Order:  Dilantin (phenytoin sodium) 30 mg PO every 8 hours Available:  phenytoin sodium capsules 30 mg.  Package insert states:  Recommended dosage:  5 mg/kg/day in three equally divided doses.  The child weighs 18 kilograms.  a.  How many mg contain the recommended safe daily dose? (round to the nearest whole number)  _____ mg [mg] b.  Is the ordered dosage safe and effective according to the package insert?   yes or no _____ [safe]

Order:  Colace (docusate sodium) syrup 100 mg via PEG tid. Available:  Diocto syrup (docusate sodium) 60 mg/15 mL.  How many mL will the nurse give per dose? (Round to the nearest whole number) _____ mL

Carrier transport proteins exhibit all of the following characteristics except:

Order:  5% Dextrose and 0.9% Sodium Chloride 1000 mL to infuse over 12 hours. Available:  1000 mL 5% Dextrose and 0.9% Sodium Chloride Injection USP The drop factor of the tubing available is 10 gtts/mL.  What is the flow rate in gtt/min?  (Round to the nearest whole number) _____ gtt/min

What you give up to obtain an item is called your

Order:  Sandostatin 0.175 mg subcutaneous every 12 hours. Available:  Sandostatin (octreoide acetate) 500 mcg/1mL.  Calculate how many mL the patient will receive per dose.   (Round to the nearest hundreth) _____ mL

___________________ are intracellular signaling molecules released by the cell in response to exposure to extracellular signaling molecules.   These molecules trigger physiological changes at cellular level.

Order:  cefazolin (Ancef) 2 g IV bolus 1 hour before surgery Available:   Ancef 2 g in 100 mL D5W to infuse over 30 min.   The nurse should set the infusion pump at what rate in mL/hr?  (Round to the nearest whole number) _____  mL/hr

BONUS question (each part is worth 0.33 points) Order:  Platinol (cisplatin) 50 mg/m2 to infuse over 6 hours once every four weeks.  The patient has a BSA of 1.66 m2. Available:   Cisplatin 100 mg/100mL  The package states:  When reconstituted with 100 mL of Sterile Water for Injection USP, each mL contains 1 mg cisplatin, 9 mg mannitol, and 9 mg sodium chloride with HCL to adjust pH.   a.  How many mg contain the prescribed dose of cisplatin? (Round to the nearest whole number) _____ mg [a] b.   How many mL will the nurse draw up for one dose?  (Round to the nearest whole number) _____ mL [b] c.  If the dose is administered in 1000mL D5NS, at what rate in mL/hr would the IV run?  Please use the entire volume of the infusion to calculate this rate. (Round to the nearest whole number) _____ mL [c]

BONUS question (each part is worth 0.33 points) Order:  Lanoxin (digoxin) elixir 0.15 mg PO every 12 hours. The child weights 70 lbs and the recommended maintenance dose is 7-10 mcg/kg/day. Available: Digoxin Elixir USP 0.05 mg/mL   a. What is the minimum daily maintenance dosage in mg/day? (Round to the nearest tenth) _____ mg/day [a] b. What is the maximum daily maintenance dosage in mg/day? (Round to the nearest tenth) _____ mg/day [b] c.  Is the ordered dose safe and effective? ______ Please state yes or no [c]