wondergirlhere

Here are some IV questions for you? a paediatric patient, 8 years old, weighs 25 kg and height 120 cm Pt is fasting for a laporoscopy and is scheduled for it at 1100 hrs. Day 01 Orders: Ampicillin 500 mg IV, give 1hr preop Gentamicin 80 mg IV, give 1 hr preop Indomethacin 25 mg supp given 2 hrs preop Morphine 5 mg IV stat Naloxone 0.5 m IV for Resp she finally goes in for surgery at 1100 hrs, you give her her IV antibiotics, and she returned from ruptured appendix sugery, and the following meds are ordered: Ampicillin 60 mg IV q 8h Gentamicin 60 mg IV q 8 hr Gen levels 3 rd dose Meperidine 25-50 mg IM/SC q6h or Morphine 2-4 mg IM/SC q3-4 hr Dimenhydrainate 25 mg PO/IM/supp q 4 hr prn Indomethacin 25 mg supp BID (0600 hrs and 1800 hrs) Nalozone 0.5 mg IV fo Respd Are these medication dosage safe? And what are some nursing actions in order to safely administer meds? : )

So, I've completed some IV questions. Let me know please if I did this correctly. Question: Your patient had orde for metoclopramide 10mg IV q4-6 hrs prn. The metoclopramid supplied to our is in theconcentation of 5mg/mL. Your are adding metoclopramide 10 mg IV to a minibag of 50 mL of NS. a) How much total volume will your IV bag have after you add your metoclopramide? I think it's 52 mL b) you want to administer this over 15 minutes. Your drip rate is micro drip (60 gtts/mL) what is your drip rate for this med? I think it's 208 gtts/minute c) your tubing is macro drip (10 gtts/mL) What is your drip rate for this med? I think it's 35 gtts/minute d) your tubing is the Alaris pump tubing (drip rate is 20 gtts/mL) and you need to run it by gravity. What is the driprate for this med? I think it's 69 gtts/minute.

Question Keflex 400 mg po q8hr is ordered. Keflex oral suspension is supplied at a concentration of 125mg/mL. How many mL of suspension do we need to give? I calculated 3.2mL How much Keflex does this patient get per day? (total dose per day) I calculated 1200 mg/day Your patient is a toddler with otitis media who weighs 16 kg. Would this dose be safe? I think "yes" when given in 4 divided doses per day as therapy for otitis media requires dosage of 75 to 100 mg/kg/day in 4 divided dose for medication to be therapeutic. 16 kg child x 100mg/kg/day = 1600 mg/day Question #2 Your patient is ordered vancomycin 1 gm IV q12hr. the pharmacy has supplied your medication in a 250 mL minibag. Your concentration is 1 gm/250 mL. a) What is the concentration in mg per mL? b) Pharmacy advises you ot run this medication over at least 90 minutes. What is your hourly rate for the pump? c) What would your drip factor be on macro drip tubing (10 gtts/mL)?

I am now working on some pediatric calculations. Question Keflex 400 mg po q8hr is ordered. Keflex oral suspension is supplied at a concentration of 125mg/mL. How many mL of suspension do we need to give? I calculated 3.2mL How much Keflex does this patient get per day? (total dose per day) I calculated 1200 mg/day Your patient is a toddler with otitis media who weighs 16 kg. Would this dose be safe? I think "yes" when given in 4 divided doses per day as therapy for otitis media requires dosage of 75 to 100 mg/kg/day in 4 divided dose for medication to be therapeutic. 16 kg child x 100mg/kg/day = 1600 mg/day

This is great! I am feeling more comfortable with my math calculations and tried other dosage calculations. Thanks!!!!

Hi, I'm in my first year, level 2 at UofC I was also nervous and it was my first time in university. I didn't know anyone and didn't know the campus very well. What a first level experience!! Just keep up with readings and assignments. don't put off assignments, try to work on them ASAP. Remember it's a learning process and don't be too hard on yourself. Once you begin clinical, the stuff you learn in the classroom is put into practice. That's when it starts making sense. Good luck!!! A classmate of mine was bent on getting As and high Bs. She completely exhausted herself.

Here's another question: Heparin 5000 units sc bid is ordered. the heparin supplied is multididose vials. How much of the following concentrations would you draw up to administer the correct dose? 25,000 units/ml. I calculated 0.2ml 10,000 units/ml. I calculated 0.5 ml 500 untis/ml. I calculated 10ml If given these three concentrations which would you choose to give the patient?

Thank you! Thank you! I was able to get the same answers and complete the other calculations! You ladies are the best. I'm in Level 2 nursing school and I'm still trying to find my groove; trying to learn how to organize how I asess pts etc. Thanks again!! I will post again b/c I will probably have more nursing questions.

Okay so I'm trying to wrap my head around these questions. 1) Patient is on Novolin 70/30 insulin. They receive 20 units sc bid. How many units of intermediate acting insulin do they receive per dose and how many units of short acting do they receive per dose? 2) Your patient IV is NS with 20 mEq KCL per liter running at 150 mL/hr. What is the fluid intake for a 24-hours period? And, how much potassium is being recieved over a 24-hour period?