Question

1. Ordered: Gentamicin 35 mg in 25 mL DrW to be administered over 15 minutes. The tubing is 60 gtt/mL. What is the rate of gtt/min. that you will run the fluids in at?

2. What is the usual dose in mL of immunizations for children?

3. You are assisting with a flu clinic. What is the dose you are to administer in mL for each adult?

4. You are teaching a family member of a diabetic Home Health client to adminster insulin. Humulin N 46 units and Humulin R 8 units have been ordered daily before breakfast. Which would you teach the family member to draw up first and why?

Answer 1

1)ans

2)ans)the usual dose in ml of immunization for children is 0.5ml.

The dose of BCG vaccine is very small _only 0.05 ml.in order to measure and inject such a small dose accurately you must use a 0.1ml syringe.all other injected vaccines are given in doses of 0.5ml ,so you should use a 1ml syringe.

3)ans ) the dosage of flu vaccine in flu clinic are:

flu vaccine for adult is 0.5ml /IM (fluarix quadrivalent)vial (RIV3).

RIV3_recommended influenza vaccines.

The WHO makes recommendations every year as to what strains should be included in the vaccine.to be effective the vaccines must be administered atleast 2 weeks before the onset of an epidemic,or preferably 2 to 3 months before influenza is expected.

4)ans)humulin N 48 units and humulin R 8 units have been ordered Daily before breakfast,

Explain the procedure to the family members step by step:

Humulin R. _includes regular insulin.

Humulin N. _intermediate acting insulin. These two mix in one syringe so it can be administered to a patient (hence saving a patient from receiving 2 injections ).

1) withdraw 8 units of humulin R.

2)clean off each vial top with alcohol preparation.

3)inject 8 units of air into the vial of humulin R.withdraw into the syringe.

4)roll the vial of humulin N in between the palms of hands.

5)withdraw 48units of humulin N to equal a total of 56 units in the syringe.

6) inject 48 units of air into the vial of humulin N.

7) then explain the sites of subcutaneous.

8) humulin N looks like a cloudy solution.this solution needs to mix up well before drawing it up.because,it prevents contaminating the vial of clear insulin with the cloudy insulin (contaminated it can affect the action of the insulin).