Question

In: Nursing

Deferoxamine 500 mg IV q.4h. for two doses is ordered for a patient with toxic iron...

Deferoxamine 500 mg IV q.4h. for two doses is ordered for a patient with toxic iron ingestion. A 500 mg vial of deferoxamine is available as a powdered medication with the following directions for mixing:
Reconstitute the 500 mg vial with 2 mL of Sterile Water for Injection. Dissolve powder completely before administration. Reconstitute then further dilute in D5W, 0.9% NaCl, or LR. The nurse is most correct to add 2 mL of diluent to the vial of powder, then:

administer half of the dose to the patient q.4h.
add this solution to a 50 mL D5W IV bag and infuse half of the dose q.4h.
add the contents of the vial to a 50 mL IV of NS and administer the dose to the patient.
add the mixed solution to a 50 mL IV of LR and infuse the IV over 4 hours.

Solutions

Expert Solution

ANSWER.

* The nurse is most correct to add 2 ml of diluent to the vial

   of powder then : Add the mixed solution to a 50 ml of IV of

   LR and infuse the IV over 4 hours.


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