Cerritos College Health Occupations Division PHAR 64 – Pharmacy Operations II Name: Date/Time: /1400 Medication Order Digoxin 15 mcg/kg total dose – 50% of dose to be given stat; follow with 25% of dose in 6 hours and repeat in 12 hours. Infuse over 60 minutes. Start infusion stat. Candice Garcia 78 yrs female Wt:133 lb Pharmacy carries: Digoxin 0.5 mg/2 mL (250 mcg/ mL), 2 mL ampule. 1. Perform Calculations: Amount of medication to be added to 50 mL NS IVPB: Stat dose mL 2nd dose mL
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- NEED HELP WITH #4 N.R. is a 49-year-old lumber worker admitted to the emergency department after a severe laceration of his left thigh. He lost about 4 units of blood prior to effective control of bleeding and closure of the wound. He received several hundred milliliters of normal saline during the procedure. Postsurgical clinical data are as follows: vital signs lying down, HR 115, BP 98/60, RR 28; sitting, HR 140, BP 92/62, RR 28; Hct 22, Hb 8, PaO2 90, SaO2 98% breathing room air. N.R. continues to have significant oozing from his sutured wound postoperatively, prompting his physician to order a coagulation screen that has the following results: platelet count 250,000, bleeding time more than 10 min, PT and aPTT within normal ranges. Discussion Questions In view of N.R.’s history and vital signs, do you think he is hypovolemic? Support your conclusion. Calculate N.R.’s arterial oxygen content (CaO2) using the following formula: CaO2 = (PaO2 × 0.003) + (Hb × SaO2 × 1.34). What…Order: 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?Order: Warfarin 7.5 mg po daily in am Dose on hand: Warfarin 2.5 pg tablets Question: How many tablets of warfarin does the nurse administer?
- Orders arrived at the same time on the following patients: Halann Burger: UA with C&S Suzie Que: Theophylline peak and trough, oral dose - slow release prep, 3.75 hours ago Phishan Chipps: CBC STAT Schweet Cheeks: Fasting glucose How will you prioritize the patients listed above and whyA nurse is preparing to administer Cfepime (Maxipine).The prescribed dose is 0.75gIM . How many Ml should the nurse administer ?See label and the drugOrder: Medication C 1.2 g PO daily given in four divided dosesAvailable: Medication C in 600 mg tabletHow many mg will the client be taking per day? How many mg will the nurse administer per dose? How many tablets will the nurse administer per dose?
- Case study 1. Present a treatment or solution to address such case through the guiding questions after the case.Patient M, 72 y/o, is in the intensive care unit with the symptoms of dehydration, oliguria, hypothermia, hypoxemia (hypoxia). In the anamnesis there is a record of type 2 diabetes mellitus treated with biguanides. Her condition began to deteriorate after she had a myocardial infarction one month ago. Objectively: the skin is dry; turgor is lowered, arterial pressure – 80/40 mm column of mercury, pulse – 136beats/minute. The breathing is shallow, eye ball tone is lowered. What is your diagnosis?A. Hyperlactacidemic comaB. Uremic comaC. Ketoacidotic comaD. Brain comaE. Hyperosmolar comaWhile assessing a patient in the PACU, a nurse notesincreased wound drainage, restlessness, a decreasing blood pressure, and an increase in the pulse rate. The nurse inter-prets these findings as most likely indicating: a. Thrombophlebitisb. Atelectasisc. Infectiond. Hemorrhage
- A client receives a prescnption for methylprednisolone 100 mg intramuscularly The medication is available in 80 ma/ml vial How many mL should the practical nurse (PN) administer? (Enter numerical value only. If rounding is required, round to the nearest lenth)M.R., a 51-year-old man, was rushed to the emergency department after a motor vehicle accident 3 days ago. M.R. is now in the intensive care unit (ICU). Subjective DataLost consciousness at the scenePain 6/10 in left leg and right armFamily at bedside Objective DataFractured left femur, repaired with casting, same day as accident, casting clean, dry, and intact, positive distal pulses, positive cap refill toes.Fractured left wrist, repaired with external fixator, same day as accident, four pins, clean dry intact with two fixator rods lateral surfaces, no drainage, cleaned ever shift, positive pulses, positive cap refill in nail beds.IV 20 gauge, site right forearm, placed 1 day ago, patent, no edema Vital signs: T 36.7 BP 108/62 HR 72 Resp 18Height: 5 feet, 9 inchesWeight: 190 lbMedications: 1 mg morphine IV per 2-4 hours as needed for severe pain, Percocet 5/325 mg PO two every 4 to 6 hours as needed for moderate or breakthrough pain, ibuprofen 300 mg PO every 6 hours as needed…the medication dexamethasone is ordered at 4 mg IV Patient: 25 kg; 6 years oldit is supplied: 4 mg/ml injectionsafety issues dictate 0.09 to 0.3 mg/kg/day, divided Q6-12H; give undiluted over 30 secondsor less is safe the medication azithromycin 300 mg is ordered as one dosethe Patient: 30 kg; 10-year-oldit is supplied as 100 mg/5mL oral suspensioncurrent safety documents indicate it is safe for individuals 2 to 15 years, 10 mg/kg (not more than 500 mg/dose) on day 1