Mr. Blair, a 75-year-old man weighing 60 kg, was admitted to the Gastroenterology Unit of the Miracle Hospital with severe diarrhea due to food poisoning. After examining Mr. Blair, Dr. Clark ordered IV fluids of D5W 1000 mL q12h, for the next three days with added electrolytes, such as potassium, sodium, calcium, and magnesium, since Mr. Blair was severely dehydrated. In addition, suspecting Salmonella poisoning, Dr. Clark prescribed Septra, 500 mg IV q12h, to be mixed in the D5W electrolytes fluid admixture.   What considerations must be taken into account prior to admixing this order? (NAPRA 6.1, 6.2, 8.3, 9.2)               If the drug is determined to be incompatible with D5W and electrolytes, what IV delivery system and/or administration method would you use to administer the medication? (NAPRA 2.3, 6.1, 6.2, 8.3, 9.2)                 What would be the infusion rate of the drug admixture in millilitres per hour and drops per minute when a primary IV administration set was used with a drop factor of 10 drops/mL? (NAPRA 3.1)               What is the dose rate of Septra in mg/kg/hr? (NAPRA 3.1)

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Mr. Blair, a 75-year-old man weighing 60 kg, was admitted to the Gastroenterology Unit of the Miracle Hospital with severe diarrhea due to food poisoning. After examining Mr. Blair, Dr. Clark ordered IV fluids of D5W 1000 mL q12h, for the next three days with added electrolytes, such as potassium, sodium, calcium, and magnesium, since Mr. Blair was severely dehydrated. In addition, suspecting Salmonella poisoning, Dr. Clark prescribed Septra, 500 mg IV q12h, to be mixed in the D5W electrolytes fluid admixture.

 

  1. What considerations must be taken into account prior to admixing this order? (NAPRA 6.1, 6.2, 8.3, 9.2)

 

 

 

 

 

 

 

  1. If the drug is determined to be incompatible with D5W and electrolytes, what IV delivery system and/or administration method would you use to administer the medication? (NAPRA 2.3, 6.1, 6.2, 8.3, 9.2)

 

 

 

 

 

 

 

 

  1. What would be the infusion rate of the drug admixture in millilitres per hour and drops per minute when a primary IV administration set was used with a drop factor of 10 drops/mL? (NAPRA 3.1)

 

 

 

 

 

 

 

  1. What is the dose rate of Septra in mg/kg/hr? (NAPRA 3.1)
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