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Discussion

Please help

can someone please help me out with these problems. I cannot figure out the answer. I need to no these answers ASAP if anyone can help me out it will be greatly appreciated.

1) Your patient is ordered cefuroxime 1.5 grams. This is to be added to 100ml of normal saline. The medication avalable is cefuroxime 750 mg per 10 ml . How many mls of the medication should be added to the bag?

2)Patient is to recieve dilantin 10mg/kg/day, in evenly divided doses every 12 hours. The patient weighs 165lbs. How many mgs should the patient recieve per dose

3)the patient is to receive dexamethasone 5mg IV at 1800. On hand is dexamethasone 2mg/ml. How many mls should the patient receieve?

4)your patient is to recieve nitroprusside 50 mg in 500 ml d5w and is ordered to run at 175 mcg/minute. How many mls should the patient recieve in one hour?

5)aminophylline 300 mg in 500ml d5w is to be infused over 8 hours. you have aminiphyline 1000mg/20ml. How many mls of aminophylline should be added to the bag of D5W

6)the patient is to recieve amidorone 360 mg over 6 hours at a rate of 1 mg per minute. How many mgs should the patient revieve in one hour?

7)pt with chf is to recieve a blood transfusion. blood bank releases the first bag with 180 ml to be given at 60ml/hour. The blood is hung at 1830. By what time should the blood transfusion end?

8)pediatric patient with CHF. recommended theurpatic dose of digoxin is 20-35 mcg/kg/day. Patient wieghts 44 pounds. Digoxin comes in 0.25mg per ml. What is minimim amount in mls that your patient can receive?

9)Patient is to receive dilantin 20mg/lg/day in three equally divided doses over the next 24 hrs. This is to be followed by a maintenance dose of 5mg/kg/day in three equally dived doses every 8 hours. The patient wiegs 165 pounds. How many mg of the dilantin should the patient recieve per dose on day one?

10)bases on the information given in question 9, how milligrams of maintenance dose of dilantin should the patient recieve per dose?

thank you!!

Featured Replies

  • Author

so number 6 and 7 are correct? and I don't get why you would divide 5mg/2mg/ml. Is it because you are technically cancelling out the mg, leaving ml?

  • Experts

oops.double post.

  • Author

Oh i understand now. For number 2 this is how I would solve it.

10mg/kg/day , since its divided every 12 hours I would do 10/12= .83333 (round to .83)

and i would multiply that by his weight which is 165*.83=136.95 mgs per dose?

  • Experts

First of all convert the weight.165 divided by 2.2 is 75.10mg per kg is 750mg.divided by 2 doses is 375mg.

  • Author

thanks alot for your help. number 4) I did 50mg/500ML = X/175MCG/MINUTE

AND convert the 175mcg/minute to mg ? to mcg/hour and then cross multiply?

  • Experts

Convert first.50mg is 50 000mcg.Divided by 500mls is 100mcg/ml.175mcg per minute is the order. So 175(what is ordered) divided by 100 (what you have) is 1.75mls/minute.1.75 multiplied by 60 is 105. You would give 105ml/hr

  • Author

5) aminophylline 300 mg in 500ml d5w is to be infused over 8 hours. you have aminiphyline 1000mg/20ml. How many mls of aminophylline should be added to the bag of D5W ?

1000mg/20 ml = x/300mg?

cross multiply to get mls ?????

8)pediatric patient with CHF. recommended theurpatic dose of digoxin is 20-35 mcg/kg/day. Patient wieghts 44 pounds. Digoxin comes in 0.25mg per ml. What is minimim amount in mls that your patient can receive?

convert 44lbs into KG which is 20kg. And then I have no idea on what to do :(. And number 9 and 10, can someone please guide me through it

idk where to start..

Ratio:proportion method is easiest for these, IMO.

For 9 convert your weight to kg first, figure out how many mg based on that, then divide by three. Those are the three equally divided doses.

  • Author

75 kg. What formula is best used to figure out mg.

20mg/kg/day (/) 3 = 5/x?

5) aminophylline 300 mg in 500ml d5w is to be infused over 8 hours. you have aminiphyline 1000mg/20ml. How many mls of aminophylline should be added to the bag of D5W ?

1000mg/20 ml = x/300mg?

cross multiply to get mls ?????

8)pediatric patient with CHF. recommended theurpatic dose of digoxin is 20-35 mcg/kg/day. Patient wieghts 44 pounds. Digoxin comes in 0.25mg per ml. What is minimim amount in mls that your patient can receive?

convert 44lbs into KG which is 20kg. And then I have no idea on what to do :(. And number 9 and 10, can someone please guide me through it

Look at the way you have your proportions set up, your units need to match.

1000 mg/20 mL = 300 mg/ X mL, you had it backwards.

In this problem, I would simply figure out that 1000 mg/20 mL = 50 mg/mL and then it's simple division. You need 300 mg and in every mL there are 50 mg, so how many mL do you need to make 300?

For the digoxin problem, you know your patient weighs 20 kg. You know the minimum dose is 20 mcg/kg/day... so what is the minimum daily dose for your patient? Once you figure that out, you can figure out the dose in mL.

For numbers 9 and 10:

9)Patient is to receive dilantin 20mg/lg/day in three equally divided doses over the next 24 hrs. This is to be followed by a maintenance dose of 5mg/kg/day in three equally dived doses every 8 hours. The patient wiegs 165 pounds. How many mg of the dilantin should the patient recieve per dose on day one?

Step 1: convert lbs to kg.

Step 2: Determine the daily dose. 20 mg/kg/day x pt's weight in kg gives you how many mg per day?

Step 3: You know that the patient needs these doses divided q 8hr, so how many doses does the patient get in a day? It's simple division at this point.

10)bases on the information given in question 9, how milligrams of maintenance dose of dilantin should the patient recieve per dose?

You have already figured out the patient's weight in kg in the previous problem, so now you do the exact same thing you did in steps 2 and 3. The patient's maintenance dose is 5 mg/kg/day divided q 8hr. So what is his daily dose? Once you know that, how much does he receive with each dose?

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