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I was surprised at different answers on my unit about medication!

Nurses   (2,080 Views | 12 Replies)

webbiedebbie has 22 years experience and specializes in OB, Telephone Triage, Chart Review/Code.

7,508 Profile Views; 630 Posts

Gentamycin 2 mg/kg

150 lb patient

Drawing up medication to add to IV bag of 100 ml and what rate you would run it!

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11,191 Posts; 54,544 Profile Views

Gentamycin 2 mg/kg

150 lb patient

Drawing up medication to add to IV bag of 100 ml and what rate you would run it!

the rate should be determined by the md but 100cc typically goes in over an hour...thus 100cc/hr...to be confirmed w/md or pharmacist.

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webbiedebbie has 22 years experience and specializes in OB, Telephone Triage, Chart Review/Code.

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How much Gent would you draw up to add to bag? This is one most missed!

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11,191 Posts; 54,544 Profile Views

How much Gent would you draw up to add to bag? This is one most missed!

the patient weighs 68kg x 2mg=136 mg.....

if the md wrote the order that way, i am so not comfortable with that...are these standard orders????????????

leslie

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unknown99 is a BSN, RN and specializes in Inpatient Acute Rehab.

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There are 2.2kg per lb.

So, 150/ 2.2= 68kg.

68kg times 2mg= 136mg of Gentamycin

I looked it up in Davis Drug Guide, and it says that it can be given in a once daily dose of no more than 4 to 7 mg/kg.

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11,191 Posts; 54,544 Profile Views

you know debbie,

i'm reading in my pdr that adults = 1.5mg/kg and not to exceed 80 mg.

but underneath it states: initially 1-2 mg/kg infused over 30-60 minutes, then maintenance doses may be administered.

would you please stop giving me a heart attack here and get these orders clarified with the md?

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jnette has 10 years experience as a ASN, EMT-I and specializes in Hemodialysis, Home Health.

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Our nephrologist always orders the 2 mg/kg initial dose... ALWAYS.

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11,191 Posts; 54,544 Profile Views

Our nephrologist always orders the 2 mg/kg initial dose... ALWAYS.

so let's say your pt. weighs 68 kg....do you give exactly 136 mg?

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288 Posts; 7,139 Profile Views

max dose on gent is 80 mg and never give faster than 30 minutes due to the fact that it can cause hearing damageif given faster. Also rememeber to figure the time of your flush in the total time give. We have a standing policy of giving the gent over 20 minutes with a 10 minute flush for a total time of 30 minutes.

Dave

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11,191 Posts; 54,544 Profile Views

well debbie, i guess that's where you're getting your different answers?

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693 Posts; 7,197 Profile Views

If you are mixing it yourself, look at the package insert for your information. (Yeah, I know -- I have a small magnifying glass just for that purpose. :D )

If it is mixed in a pharmacy and delivered to your floor, the pharmacist would give you a definitive answer based on drug specificiation and your facility's policy. If it is something not given frequently on your unit, chances are you will just get guesses and opinions instead of factual answers from your coworkers.

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11,191 Posts; 54,544 Profile Views

If it is mixed in a pharmacy and delivered to your floor, the pharmacist would give you a definitive answer based on drug specificiation and your facility's policy. If it is something not given frequently on your unit, chances are you will just get guesses and opinions instead of factual answers from your coworkers.

that's a scary thought joy.

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