Question

The patient has an order for valproic acid (Depakote) 10 mg/kg/day PO divided into 2 doses. The patient weighs 226 lb. How much will the nurse administer for each dose? ___ mg (If needed, round to the nearest whole number.)

The patient has an order for Regular insulin 18 units/hr IV. The medication available is Regular insulin 200 units in 500 mL NS. At what rate will the nurse set the infusion? ___ mL/hr (If needed, round to the nearest whole number.)

The patient has an order for aminophylline 0.4 mg/kg/hr IV. The patient weighs 132 lb. How much will the nurse administer for each dose? ___ mg/hr (If needed, round to the nearest whole number.)

The healthcare provider ordered propofol (Diprivan) 8 mcg/kg/min IV. The patient weighs 246 lb. The pharmacy delivered propofol 100 mg/50 mL 0.9% normal saline. At what rate will the nurse set the infusion? ___ mL/hr (If needed, round to the nearest tenth.)

The healthcare provider ordered 1,000 mL of Ringers lactate solution (RL) to infuse over 10 hours. The available tubing delivers 15 gtt/mL. At what rate will the nurse set the infusion? ___ gtt/min (If needed, round to the nearest whole number.)

The patient has an order for lorazepam (Ativan) 0.5 mg/hr IV. The medication is available lorazepam 5 mg/100 mL. At what rate will the nurse set the infusion? ___ mL/hr (If needed, round to the nearest whole number.)

The patient has an order for diazepam (Valium) 0.15 mg/kg/day PO divided into 3 doses. The patient weighs 175 lb. How much will the nurse administer for each dose? ___ mg (If needed, round to the nearest whoole number.)

The patient has an order for ziprasidone (Geodon) 10 mg IM . The medication available is ziprasidone 20 mg/mL. How many mL will the nurse administer? ___ mL (If needed, round to the nearest tenth.)

The patient has an order for diazepam (Valium) IV in 3 divided doses. The patient weighs 79 lb. The minimum therapeutic dose for diazepam is 0.12 mg/kg/day in 3 divided doses. What is the minimum therapeutic dosage of medication in mg that this patient can receive per dose? ___ mg (If needed, round to the nearest tenth.)

The patient has an order for lithium PO in 3 divided doses. The patient weighs 40 lb. Lithium can be safely administered up to 20 mg/kg/day in 3 divided doses. What is the maximum dosage of medication in mg that this patient can receive per dose? ___ mg (If needed, round to

Answer 1

Recommended dose per day is 10 mg/kg/day

patient weighs - 226 lb

Converted the weight into Kg i.e. 102.5 kg

Total dose per day is 102.5 X 10 = 1025 mg/day

One dose = 1025 mg/2

= 512.5 i.e 500 mg in one dose.

Order for Regular insulin 18 units/hr IV.

Available is Regular insulin 200 units in 500 mL NS. ie is 200/500 = 0.4 unit / ml

So that one hr infusion rate is 18/0.4 = 45 ml

At what rate will the nurse set the infusion? 45 mL/hr

aminophylline 0.4 mg/kg/hr

patient weighs 132 lb. i.e 59.9 kg

administer for each dose? ___ mg/hr

Total dose per Hr is 0.4 * 59.9 = 24mg/Hr

1,000 micrograms (mcg) in 1 milligram (mg)

8 mcg/kg/min IV. = 0.008 mg*60 = 0.48 mg/kg/Hr

The patient weighs 246 lb. = 111.6 kg

So that total dose per Hr is 111.6 *0.48 = 53.6 mg /Hr

delivered propofol 100 mg/50 mL 0.9% normal saline. 1ml = 2mg (50/100 =2)

53.6 /2 = 26

infusion? 26 mL/hr

Hr (Infusion time)* = time (1 hr) × flow rate (gtt/min) × drop factor × total volume to infuse

__25_ gtt/min

1 ml =0.05mg

Answer is 10 ml

1.5 mg

The patient has an order for ziprasidone (Geodon) 10 mg IM . The medication available is ziprasidone 20 mg/mL. How many mL will the nurse administer? __0.5_ mL

diazepam (Valium) IV in 3 divided doses.

patient weighs 79 lb.= 37.8 kg

0.12 mg/kg/day in 3 divided doses.

Per day dose = 37.8*012 = 4.5 mg

one dose= 4.5/3 = 1.5 mg per dose

patient can receive per dose? 1.5___ mg

The patient weighs 40 lb. = 18 kg

20 mg/kg/day in 3 divided doses.

Total mg /day = 20*18 =120 mg