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Homework submission 10- missing questions
Pharmacology (NSG 251)
Marian University
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Comprehensive text Solve the following calculation problems. Remember to apply the principles learned where relating indicated. to dosages. Use labels where provided. Shade in the dosage on the syringe in the 1. dose Order: of Amoxicillin and clavulanate potassium 300 mg p. q8h (ordered according to amoxicillin). Available: NDC AMOXICILLIN AND CLAVULANATE POTASSIUM for Oral Suspension USP 200 mg per 5 When reconstituted each 5 mL contains amoxicillin, as the trihydrate 200 mg clavulanic acid, as clavulanate potassium 28 mg Usual Desage: Administer every 12 hours See package insert for full prescribing information R only 300 acid 100 mL (when reconstituted) Room state Add 200 TEVA 7 mL 2. Order: Campral DR mg p. t.i. Available: EXP LOT Rx only NDC DATE NO Each tablet contains: mg of ecampresato calcium Campral Keep this and all drugs out of Disponsa the reach children lightly of (acamprosate calcium) in closed container es described in the USP. Tablets Store excursions permited to (see USP Controlled Room mg See package Insert for dosing and full prescribing 180 Tablets information Campral la registered FOREST PHARMACELITICALS INC. trademark of March Santé sas THE Licensed from: March Santé c 2004 Forest Laboratories, Inc. saa Subsidiary of Merck KaaA Drimated Germany. 720 Copyright C 2018, Elsevier Inc. All rights reserved. Comprehensive text Solve the following calculation problems. Remember to apply the principles learned where relating indicated. to dosages. Use labels where provided. Shade in the dosage on the syringe in the 1. dose Order: of Amoxicillin and clavulanate potassium 300 mg p. q8h (ordered according to amoxicillin). Available: NDC AMOXICILLIN AND CLAVULANATE POTASSIUM for Oral Suspension USP 200 mg per 5 When reconstituted each 5 mL contains amoxicillin, as the trihydrate 200 mg clavulanic acid, as clavulanate potassium 28 mg Usual Desage: Administer every 12 hours See package insert for full prescribing information R only 300 acid 100 mL (when reconstituted) Room state Add 200 TEVA 7 mL 2. Order: Campral DR mg p. t.i. Available: EXP LOT Rx only NDC DATE NO Each tablet contains: mg of ecampresato calcium Campral Keep this and all drugs out of Disponsa the reach children lightly of (acamprosate calcium) in closed container es described in the USP. Tablets Store excursions permited to (see USP Controlled Room mg See package Insert for dosing and full prescribing 180 Tablets information Campral la registered FOREST PHARMACELITICALS INC. trademark of March Santé sas THE Licensed from: March Santé c 2004 Forest Laboratories, Inc. saa Subsidiary of Merck KaaA Drimated Germany. 720 Copyright C 2018, Elsevier Inc. All rights reserved. Comprehensive Order. Septra DS I tab p. q12h for 14 days. 721 Available: 100 Tablets NDC DS 100 Tablets NDC Double Strength TABLETS (trimethoprim and (trimethoprim and sulfamethoxazole) Each scored tablet contains sulfamethoxazole) 80 mg trimethoprim and Each scored tablet contains 400 mg sulfamethoxazole. 160 mg trimethoprim and 800 mg sulfamethoxazole CAUTION: Federal law prohibits CAUTION: Federal law prohibits dispensing without prescription. dispensing without prescription. Glaxo Wellcome Inc. U. Patent the 4,208,913 (Tablet) learned in the principles Research Triangle Park, NC 27709 Glaxo Wellcome Inc. Rev. Research Triangle Park, NC 27709 Zin member rovided. to Shade apply in the the dosage on the syringe 596154 595493 LOT EXP LOT EXP ssum 300 mg p. q8h (ordered according to Indicate letter which tablets the a nurse would choose to administer to the client based on the order. Tablet B NDC a State why. we need the double ng AMOXICILLIN AND CLAVULANATE POTASSIUM for Oral Suspension USP strength ones 200 mg per 5 Order: Heparin 6,500 units subcut daily. (Express your answer in hundredths.) when each contains clavalank acid is the at Intrydrate classificate polarsism 28 Available: Administration every 12 hours Usual Dasage: See package insert in till prescribing information R only Heparin 100 reconstitute 6500 n USP mL (when TEVA USP units per 1mL 7 mL For or SC use Rx only 25 Vials m t hin mumum 0 Order Cipro 0 g IV q12h for 7 days. 750mg iniable: Cipro labeled x40 for per 40 mL 400 mg 75mL 75g 750 mg right 2018, Elsevier Inc. All rights reserved. 2018, Elsevier Inc. All rights reserved. Comprehensive Order. Septra DS I tab p. q12h for 14 days. 721 Available: 100 Tablets NDC DS 100 Tablets NDC Double Strength TABLETS (trimethoprim and (trimethoprim and sulfamethoxazole) Each scored tablet contains sulfamethoxazole) 80 mg trimethoprim and Each scored tablet contains 400 mg sulfamethoxazole. 160 mg trimethoprim and 800 mg sulfamethoxazole CAUTION: Federal law prohibits CAUTION: Federal law prohibits dispensing without prescription. dispensing without prescription. Glaxo Wellcome Inc. U. Patent the 4,208,913 (Tablet) learned in the principles Research Triangle Park, NC 27709 Glaxo Wellcome Inc. Rev. Research Triangle Park, NC 27709 Zin member rovided. to Shade apply in the the dosage on the syringe 596154 595493 LOT EXP LOT EXP ssum 300 mg p. q8h (ordered according to Indicate letter which tablets the a nurse would choose to administer to the client based on the order. Tablet B NDC a State why. we need the double ng AMOXICILLIN AND CLAVULANATE POTASSIUM for Oral Suspension USP strength ones 200 mg per 5 Order: Heparin 6,500 units subcut daily. (Express your answer in hundredths.) when each contains clavalank acid is the at Intrydrate classificate polarsism 28 Available: Administration every 12 hours Usual Dasage: See package insert in till prescribing information R only Heparin 100 reconstitute 6500 n USP mL (when TEVA USP units per 1mL 7 mL For or SC use Rx only 25 Vials m t hin mumum 0 Order Cipro 0 g IV q12h for 7 days. 750mg iniable: Cipro labeled x40 for per 40 mL 400 mg 75mL 75g 750 mg right 2018, Elsevier Inc. All rights reserved. 2018, Elsevier Inc. All rights reserved. b. How Comprehensive administer? many millilltere 6. Order: Amphotericin B 75 mg in mL D5W to infuse over 6 hr daily. The will the stituted solution contains 50 mg per 10 mL. Available: NDC Amphotericin for Injection USP 50 mg 10. Prandin 3 mgpo k Order: FOR INTRAVENOUS INFUSION ONLY Verify product name and dosage Tablets for oral use If direct exceeds 1 Each tablet contains XGEN 0 mg repaglinide Do not store above Protect from moisture Keep bottles tightly closed Prandin a. How many milliliters will the nurse Keep out of reach of children. 0 Dispense in tight add to the IV solution? container with child resistant closure Rx only b. The IV is to infuse in 6 hr. The administration set delivers 10 See package insert for full prescribing information. At what rate in should the 6 IV infuse? 7. The recommended dose of Retrovir for min How many of which tablets adults with symptomatic HIV infection be best to administer to the would client? is 1 infused over 1 hour q4h. Determine dosage for a client weighing 11. Order: Transfuse 50 mg 1 unit packed 110 lb. blood cells (250 mL) over 3 hr. Th red administration set delivers 20 8. Order: Epivir 0 g p. every day. At what rate in should th IV infuse? Available: Epivir tablets labeled 150 mg our How many tablets will the nurse tab 12. A client is receiving 500 mg of administer? Flagyl IVPB q8h. The Flagyl ha 2 tabs been placed in 100 mL D5W to 9. Order: Tazicef 0 IV q12h. infuse over 45 minutes. The administration set delivers Available: 10 At what rate in gtt should the IV infuse? NSN equivalent to For IV or IM use Important This vial is under reduced pressure 1gram cettazidime Addition of different generates positive pressure Before stituting see Instructions for Reconstitution Each vial contains 13. Calculate the infusion time NDC caltazidine pentahydrate equivalent to grant ceftazidime and 118 mg of sodium carbonate (Sodium content is approximately 54 ng or 2 mLq Usual Adult Dose grant every to 12 hours IV of mL of D5NS inf TAZICEF See accompanying prescribing information for reconstitution dosega and administration instructions Bafore reconstitution CEFTAZIDIME Protect from light and store at to to Slight at 60 Express time in yellowing does not affect polency Properly reconstituted solutions FOR INJECTION of Xancel are stable for 24 hours at room temperature or days il contrigerated Castion Federal law prohibits dispensing and minutes. without prescription Jointly manufactured SmithKline Beecham Pharmaceuticals Philadelphia PA 19101. and SmithKhne Beecham Squibb Co. New York NY 10154 14. The prescriber orders Sept 60 mg p. 12h for a child 12 kg. The pediatric medi Directions for reconstitution state the following for IV infusion: vial, add 10 mL states that Septra Suspens sterile water to provide 95 mg per vial, add 10 mL sterile water to provide trimethoprim (TMP) 40 180 mg per mL. sulfamethoxazole (SMZ) a. Using the information provided, 5 mL oral suspension, an concentration will the nurse prepare? what 95 mg dosage of the medication trimethoprim. The safe 12 of TMP the dosage ordered safe Copyright 2018, Elsevier Inc. All rights reserved. Copyright 2018, Elsevier In b. How Comprehensive administer? many millilltere 6. Order: Amphotericin B 75 mg in mL D5W to infuse over 6 hr daily. The will the stituted solution contains 50 mg per 10 mL. Available: NDC Amphotericin for Injection USP 50 mg 10. Prandin 3 mgpo k Order: FOR INTRAVENOUS INFUSION ONLY Verify product name and dosage Tablets for oral use If direct exceeds 1 Each tablet contains XGEN 0 mg repaglinide Do not store above Protect from moisture Keep bottles tightly closed Prandin a. How many milliliters will the nurse Keep out of reach of children. 0 Dispense in tight add to the IV solution? container with child resistant closure Rx only b. The IV is to infuse in 6 hr. The administration set delivers 10 See package insert for full prescribing information. At what rate in should the 6 IV infuse? 7. The recommended dose of Retrovir for min How many of which tablets adults with symptomatic HIV infection be best to administer to the would client? is 1 infused over 1 hour q4h. Determine dosage for a client weighing 11. Order: Transfuse 50 mg 1 unit packed 110 lb. blood cells (250 mL) over 3 hr. Th red administration set delivers 20 8. Order: Epivir 0 g p. every day. At what rate in should th IV infuse? Available: Epivir tablets labeled 150 mg our How many tablets will the nurse tab 12. A client is receiving 500 mg of administer? Flagyl IVPB q8h. The Flagyl ha 2 tabs been placed in 100 mL D5W to 9. Order: Tazicef 0 IV q12h. infuse over 45 minutes. The administration set delivers Available: 10 At what rate in gtt should the IV infuse? NSN equivalent to For IV or IM use Important This vial is under reduced pressure 1gram cettazidime Addition of different generates positive pressure Before stituting see Instructions for Reconstitution Each vial contains 13. Calculate the infusion time NDC caltazidine pentahydrate equivalent to grant ceftazidime and 118 mg of sodium carbonate (Sodium content is approximately 54 ng or 2 mLq Usual Adult Dose grant every to 12 hours IV of mL of D5NS inf TAZICEF See accompanying prescribing information for reconstitution dosega and administration instructions Bafore reconstitution CEFTAZIDIME Protect from light and store at to to Slight at 60 Express time in yellowing does not affect polency Properly reconstituted solutions FOR INJECTION of Xancel are stable for 24 hours at room temperature or days il contrigerated Castion Federal law prohibits dispensing and minutes. without prescription Jointly manufactured SmithKline Beecham Pharmaceuticals Philadelphia PA 19101. and SmithKhne Beecham Squibb Co. New York NY 10154 14. The prescriber orders Sept 60 mg p. 12h for a child 12 kg. The pediatric medi Directions for reconstitution state the following for IV infusion: vial, add 10 mL states that Septra Suspens sterile water to provide 95 mg per vial, add 10 mL sterile water to provide trimethoprim (TMP) 40 180 mg per mL. sulfamethoxazole (SMZ) a. Using the information provided, 5 mL oral suspension, an concentration will the nurse prepare? what 95 mg dosage of the medication trimethoprim. The safe 12 of TMP the dosage ordered safe Copyright 2018, Elsevier Inc. All rights reserved. Copyright 2018, Elsevier In A. NIES 250 Comprehensive 723 How many milliliters will the nurse 95 2 b. administer? Order: Prandin 3 mg p. b.i. Tablets for oral use NDC 10. NDC Each tablet contains List 008481 List 008181 2 mg repaglinide. for oral contains use Do not store above Prandin 0 not store above Each mg tablesaglinide Prandin (repaglioide) Protect from moisture. (repaglinide) Tablets Keep bottles tightly closed. 2 mg Do moisture. 0 mg Keep out of reach of 100 tablets keep Protect bottles from rightly children. Manufactured for 100 tablets Dispense in tight Novo Nordisk closed Keep out of reach of Manufactured for container with child Pharmaceuticals Inc. Pharmaceutically Inc. Novo Nordisk children resistant closure Princetion MJ GBS40 Boshringer container Dispense in with tight child Princeton NJ 06540 Rx only Pharma KG. Germany Beehringer Germany ingelheim us resistant closure sovonardisk com Pharma KG. See package insert Licensed under us Patient Mas for full prescribing ME 37,035. and 6,143,709 only RX package insert Licensed under us Patent Nos information. RE 37. and 143 Prandin trademark of 00 Novo Nordisk for see full prescribing is a trademark of information. Novo Nordisk many of which tablets client? would 3tabs 12mg tab, 2. 0 Smg be How best to administer to the Order: Transfuse 1 unit packed hr. The red 11. blood cells (250 mL) over 3 At what rate in should administration set delivers 20 the 250 3 IV infuse? 03 x 20 28 2ng 12. A client is receiving 500 mg of Flagyl IVPB q8h. The Flagyl has 60 been placed in 100 mL D5W to infuse over 45 minutes. The administration set delivers H mn 10 At what rate in should the IV infuse? 45 13. Calculate the infusion time for an IV of mL of D5NS infusing at 60 Express time in hours and minutes. 60 16 16 hrs 40min 14. The prescriber orders Septra Suspension 60 mg p. q12h for a child weighing 12 kg. The pediatric medication reference states that Septra Suspension contains trimethoprim (TMP) 40 mg and mL oral suspension, and the safe 12x12 144 mg day a 2 5 sulfamethoxazole (SMZ) 200 mg in dosage of the medication is based 12 trimethoprim. The safe dosage is 6 on to a day safe range the of TMP given q12h. dosage ordered safe? Is Copyright 2018, Elsevier Inc. All rights reserved. every 12 hours dasage if safe A. NIES 250 Comprehensive 723 How many milliliters will the nurse 95 2 b. administer? Order: Prandin 3 mg p. b.i. Tablets for oral use NDC 10. NDC Each tablet contains List 008481 List 008181 2 mg repaglinide. for oral contains use Do not store above Prandin 0 not store above Each mg tablesaglinide Prandin (repaglioide) Protect from moisture. (repaglinide) Tablets Keep bottles tightly closed. 2 mg Do moisture. 0 mg Keep out of reach of 100 tablets keep Protect bottles from rightly children. Manufactured for 100 tablets Dispense in tight Novo Nordisk closed Keep out of reach of Manufactured for container with child Pharmaceuticals Inc. Pharmaceutically Inc. Novo Nordisk children resistant closure Princetion MJ GBS40 Boshringer container Dispense in with tight child Princeton NJ 06540 Rx only Pharma KG. Germany Beehringer Germany ingelheim us resistant closure sovonardisk com Pharma KG. See package insert Licensed under us Patient Mas for full prescribing ME 37,035. and 6,143,709 only RX package insert Licensed under us Patent Nos information. RE 37. and 143 Prandin trademark of 00 Novo Nordisk for see full prescribing is a trademark of information. Novo Nordisk many of which tablets client? would 3tabs 12mg tab, 2. 0 Smg be How best to administer to the Order: Transfuse 1 unit packed hr. The red 11. blood cells (250 mL) over 3 At what rate in should administration set delivers 20 the 250 3 IV infuse? 03 x 20 28 2ng 12. A client is receiving 500 mg of Flagyl IVPB q8h. The Flagyl has 60 been placed in 100 mL D5W to infuse over 45 minutes. The administration set delivers H mn 10 At what rate in should the IV infuse? 45 13. Calculate the infusion time for an IV of mL of D5NS infusing at 60 Express time in hours and minutes. 60 16 16 hrs 40min 14. The prescriber orders Septra Suspension 60 mg p. q12h for a child weighing 12 kg. The pediatric medication reference states that Septra Suspension contains trimethoprim (TMP) 40 mg and mL oral suspension, and the safe 12x12 144 mg day a 2 5 sulfamethoxazole (SMZ) 200 mg in dosage of the medication is based 12 trimethoprim. The safe dosage is 6 on to a day safe range the of TMP given q12h. dosage ordered safe? Is Copyright 2018, Elsevier Inc. All rights reserved. every 12 hours dasage if safe Comprehensive 725 Acyclovir IV is to be administered to a child who has herpes simplex 20. encephalitis. The child weighs 13 kg and is 60 cm tall. The recommended dosage is 500 Use the formula to calculate the BSA. Available: ACYCLOVIR NDC Usual Dosage See package insert FOR INJECTION USP Injection Preparation until mL a clear Sterile solution Water for is of Solution Inject 20 into vial. Shake vial achieved and use within 12 hours DO NOT USE FOR IV INFUSION ONLY BACTERIOSTATIC WATER FOR INJECTION CONTAINING BENZYL ALCOHOL OR PARABENS Equivalent to Dilute to 7 or lower prior to infusion See package insert for additional reconstitution and dilution Instructions mg Store between 15 to to acyclovir Manufactured Manufactured for Ben Venue Labs. Inc Rx ONLY Bedford Laboratories Bedford, OH 44146 Bedford OH 44146 ACYVA06 What is the BSA? (Express your a. answer to the nearest hundredth.) b. What will the dosage be? The reconstituted Zovirax provides terret C. 50 mg per mL. Calculate the number of milliliters to administer. 21. Prepare the following strength 250 mL. solution: 100 mL strength Ensure Plus 11 150 mL of water 22. A child weighing 21 kg has an order mL for 500 mg of a medication in 100 D5W q12h. The normal daily dosage range is 40 to 50 Determine if mg in 24ncs the dosage is within normal range, and state the course of action. yes because this is safe in range 23. Calculate the amount of dextrose and NaCl in 2 L of D5 NS. g a. Dextrose g b. Sodium chloride 24. 500 mL D5W was to infuse in 3 hours at 28 (28 The drop factor is 10 After 1 hours, you notice 175 mL has infused. a. Recalculate the IV flow rate. b. Determine the percentage of change. C. State the course of action. 25. Order: Infuse D5W 500 mL with units heparin at 25 Determine the following: Copyright 2018, Elsevier Inc. All rights reserved. Comprehensive 725 Acyclovir IV is to be administered to a child who has herpes simplex 20. encephalitis. The child weighs 13 kg and is 60 cm tall. The recommended dosage is 500 Use the formula to calculate the BSA. Available: ACYCLOVIR NDC Usual Dosage See package insert FOR INJECTION USP Injection Preparation until mL a clear Sterile solution Water for is of Solution Inject 20 into vial. Shake vial achieved and use within 12 hours DO NOT USE FOR IV INFUSION ONLY BACTERIOSTATIC WATER FOR INJECTION CONTAINING BENZYL ALCOHOL OR PARABENS Equivalent to Dilute to 7 or lower prior to infusion See package insert for additional reconstitution and dilution Instructions mg Store between 15 to to acyclovir Manufactured Manufactured for Ben Venue Labs. Inc Rx ONLY Bedford Laboratories Bedford, OH 44146 Bedford OH 44146 ACYVA06 What is the BSA? (Express your a. answer to the nearest hundredth.) b. What will the dosage be? The reconstituted Zovirax provides terret C. 50 mg per mL. Calculate the number of milliliters to administer. 21. Prepare the following strength 250 mL. solution: 100 mL strength Ensure Plus 11 150 mL of water 22. A child weighing 21 kg has an order mL for 500 mg of a medication in 100 D5W q12h. The normal daily dosage range is 40 to 50 Determine if mg in 24ncs the dosage is within normal range, and state the course of action. yes because this is safe in range 23. Calculate the amount of dextrose and NaCl in 2 L of D5 NS. g a. Dextrose g b. Sodium chloride 24. 500 mL D5W was to infuse in 3 hours at 28 (28 The drop factor is 10 After 1 hours, you notice 175 mL has infused. a. Recalculate the IV flow rate. b. Determine the percentage of change. C. State the course of action. 25. Order: Infuse D5W 500 mL with units heparin at 25 Determine the following: Copyright 2018, Elsevier Inc. All rights reserved. 728 Comprehensive 35. Order: Digoxin 0 IV push (infused slowly over 5 minutes). Available: Digoxin 0 mg per mL a. How many milliliters should the nurse administer? b. At what rate in should the IV infuse? 36. Order: Morphine 8 mg IV q4h p.r. (infusion not to exceed 10 min). Available: LOT LIGHT SENSITIVE Keep covered in carton until EXP. time of use. To seal along dotted line SAMPLE COPY 25 DOSETTE Vials NDC Each contains 1 mL CII Each mL contains morphine sulfate 10 mg. monobasic sodium phosphate, MORPHINE monohydrate 10 mg. dibasic sodium phosphate, anhydrous 2 mg. sodium SULFATE INJECTION, USP formaldehyde sulfoxylate 3 mg and pheno 2 mg in Water for Injection 10 WARNING: May be pH sulfuric acid added, if habit forming needed, for pH adjustment Sealed under nitrogen. NOTE: Do not use if FOR SC, IM OR SLOW IV USE color is darker than pale yellow, if is NOT FOR EPIDURAL OR INTRATHECAL USE discolored in any other way or if il PROTECT FROM LIGHT Store at tains a precipitate. Caution: Federal Avoid freezing law prohibits dispensing without USUAL DOSAGE: See package insert. scription Code: INC. Cherry Hill, MA N Rebite Company 8mg a. How many milliliters will the 10mg 0 mL nurse administer? b. How many minutes will it take 3 for the IV to infuse? 37. Refer to the chart below and calculate the fluid intake in milliliters. ORAL INTAKE IV INTAKE 2 4 OZ water gelatin 100mL OZ 12 OZ apple juice What is the intake in mL? 640mL Refer to the Heparin Protocol provided below to answer question 38. 1. Bolus heparin at 80 2. Begin intravenous infusion of heparin at 18 using units heparin in 250 mL D5W for units per mL. 3. Adjust intravenous heparin daily based on APTT results. APTT less than 35 sec: Rebolus with 80 and increase rate 4 APTT sec: Rebolus with 40 and increase rate 2 APTT sec: No change. APTT sec: Decrease rate 2 APTT greater than 90 sec: Stop heparin infusion for 1 hour and decrease rate 3 Copyright 2018, Elsevier Inc. All rights reserved. 728 Comprehensive 35. Order: Digoxin 0 IV push (infused slowly over 5 minutes). Available: Digoxin 0 mg per mL a. How many milliliters should the nurse administer? b. At what rate in should the IV infuse? 36. Order: Morphine 8 mg IV q4h p.r. (infusion not to exceed 10 min). Available: LOT LIGHT SENSITIVE Keep covered in carton until EXP. time of use. To seal along dotted line SAMPLE COPY 25 DOSETTE Vials NDC Each contains 1 mL CII Each mL contains morphine sulfate 10 mg. monobasic sodium phosphate, MORPHINE monohydrate 10 mg. dibasic sodium phosphate, anhydrous 2 mg. sodium SULFATE INJECTION, USP formaldehyde sulfoxylate 3 mg and pheno 2 mg in Water for Injection 10 WARNING: May be pH sulfuric acid added, if habit forming needed, for pH adjustment Sealed under nitrogen. NOTE: Do not use if FOR SC, IM OR SLOW IV USE color is darker than pale yellow, if is NOT FOR EPIDURAL OR INTRATHECAL USE discolored in any other way or if il PROTECT FROM LIGHT Store at tains a precipitate. Caution: Federal Avoid freezing law prohibits dispensing without USUAL DOSAGE: See package insert. scription Code: INC. Cherry Hill, MA N Rebite Company 8mg a. How many milliliters will the 10mg 0 mL nurse administer? b. How many minutes will it take 3 for the IV to infuse? 37. Refer to the chart below and calculate the fluid intake in milliliters. ORAL INTAKE IV INTAKE 2 4 OZ water gelatin 100mL OZ 12 OZ apple juice What is the intake in mL? 640mL Refer to the Heparin Protocol provided below to answer question 38. 1. Bolus heparin at 80 2. Begin intravenous infusion of heparin at 18 using units heparin in 250 mL D5W for units per mL. 3. Adjust intravenous heparin daily based on APTT results. APTT less than 35 sec: Rebolus with 80 and increase rate 4 APTT sec: Rebolus with 40 and increase rate 2 APTT sec: No change. APTT sec: Decrease rate 2 APTT greater than 90 sec: Stop heparin infusion for 1 hour and decrease rate 3 Copyright 2018, Elsevier Inc. All rights reserved. Table flow rate 30mL Inc 6 mcg 45 60 mL I hr 8 mcg 10 75 mL I hr la min 90 mL in 40. 10mcg x 57 mcg 41. 32mg x 2mL 75 mg 0 100mL 100mL x I hr 100 mL Total IV intake 725 mL cranberry juice doz tea 2002 gingerale 902 broth 302 ice Total 2 x 30 mL mL 1350 2,075 intake 375 mL 250 mL 400 mL 300ml 1325 output Table flow rate 30mL Inc 6 mcg 45 60 mL I hr 8 mcg 10 75 mL I hr la min 90 mL in 40. 10mcg x 57 mcg 41. 32mg x 2mL 75 mg 0 100mL 100mL x I hr 100 mL Total IV intake 725 mL cranberry juice doz tea 2002 gingerale 902 broth 302 ice Total 2 x 30 mL mL 1350 2,075 intake 375 mL 250 mL 400 mL 300ml 1325 output 52, 15 units x82kg 1230 units 250mL x 1230 units 307,500 Homework 65. 250x 7units 35 . 50 43. 80units x 100kg 11 units units 100 units x 80mL ( balus) 18 units x 100 1800 units 1800 units 100 units x decrease rate a 2 units x 100kg 200 units 200 2mL 18mL 2mL 16mL hr new infusion rate 52, 15 units x82kg 1230 units 250mL x 1230 units 307,500 Homework 65. 250x 7units 35 . 50 43. 80units x 100kg 11 units units 100 units x 80mL ( balus) 18 units x 100 1800 units 1800 units 100 units x decrease rate a 2 units x 100kg 200 units 200 2mL 18mL 2mL 16mL hr new infusion rate
