Patient Profile: Frances, a 78 years old that lives alone, is admitted to the hospital because of weakness and confusion. She has a history atrial fibrillation and chronic heart failure (HF). On admission it is noted that her at home medications include Digoxin (Lanoxin), Furosemide (Lasix), Metoprolol, Diltiazem and Levothyroxine. Objective Data: Neurologic: Confused; slow to questioning; generalized weakness; states she has trouble focusing his vision- people look green with halo's RR 100/50: HR 55 im OHR alu ECC indi
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- Drug: Prostaglandin E1 0.05ug/kg/min for Infant with congenital heart defect Question: 1. Classification of the drug 2. Mechanism of action of the drug 3. Frequency 3. Nursing ResponsibilityNormal Saline 0.9% Drug Class: MOA: Indication: Nursing Implication: Potassium Chloride Drug Class: MOA: Indication: Nursing Implication:7 Ordered: atropine sulfate 1 mg bolus IV push, for a patient with bradyar- rhythmia. Directions: Dilute to 10 mL SW for injection (total amount) and give over 1 minute. NDC 0002-1675-01 20 ml VIAL No. 419 POISON A TROPINE SULFATE INJECTION, USP 0.4 mg per ml CAUTION-Federal (U.SA.J low prohibits dispensing without prescription. a. How many mL of atropine will the nurse prepare? DA equation: Evaluation: b. After dilution, how many seconds/ mL. will the atropine be injected? DA equation: Store 5" io BF (15" te 30°C) Usuel Adult Dose-0.75 to 14 ml injected subcutareously, intramusculerly, e dowly introvenousiy. See iterature. Eech mi contains Atropine Suliate, CA mg with Chlorebutanel (Chloroform Derivalve) 05 percent. wV6731 AMX Bly Cedionela, N425, USA APPROXIMATE EQUIVALENTS 04 mi-0.16 mg 0.5 mi-0.2 mg 0.6 mi-024 mg OE ml-0.32 mg 1 mi-04 mg 1.25 ml-0.5 mg 1.6 ml-0.65 mg 25 ml-1.0 mg 2.1 ml-1.25 mg Exp. Date/Control No. 6- 10ml BD
- Anesthetic Maintenance: ISOFLURANE Details: Patient : 4.54 kg Reservoir Bag: 3.5 L Formula for bag:_ (Body Weight in kg)x(15 ml/kg)x(6) Available sizes 1.5 L. 2.0 L. 2.5 L, 3.0 L, Rebreathing (7kg or above) OR Non-rebreathing (7kg or below) Oxygen Flow Rate in L/02 min Flow rate Induction Maintenance Recovery Emergency Drugs Drug Atropine Dose 3L 50 ml/kg 3L IV Fluids assuming pet is well hydrated Fluids Lactated Ringer Maintenance Fluid Rate Solution (LRS) Patient 3 ml/kg/hr L/02 Min 3L Route 3L Maintenance fluid Bolus Fluid Rate rate in ml Dose (mg/kg) 0.03 mg/kg mg 5 ml/kg Bolus fluid rate in ml Concentration ml 0.54 mg.mlNurse is preparing to administer amoxicilin 30mg /kg/day, devided equaly every 12hr who weights 32 lbs. Available 200mg/5ml. How many ml should nurse administer?Hemodynamic Monitoring Case Study: A 67-y.o woman is admitted to the ICU with a dx. of hypotension of unknown origin. She is presently unresponsive but is breathing spontaneously on her own. Lungs are clear, urinary output is 15ml in 8 hours, and her skin is cool. A PA catheter is inserted to obtain more information and guide therapy. The following information is revealed: BP 86/54mmHg PAWP 4mmHgP 118/min CVP 2mm/HgRR 30 breaths/min SVR 1393 dynesC.O. 3.5 L/min PVR 195 dynesC.I. 1.9 L/min SvO2 50%PA 24/10mmHg Which Values tell us about this patient's filling pressures/fluid status? Are these values adequate? Which Values tell us about this patient's contractility? Are these values adequate? Which values tell us about this patient’s vascular resistance? What is causing this patient's hypotension? Which initial therapy is appropriate?
- This is a Pediactrcs class for Nursing School Safe Dosage Range Calculation Digoxin 18 mcg po BID Child weighs 7lbs. The safe range is 10-12mcg/kg/24hrs. A) What is the safe 24-hr range? B) Is the ordered dose safe for a 24-hr period? C) If the medication is supplied 50mcg/ml, how many mL will you administer per dose?doxycycline ( Vibramycin) oral suspension 60 mg PO q.i.d.. The strength is 25mg/5ml. If the patient received their most recent dose at 6pm. what time (in military time) will you give the patient their next dose and how many mL will you administer in the next dose.Patient weight: 15 kg Medication order: Lidocaine 5 mcg/kg/min Usual pediatric dose: 2-5 mcg/kg/min Drug available: Lidocaine 1 g/5 mL Dilution: Lidocaine 300 mg in 250 mL of NS at 30 mL/hr This dilution will deliver 5 mcg/kg/min at 30 mL/hr.
- Patient M., 36 y/o, was found in the street unconscious. The patient has a medical history of diabetes. There is a smell of alcohol from the mouth. The skin is moist, warm, arterial pressure -145/90 mm column of mercury, convulsive twitching of muscles. Breathing is shallow, eye ball tone is retained, pupils are dilated, hyperflexion. How would you treat this patients?A. Intravenous introduction of 40-80-100 ml 40% glucose solution B. Injecting 20 units of insulin subcutaneouslyC. Injecting 20 units of insulin intravenouslyD. Injecting 500 ml 5% glucose solution intravenouslyE. Injecting 500 ml 0.9% sodium chloride intravenouslyOrder: cefazidime 40 mg/kg IV bolus every 8 hr Weight: 22lbPharmacy available: ceftazidime injection 40 mg/mLHow many mL should the nurse administer per dose?d. 500 mg IM ampicillin sodium is ordered. Available is a 1000 mg vial of powder. The directions state: Úse Bacteriostatic Water for injection and administer according to the following chart: Label Recommended Withdrawable Amt. of diluent volume 500 1.8 mL 2.0 mL mg 1.0 g 2.0 g If the nurse added 3.4 mL of diluent to the vial of powdered ampicillin, how much ampicillin will the nurse draw up and administer to the client? 3.4 mL 4.0 mL 6.8 mL 8.0 mL