse observes the NG secretions and upon admission to the ICU there was 200 mL of dark red colored drainage. The nurse continues to monitor the drainage and as the nurse hangs the first unit of PRBCs 200mL of bright red bloody drainage is dumped in to the collection canister. What should the nurse do?

what I have so far:

First step: give blood, followed by the bolus

Bolus: (5mcg/mL) = (500mcg/ 250mL) yielding 2.5mL bolus

Per hr. (500 mcg/250mL) = (25 mcg/ x mL) yilding 12.5 mL/hr