UNIVERSITY-ESSAYS-HELP

1. The provider ordered a heparin bolus of 5,000 units IV followed by a heparin drip at 1,000 units per hour

1. The provider ordered a heparin bolus of 5,000 units IV followed by a heparin drip at 1,000 units per hour. The standard mixture of heparin is 25,000 units/500 ml of D5W. At what rate in milliliters per hour should the pump be set?

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2. A provider order has been received for a dobutamine (Dobutrex®) drip at 7 mcg/kg/min. The patient’s weight is 220 lbs. How many milligrams per hour should be given?

3. A provider order states, “Kanamycin (Kantrex®) 700 mg IM now.” The kanamycin (Kantrex®) label states, “Add 5 mL sterile H2O to 1 g kanamycin (Kantrex®); 0.5 g = 2 mL.” How many milliliters should be given?

4. The nurse has received an order for penicillin v potassium (Penicillin-VK®) suspension 0.75 g. The drug is available as 250 mg/5 mL. How many milliliters should be given?

5. Hydrocortisone (Solu-Cortef®) 35 mg IM is ordered to treat inflammation. Hydrocortisone (Solu-Cortef®) is available as 250 mg/10 mL. How many milliliters should be administered?

6. The provider orders a bolus of 250 mL NS over 20 minutes. At what rate (mL/hr) should the pump be set?

7. A regular insulin drip at 7 units/hour is ordered for a patient with DKA. The IV of 1000 mL NS contains 50 units of regular insulin. At what rate (mL/hr) should the infusion pump be set?

8. A procainamide (Pronestyl®) drip is ordered for 2 mg/min. The standard mixture of procainamide (Pronestyl®) is 2 g in 500 mL. At what rate (mL/hr) should the IV pump be set?

9. A provider order is written for prochlorperazine (Compazine®) 7.5 mg IV q 4 hrs prn N/V. Prochlorperazine (Compazine®) is available in a prefilled syringe labeled 10 mg/2 mL. How many milliliters should be given?

10. Cephalexin (Keflex®) has been ordered for an adult patient; 3 grams are to be given over the next 24 hours, divided into 6 equally spaced doses. How many milligrams should be in each dose?

11. A provider order is written for insulin at 3 units/hr; the premixed solution is composed of 50 units of insulin in 100 mL in normal saline. At which rate (mL/hr) should the infusion run?

Expert Answer


1. Ans: 25000units/500ml = 50units/ml 1000units/hr * 1ml/50units = 20ml/hr the units cancel out leaving ml/hr. Most pumps are pre loaded with medications and all you have to do is input the amount to be given and it figures out the rate for you. But …

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