Situation 12: You are transporting a 28-pound 3-year old chi…
Situation 12: You are transporting a 28-pound 3-year old child who has an extensive cardiac history. The patient has an IV of D5W running at a KVO rate. The monitor shows the child throwing multifocal PVC’s at a tare of 8/min. You contact the base hospital. The physician advises you to administer a bolus of lidocaine at a dose of 1 mg/kg. Your pre-filled syringe of lidocaine is labeled “100 mg/10 ml.” What is the patient’s weight? [A1] kg What is the concentration of the drug? [A2] mg/ml How many ml of lidocaine do you administer? [A3] ml The physician has also requested a lidocaine drip be started. He advises adding 120 mg of lidocaine to 100 ml of D5W. You have another pre-filled syringe of lidocaine labeled “100 mg/10 ml,” as well as what I left in the other pre-filled syringe. How many ml of lidocaine do you add to the IV bag? [A4] ml What is the concentration of the lidocaine mixture? [A5] mg/ml You attach a mini-drip solution set to the lidocaine mixture bag. The physician tells you to run the drip at a rate of 20 mcg/kg/min. How many gtt/min do you run the lidocaine drip? [A6] gtt/min
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