You’re a nurse in Labor and Delivery caring for a 28-year-ol…
You’re a nurse in Labor and Delivery caring for a 28-year-old G2P1 patient at 32 weeks gestation who presents with severe preeclampsia. Her blood pressure is 168/110 mmHg despite oral antihypertensive therapy. The obstetrician orders magnesium sulfate for seizure prophylaxis. You retrieve the high-alert medication from the automated dispensing cabinet and prepare to calculate the loading dose. Calcium gluconate is at the bedside as the reversal agent. Patient: Adult, 209 lbOrder: Magnesium sulfate 40 mg/kg IV loading doseAvailable: Magnesium sulfate 500 mg/mL vials Calculate the loading dose in mL. (round to the nearest tenth).
Read DetailsYou’re caring for a 198 lb postoperative patient on the medi…
You’re caring for a 198 lb postoperative patient on the medical-surgical unit who developed a fever of 101.8°F. Blood cultures were drawn, and the patient is now diagnosed with methicillin-resistant Staphylococcus aureus (MRSA) bacteremia. The physician orders vancomycin based on the patient’s weight. Patient: Adult, 198 lb, with normal renal functionOrder: Vancomycin 18 mg/kg IV every 12 hoursAvailable: Vancomycin 500 mg/10 mL vialsAdditional considerations: You need to add the calculated dose to 250 mL of 0.9% sodium chloride for infusion over 90 minutes. A trough level will be drawn before the fourth dose. Your task: Calculate the dose in mL. (round to the nearest tenth).
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