Spring 1 2019 - Quiz 6 B - Blueprint.docx - Spring 1 –...

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Spring 1 – 2109 Quiz 6B - Blueprint Multiple choice single answer – 19 questions Multiple choice multiple answers (SATA) – 2 questions Med Math – 4 questions Weight base – order/available Weight base – low/high dose range IV – Time to infuse 1 question each IV – Infusion Completion time Examples: Weight base – order/available A patient will be receiving Drug X 10 mg/kg once daily IV. The patient weighs 99 pounds, and the medication is available in an injection solution strength of 125 mg/mL. How many milliliters of medication will the nurse draw up to administer this injection. Round to the nearest whole number. 99 lbs 1 x 1 kg 2.2 lbs x 10 mg kg x 1 mL 125 mg = 3.6 ml = 4 mL Weight base – low/high dose Patient weighing 33 lbs, was admitted to the hospital. The Pediatrician orders Drug Y 150 mg/kg/day PO in divided dose q8hr for 7-14 days. The drug reference manual states that the safe dose is 8–10 mg/kg/day. Calculate the low and high dose ranges (dose range). Formula: Weight lbs 1 x 1 kg 2.2 lbs x lowdose reference 1 kg = 33 lbs 1 x 1 kg 2.2 lbs x 8 mg kg ¿ 120 mg / day Low Dose Weight lbs 1 x 1 kg 2.2 lbs x highdose reference 1 kg = 33 lbs 1 x 1 kg 2.2 lbs x 10 mg kg ¿ 150 mg / day High Dose Dose Range = 150-210 mg/day Time to infuse Order: 750mL at 75mL/hr at 60 drops/mL. How long will administration of this drug take to infuse? Volume ¿ beinfused ¿ ml / hr [ flow rate ] = 750 mL 75 ml / hr = ¿ Ans: 10 hours Infusion Completion Time
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The provider orders 600 mL of NS to infuse at a rate of 125 mL/hr. The nurse started the infusion at 10:00 am. What time will the infusion be completed? Express answer in military time. Formula : Start Time + Infusion Time (in hours) Solve for Infusion Time = Volume ¿ beinfused ¿ ml / hr [ flow rate ] = 600 mL 125 ml / hr = ¿ 4.8 hours 4 hours .8(60 minutes) = 4 hours 48 minutes Start Time + Time in hours 10:00 am plus 4 hours 48 minutes = 2:48 pm = 1448 hours Medications Neo-Synephrine (SATA) (Phenylephrine) nasal decongestant, mydriatic drug, antihypotensive; adrenergic drug (sympathomimetic) Adverse effects: tachycardia, hypertension, dysrhythmias, CNS excitation and seizures, dry mouth, N/V, anorexia Parenteral administration can cause tissue injury with extravasation -> dilute drug before administering; use and infusion pump; assess for blanching at the infusion site Pregnancy category C Anxiety, restlessness, and tremor may occur due to the drug’s stimulation effect on the CNS Drug-drug: Interaction may occur with MAOI’s causing hypertensive crisis.
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  • Spring '19
  • Marrast
  • Seizure, Antipsychotic, tremors

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