Interview with an Older Adult

Virginia westbound Community College Practical Nursing Program Spring 2013 NUR 135-PN Drug loony toons Calculation Review of Problem Areas Reconstitution of Non-injectable Solutions Prepare the following nutritional solutions for the designated clipping period. 1. arrangement 1/2 loudness Isomil 6 oz. p. o. q4h for 24 hours. How frequently practice and weewee allow for you use to wee a 24-hour bestow of feeding? 2. Order 1/2 lastingness Ensure 8 oz via nasogastric tube to be effrontery over 8 hrs. How much formula and water will you use to prepare this feeding? 3. Order1/4 strength Jevity 300 mL via G-tube q6h.How much formula and water is require to prepare enough feeding for your 8-hour shift? 4. Order cd mL of 1/4 strength Ensure over 6 hours via nasogastric tube. Supply Ensure 240 mL cans. How much formula and water is needed to prepare this feeding? 5. Order Irrigate wound with 50 mL of 1/2 strength hydrogen peroxide and normal saline q4h while awake. How much hydrogen peroxide and NS will you use to prepare this solution for each treatment? 6. Order 1/2 strength Ensure 16 ounces by gastrostomy tube over 4 hrs. minimal brain dysfunction ________mL of Ensure and ______mL of water to make the coveted solution. 7. Order 3/4 strength Sustacal 400 mL p. . q. i. d. Add _________mL of Sustacal and ______mL of water to make the desired solution. IV Calculations 1. Order 500 mL NS IV to bang up 250 mL/hr. The IV tubing has a drop factor of 10 gtt/mL. You do not have an IV pump available. Calculate the drops per min you would flock this IV to run. 2. Order 1 L of O. 9% NaCl IV to infuse over 6 hours. You will use a microdrop set to deal out the IV fluid. What is the combine rate in gtts/min? 3. Order deoxyguanosine monophosphate mL 0. 45% NaCl to infuse over 12 hours. At what flow rate will you set the infusion pump? 4. Order Kefzol 1. 5 g IV PB diluted in 100 mL D5W to infuse in 20 min.You are using a 10 drop/mL set. What is the flow rate in gtt/min? 5. Order Ancef 2 g in 100 mL D5W IVPB in 30 min to be assigned by infusion pump. At what rate do you set the infusion pump? Pediatric Dosage 1. Order purple heart 45 mg p. o. b. i. d. Childs weight 35 lb. Recommended dosage is 6 mg/kg/day q12h Supply dosage phenobarbitone 50 mg/mL How numerous milliliters should be devoted per q12h dose? _________ 2. Gentamicin 45 mg IV q8h is ordered for a nipper weighing 45 lb. Recommended dosage is 6 to 7. 5 mg/kg/day in three divided dosages. The available supply of gentamicin is 100 mg/mL.How many mL of gentamicin should be given per dose? __________ 3. Order Penicillin VK 56 mg/kg/day p. o. in 4 divided doses Childs weight is 55 lbs. gettable Penicillin VK cxxv mg/5 mL How many milliliters should be given per dose? _________ 4. Order ceftriaxone 200 mg q8h p. o. Supply Rocephin 500 mg/mL Recommended dosage is 75-150 mg/kg per day Child weighs 15. 4 lb Is this a safe order? If safe, how many milliliters should be given per d ose? _________ 5. Order SoluMedrol 1. 5 mg/kg is ordered for a child weighing 74. 8 lbs. Supply SoluMedrol 125 mg/2 mL How many milliliters should the nurse administer? ________ Reconstitution of injectable Solutions 1. Order Kefurox 0. 75 g IV q12h Available pic a. How many milliliters of dilutant will you add to reconstitute the solution? _____ b. How many milliliters will you administer? _____ 2. Order Ancef 0. 275 g IM q6h (See label below. ) a. restructure with _______mL diluent b. What is the dosage strength of the prepared solution? _________ c. Give ________ pic 3. Order cefazolin 450 mg IM q. 8h (See label below. ) a. Reconstitute with ________mL diluent. b. What is the dosage strength of the prepared solution? __________ c. Give _____________ pic 4. Order Penicillin G potassium 450,000 units IM at 7am Available pic a. What is the total dosage strength of the ampoule? _____ b. Which concentration would be appropriate to mix for the ordered dose? _____ c. How much diluent s must be added to make the appropriate concentration? _____ d. How many milliliters will you administer? ________ Conversions 1. gr v = ________mg 2. 15 mg = gr ________ 3. 40 mg = gr ________ 4. gr 1/5 = _______ mg 5. gr 1/150 = _______ mg 6. 50 mg = gr ________ 7. 5 lbs 12 ounces = ______kg 8. 18 lb = ________kg 9. 24. 2 kg = ________ lb 10. 6 lb 4 oz = ________kg