Brewskii13

Hey guys! I have a math exam on pediatric doses this Friday. I was doing the study guide and came across 4 problems I have no idea how to solve. I tried looking up methods or formulas, but for some reason I'm not getting it. I posted the questions I'm having trouble with below along with the correct answers (given by my teacher). If you guys can help me go over it or guide me to solve it...you'd be a life saver!! Thank-you so much :) [COLOR=#000000]1) Order is for Methyl-medrol 12 mg/kg over 15 minutes. Pt. weighs 27 kg. 500 mg vial is provided, to be reconstituted with 9.5 ml of 0.9% sodium chloride to yield a 50 mg/ml concentration. The solution must be diluted further to 45 mg/ml, and the tubing flushed with 12 ml. What will the pump rate be? ANSWER= 76.8 ml/hr 2) Your pediatric patient is to receive Hexamycin 225 mg IV intermittent q 6 hours. This is a safe dose. Your facility's tubing needs to be flushed with 20 ml. The administration directions from the facility's drug guide are as follows: Administer Hexamycin by intermittent IV infusion over 60 minutes at a concentration not to exceed 5mg/ml. a. What will the dilution of medication be? ANSWER= 45 ml/hr b. What rate will you infuse the solution at to infuse the total volume of the med. and flush? ANSWER= 65 ml/hr 3) Pt. weighs 52 kg. Give Ventax, 200 mg over 15 minutes q12 hours. The minimal volume that the drug may be diluted in 15 mg/ml. The tubing should be flushed with 15ml. The recommended range for Ventax is 2.5 – 3.5 mg/kg/dose q12h; severe infection is 3.6 – 4 mg/kg/dose. Max is 1g/day. Is the dose as ordered safe? If so, What will the pump rate be? ANSWER= Safe= 130-208 mg/dose; pump rate= 113.2 ml/hr 4) Your pediatric patient is ordered Piplin/bactotaz 600mg IV intermittent q6h. Drug book guideline states: Administration: Piplin/bactotaz may be administer by I.V. intermittent over 30 minutes at a maximum concentration of 200mg/mL (Piplin component); however, concentrations equal to or a) What volume will you dilute this medication in? ANSWER= 30 ml b) What rate in ml/hr will you infuse your IV to infuse the medication and flush? ANSWER= 100 ml again, thanks for much for any type of help! I really appreciate it. [/COLOR]

Thank you all for your insight and comments. I really appreciate it! What scares me about nursing is the idea of taking care of a patient. I'm not much of a nurturing person, and I don't think I can fake a smile for 12 hours with a difficult patient. If I become a nurse I would only want to work in the ER and even then I see myself getting burnt out in a couple years. I'm thinking more big picture and down the line I think working as a nurse will make me depressed :/. I don't have the excitement or joy all the other students in my class has and learning the some of the skills makes me nauseous thinking I'll have to do this with an actual person one day. I feel like if i wanted to become a nurse I would never think any of these thoughts and in the end I won't be a great nurse that will make a positive impact on my patients. What I liked about being an EMT was I treated my patients to my scope of practice and then handed them over to the nurse and moved onto the next patient. I didn't have a desire to stay with my patients for a long period of time. I only ended up going down the nursing path because a head nurse told me she makes a lot of money and it's the most stable job anyone could ever have...but now in the program and my head isn't wrapped around prereqs I'm finally thinking and learning about the actual job and responsibilities and I'm wondering...am I really cut out to be a nurse? On another note, I love and have so much respect for all the working nurses and student nurses out there! Just not sure if it's the right path for me.

Hey guys! A little bit about me I am 22 years old and have always been interested in the medical field. I worked as an EMT for a year and liked it a lot so gradually I set my head into getting a nursing degree. I have spent 2 years on the prereqs and even volunteered in the hospitals in Africa on my semester off school and finally applied to nursing schools beginning of this year. I got into a couple and I am currently in my first week of nursing school...so now what's the problem? Well I am not sure if nursing is my love and passion and it's a terrifying feeling to have going into nursing school. I have always loved and wanted to pursue a career in writing and working in the film industry. Both my parents are involved in it and I grew up loving the environment but I also know how competitive it is to be successful in it so I looked into working in a healthcare setting. I found nursing solely on that people tell me it's a good degree, with a stable job, and salary. Im not much of a nurturing person, but I'm great at tolerating blood and other body fluids most people feel uncomfortable with so I thought I would give nursing a shot. We had 3 days of orientation and bootcamp to prep for nursing school and I have felt so sick to my stomach about whether or not nursing is right for me. I don't hate nursing but I don't love it either and becoming a nurse is something you should feel really passionate about because the best nurses are the ones that love their jobs. Im stuck in this weird situation because I have worked so hard in my prereqs and getting into nursing school for the past 2 years and now that I'm finally in the program I'm really scared that I'll be questioning my decision and in the long run it'll just be a good job and not something I love doing. A lot of people (including my therapist) are telling me to stick with it and earn my nursing degree to have a degree and a stable "back up plan" and work on pursuing my real dreams after I finish school but is that really the case? In the real world do people really get nursing degrees as a "back up plan"? To me that just sounds insane. So here I am asking in tears and doubt, should I listen to my second guessing? Or Am I just psyching myself out before I really get into the program? Again I don't hate nursing but I don't love it and I'm scared it's a job that I'll lose interest in along the line. I'm also scared that if I don't pursue nursing after working so hard to get into it that I will be looked at and feel like a failure. Sorry for the novels but I have lost so much sleep because my mind is running a million miles a minute over this. Any advice will be appreciative! Thank you so much.

Thank you it means so much

Hi there, I'm kinda new to the site and in desperate need of advice or information. I am scheduled to take the TEAS exam tomorrow morning (October 10,2015). My mom passed away last night, and I am in no condition to take the exam. I know there is no refund, and you must repay and reschedule if you do not show up. Does anyone know if you get penalized for not showing up to the exam? Or would it best to just take the exam, do horribly, and retake it when I am more mentally stable to take it in the future? Is there also a penetally for taking the exam twice when applying to nursing schools? Thank you so much.

Zzbxdo, I have already looked at many many MANY cal state posts on this website thank you for your concern, but I thought maybe I could get more answers I was looking for if I created me OWN post. I have been looking at every cal state website on their average acceptance rates and every other requirements for almost 2 years, but it is nicer to hear from REAL people that actually got into the program than a statistic on a website. I was having a bad day and wanted to turn to my other fellow nursing students for support in case they have been in the same boat as I. That's what this site is for. It's a tough area and competitive challenge I have been aware of that for quite some time now.

It's just nice to know and see people get into programs with different GPAS or TEAS scores. I currently hold a 3.9 but my coucelor told me that might not be good enough to get into nursing schools. Not only do I feel discouraged because I felt very proud about my GPA until my meeting with her this morning. I was just looking for different answers from different people with different experiences from different schools to maybe help me get my courage back.

Hi! I'm currently finishing up my general eds at moorpark community college and am applying to nursing schools this fall! I am applying to the majority of the cal states along with mount st. Mary's and university of San Francisco. I am here reaching out to the current nursing students attending nursing school. I am curious on your overall GPA, and your TEAS score that got you into the programs. I know nursing programs are so competitive to get into so that's why it would help me a lot to hear about how people got into the program they are in, their scores, GPAS, and anything else that helped contribute to getting into their nursing program! Feel free to post schools you also did not get into as well. I am looking mostly for Cal State students but also curious about the private nursing schools offered. Thank you so much!! :)