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1. The physican orders Phenytoin (Dilantin ) 1 gm, PO,loading does (LD) in three divided doses over 24-hours period. The safe parameter for a LD of Dilantin is 15-18 mg/kg. The patient wieghs 132 lbs. Dilantin is available in 100 mg capsules.
A.How much does patient weigh in kgs?
B. How many mgs would the patient recieve in 24 hours?
C. Is the dose within safe parameters? Explain why?
2. The physician orders Cytoxan 200 mg, PO, bid. Safe administration is 1-5 mg/kg/day. The patient weighs 100 lbs and the drug is available in 50 mg tablets.
A. How much does patient weigh in kgs?
B. Is the dose Cytoxan within the safe parameters?
C. How many tablets would you give?
Okay, I will help with the first question on problem #1. If you draw meds out of a rubber top vial which is what the first med is in, you inject air equal to what you need to draw out to remove some of the vacuum in the container, you don't do this with ampules. So first you inject 0.5 mL of air and draw up your first med and then you draw up the med in the ampule and discard it since it will be empty. Help? Have you drawn up meds yet? It is hard to answer these kind of questions if you haven't and the teachers should help you more on these questions since they really aren't math-based.
The rest of your answers are right...just break your problems down like Song did and you'll get it!
sorry. i didn't realize you had added more problems to the post.
mrs. dawson dr. ordered a stat order for demerol 50 mg to be given im with 25mg of phenergan. the medications are compatable and both can be given in one injection. you have demerol 100mg/ml vials and phenergan 25mg/ml amples.
a. which medication should you draw up first?
b. how many ml of each medication are calculated to be drawn into the syringe?
c. what is the total amount of fluid in your syringe when both are into the syringe?
mrs jones dr. has written an order for 0.2mg of methergine im to be given every 2-4 hrs. to a maximum of 5 doses. the pharmacy sends the 0.2mg/ml ampules to the floor.
a. how much will you draw up for the first dose?
b. calculate the total amount of methergine mrs. johns will recieve if she is given the entire five doses within the next 20.
SarasotaRN2b
1,164 Posts
Okay, but you should still work out the math problems as much as possible.