Situation 2: You are treating a 127.6 lb female who is pres…
Situation 2: You are treating a 127.6 lb female who is presenting with non-rate-dependent frequent multi-focal PVC’s. You are ordered to administer to the patient a lidocaine bolus IV push of 1 mg/kg, followed by a lidocaine drip at a dosage of 2 mg/min. What is the patient’s weight? [A1] kg The pre-filled syringe for the lidocaine bolus comes packaged as “100 mg/10 ml..” What is the concentration of lidacaine? [A2] mg/ml How many ml of lidocaine do you push? [A3] ml You have a 500 ml bag of D5W to which you add 2 gm of lidocaine. Your IV tubing is a mini-drip solution set. What is the concentration of lidocaine? [A4] mg/ml How many gtt/min do you give? [A5] gtt/min
Read DetailsSituation 15: You are treating a 132-lb 78-year-old female w…
Situation 15: You are treating a 132-lb 78-year-old female who is complaining of profound weakness. Your patient appears to be in good health, but you are unable to detect a BP. The patient, who is conscious, alert, and oriented, states that she had severe chest pain about 2 hours ago, but now “it’s just a solid lump feeling.” The monitor shows sinus tachycardia with an occasional unifocal PVC. She also persistently complains of a feeling of needing to move her bowels. You start an IV of NS at 20 gtts/min, using a mini-drip solution set. How much fluid (ml) will have infused in 3 minutes? [A1] gtt/min You contact your base physician who is familiar with this patient, and believes her to be in cardiogenic shock. She asks that you do a fluid challenge of 20 ml/kg. What is the patient’s weight? [A2] kg How much NS do you administer? [A3] ml At wide-open, your micro drip set runs 3000 gtts/min. How long does the infusion take? [A4] min Your patient’s condition does not improve with the fluid challenge. The physician asks you to hang a dopamine drip to run at 8 mcg/kg/min. You add 400 mg of dopamine to a 250-ml bag of D5W. You use a mini-drip solution set. What is the concentration of the dopamine mixture? [A5] mcg/ml How many gtt/min do you run the dopamine mixture? [A6] gtt/min
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