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A patient is to receive aqueous penicillin 600,000 units ...
Sent to Health Experts November 26 09:45 AM

A patient is to receive aqueous penicillin 600,000 units intravenously over one hour. It is supplied in 100 ml dextrose and water.   1) how may ml per hour should be set on the infusion pump? round to the nearest whole number. 2) No pump is available, and the tubing delivers 15 drops per ml. How many drops per minute should be infused. Round to the nearest whole number. I am a student trying to figure out how to solve these conversions, so if you can show me exactly how you do this, it would be a great help. Thank you

 

Customer (name blocked for privacy)
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November 26 11:48 AM (1 hour and 33 minutes and 10 seconds later)
         
Reply to Scott's Post: scott--

I am not sure. When I wrote you the problem, it is exactly how the instructor wrote it.
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November 26 11:56 AM (3 minutes and 48 seconds later)
         
yes thank you
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November 26 12:42 PM (44 minutes and 55 seconds later)
         
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1 Other Expert Agrees with this!
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November 26 3:19 PM (2 hours and 37 minutes and 4 seconds later)
         
shirly,

thanks for your help, do I do anything with the 600,000 units in the problem?
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November 26 3:24 PM (4 minutes and 58 seconds later)
         
ACCEPTEDCheck Mark

Hi Customer (name blocked for privacy).

No. The question is how many ml instead of how many units. Thus, 600,000 units is extra useless information for this question.

By the way, another doctor agree with me for the answer. See that on the answer above.

"Schuyler_ANP agrees with this expert "




Shirley
Please click "Accept" if you are satisfied. The "Positive" feedback or "Bonus" is greatly appreciated.
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November 26 3:29 PM (4 minutes and 41 seconds later)
         
Thank you.

another question??

Proventil syrup, 2tsp, is ordered tid for a 5 year old child with asthma. It is supplied as 2mg/5ml.

a) how much proventil is he getting per dose?

b)a safe starting dose is 0.1mg/kg (of weight)three times a day. The child weighs 41 pounds. Is the prescribed dosage safe? why or why not?


Please show me exactly how you figure this out. so, I can learn this for future problems.
Answer
November 26 3:49 PM (20 minutes and 11 seconds later)
         
ACCEPTEDCheck Mark

Hi Customer (name blocked for privacy).

 

This question is more complicated.

a) 1 tsp = 1 teaspoonful = 5 ml

2 tsp = 10 ml = 10 ml x 2 mg/ 5 ml = 4 mg

Thus,

The answer is 4 mg proventil per dose ( 2tsp).

b) 1 pound = 0.45 kg

41 pounds = 0.45 x 41 = 18.6 kg

a safe starting dose is 0.1mg/kg

For the child, the safe dose is 18.6 kg x 0.1 mg/ kg = 1.86 mg

From the answer of question a, we know the child gets 4 mg tid (3 times a day), which is higher than 1.86 mg 3 times a day. Thus the answer is that the prescribed dosage is not safe.




Shirley
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November 26 4:14 PM (25 minutes and 6 seconds later)
         
Heparin sodium, 1,200 units per hour, is ordered for a woman with a blood clot in her leg. It is supplied as 50,000 units in 500ml of dextrose and water.

a) How many ml per hour should be set on the infusion pump? round to the nearest whole number.

b)If no infusion pump is available, the nurse will need to use microdrip tubing, which delivers 60 drops per ml. How many drops per minute should be adminstered? round to the nearest whole number.


shirly,

for problem a) I got an answer of 12 ml per hour
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November 26 5:01 PM (39 minutes and 10 seconds later)
         
Hi shirly,

how is the problem going?
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November 26 5:02 PM (25 seconds later)
         
ACCEPTEDCheck Mark

Hi Customer (name blocked for privacy).

a)

50,000 units in 500 ml, thus 1200 units is in: 1200 units x 500 ml / 50000 units = 12 ml

1200 units in 12 ml is infused per hour, thus, the answer is:

12 ml per hours should be set on the infusion pump.

b)

12 ml = 12 ml x 60 drops / ml = 720 drops

1 hour = 60 minutes.

Thus,

12 ml / hour = 720 drops / 60 minutes = 12 drop / minute

The answer is 12 drops per minute should be administered.




Shirley
Please click "Accept" if you are satisfied. The "Positive" feedback or "Bonus" is greatly appreciated.
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November 26 5:13 PM (11 minutes and 33 seconds later)
         
You are helping me more than you know. Last question----

Morphine sulfate 4mg is ordered intravenously to relieve shortness of breath in a patient with heart failure. It is supplied as 1/6 grain per ml. How many ml should the nurse administer? round to the nearest tenth.

I got .4ml is that right?
Answer
November 26 5:42 PM (26 minutes and 56 seconds later)
         
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