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

leslie :-D · Jul 22, 2004

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.

webbiedebbie · Jul 22, 2004

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

leslie :-D · Jul 22, 2004

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

unknown99, BSN, RN · Jul 22, 2004

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.

leslie :-D · Jul 22, 2004

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?

jnette, ASN, EMT-I · Jul 22, 2004

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

leslie :-D · Jul 22, 2004

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?

Dplear · Jul 22, 2004

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

leslie :-D · Jul 22, 2004

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

jemb · Jul 22, 2004

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. )

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.

leslie :-D · Jul 23, 2004

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.