Explain the step please. 1. The following IV fluids orders are… Explain the step please. 

Explain the step please. 1. The following IV fluids orders are… Explain the step please.  1. The following IV fluids orders are written for a child:D51/4 NS with 2mEq KCL/100ml at 30 ml/hr The nurse will hang a 500ml bag of IV solution.  The KCL on hand is labeled 20mEq/10ml. How many mEq’s of KCL should the pharmacy have added to the IV bag? How many ml’s of KCL should the pharmacy have added to the IV bag?   2. Keflin (cephalothin sodium) 635 mg IV q6h is ordered.  The Keflin on hand needs to be reconstituted with 9.6ml of 0.9% sodium chloride.  The resulting concentration is 1gram/10 ml. The Keflin (635 mg) is to be further diluted with sodium chloride to a total of 10 ml and infused over 30 minutes.  What IV infusion rate should the nurse set the IMED pump or the MEDEX syringe pump to infuse the Keflin over 30 minutes?  You will need to include a 5ml flush in the total volume to be infused.  This 5 ml flush will be used to flush all of the medication out of the tubing and into the child.  3. The physician orders Feosol (ferrous sulfate) ½ tsp. PO.  How many ml’s should the nurse administer?  4. A preoperative order includes morphine 0.5 mg IM.  The morphine on hand is labeled 10mg/1ml.  How many ml’s of morphine should be administered? 5. Baby Jones weighs 8 pounds.  How many grams does he weigh?  6.   The physician writes an order that an infant is to receive 1 tbsp. of rice cereal in every 3 ounces of formula.  How many ml’s of formula should the rice cereal be added to?  7. A child is to receive Cytoxan (cyclophosphamide) chemotherapy over 4 hours.  The Cytoxan is mixed in 300 ml of D5W.  What rate should the nurse set on the IMED pump? 8. Cefazolin (Ancef), 635mg IV q6h, is ordered for a 7-year-old boy with an acute UTI associated with spina bifida.  The therapeutic range for cefazolin is 50-100 mg/kg/day.  He weighs 25.4 Kg.  He currently has IV fluids infusing at 75 ml/hr. Determine if the ordered dosage is appropriate? Determine the amount of fluid needed to dilute the medication for IV administration (concentration for IV infusion should be 20mg/ml). Determine what infusion rate the IMED pump or MEDEX syringe pump should be set at during the drug infusion (need to add 5 ml flush to follow medication: medication should be infused over 10 to 60 minutes).  9. Tobramycin 24 mg IV q8h is ordered for a 3-year-old girl with pneumonia.  The therapeutic range for tobramycin is 6-7.5mg/kg/q24h.  She weighs 12.2 kg.  She currently has a saline lock in place for medication administration. Determine if the ordered dosage is appropriate.Determine the amount of fluid needed to dilute the medication for IV administration (concentration should be 10mg/ml). Determine what infusion rate the IMED pump or MEDEX syringe pump should be set at during the drug administration (add 5 ml flush: infuse over 20-60 minutes)  10. Gentamicin 11 mg, IV, q8h, is ordered for a 3-month-old infant with bacterial meningitis.  The therapeutic range for gentamicin is 5 – 7.5 mg/kg/day.   The infant weighs 5.6 kg. Determine if the ordered dosage is appropriate. Determine the amount of fluid needed to dilute the medication for IV administration (concentration should be 2 mg/ml). Determine the infusion rate the IMED pump or MEDEX syringe pump should be set at during the drug infusion (add 5 ml flush; infuse over 20-30 minutes). 11. Nafcillin, 940 mg IV, q4h, is ordered for a 5-year-old girl admitted with fever and neutropenia due to leukemia.  The therapeutic range for nafcillin is 50-200 mg/kg/day.  She weighs 18.8 kg.  She currently has IV fluids infusing at 55 ml/hr. Determine if the ordered dosage is appropriate. Determine the amount of fluid needed to dilute the medication for IV administration (concentration should be 40mg/ml). Determine the infusion rate the IMED pump or MEDEX syringe pump should be set at during the drug infusion (add 5-ml flush; infuse over 30 to 60 minutes).  12. Ampicillin, 210 mg IV, q4h, is ordered for a 1-month-old infant with meningitis.  The therapeutic range for Ampicillin is 50-300 mg/kg/day.  The infant weighs 4.2 kg.  The ampicillin is supplied in a powder form which needs to be reconstituted with 1.4 ml of normal saline.  The reconstituted solution yields 250 mg/1ml. Determine if the ordered dosage is appropritate. Determine how many ml’s of ampicillin the nurse should administer. Determine the amount of fluid needed to dilute the medication for IV administration (concentration should be 30/mg/ml). Determine the infusion rate the IMED pump or MEDEX syringe pump should be set at during the drug infusion (add 5 ml flush; infuse over 15 to 60 minutes).    13. Order: Epogen 100 units/kg/day SQ.Supply Epogen 10,000 units/mlPatient’s Weight: 150 lb How many ml per day will you give?  __________________  14. Order:  TPN 500 ml at a rate of 60 ml/hr.How many hours will it take for the infusion to complete? _________________ hrs Health Science Science Nursing BIOL 2404 Share QuestionEmailCopy link Comments (0)

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