You are an independent prescriber running a diabetes clinic. You see a 19-year-old patient with type 1 diabetes. As part of her insulin regimen, she is prescribed Levemir® (insulin detemir) at a dose of 18 units twice a day with breakfast and evening meal. You prescribe a box of five 3mL Levemir® 300unit/3mL cartridges. How many full days will this prescription last? Assume only single doses are to be administered from each injection pen.

A 43-year-old patient has been diagnosed with hyponatraemia and is prescribed intravenous hypertonic saline (NaCl 3%w/v) at a dose of 3mL/kg. The patient weighs 82kg and the infusion is given over 20 minutes. After the full dose has been administered, how many moles of sodium chloride will the patient have received? Give your answer to ONE (1) decimal place. Molecular weight of NaCl = 58.5

You are working as an independent prescriber alongside a paediatrician in an outpatient clinic. A 9-month-old baby, who weighs 6.3kg, is diagnosed with gastroesophageal reflux disease and you decide to prescribe ranitidine liquid 75mg/5mL at a dose of 4mg/kg twice a day. How many millilitres of ranitidine liquid should be prescribed to this baby in order to provide a 30-day supply? Assume the patient is provided with a syringe with 0.1mL graduations.

Cost of living increases when business cycle is _________

Which of the following has been granted deemed status by CMS to provide U.S. laboratory accreditation?

You receive a prescription for a 76-year-old patient for phenoxymethylpenicillin 250mg/5mL solution, 500mg FOUR times a day for ten days. You inform the patient’s carer that due to the medication’s short expiry date of seven days once it is prepared you will fulfil part of the prescription now and supply the remainder at a later date. The carer agrees to take enough for five days today and call back for the rest. How many 100mL prepared bottles should you supply today?

A 21-year-old patient who weighs 72kg is admitted to hospital after taking an overdose of propranolol tablets. He admits to taking 28 propranolol 40mg tablets. He is prescribed intravenous glucagon and given an initial bolus of 10mg over 10 minutes. Following the bolus, he is prescribed an intravenous infusion at a dose of 50mcg/kg/hour. The glucagon solution used for the infusion is prepared at a concentration of 1mg/mL. How many millilitres of the glucagon infusion will the patient have received after the infusion has ran for 60 minutes? Give your answer to ONE (1) decimal place

A 4 year old child, who weighs 15.4kg was admitted to hospital with dehydration following severe vomiting and diarrhoea. They are prescribed routine IV fluid maintenance using sodium chloride 0.18% and glucose 4%, using the Holliday-Segar formula: 100mL/kg/day for the first 10kg of weight 50mL/kg/day for the second 10kg of weight 20mL/kg/day for the weight over 20kg How many millilitres of sodium chloride and glucose infusion will the patient receive over the first 24 hours of treatment?

A patient presents with a prescription for a titrating dose of gabapentin 300mg capsules and you are asked to issue the patient with a 28-day supply, the prescription is written as follows: “Gabapentin 100mg Capsules – Take ONE capsule DAILY, increasing to take ONE capsule TWICE DAILY after 2 days, then increasing to ONE capsule THREE TIMES DAILY after 2 days and continue on this dose until next appointment.” How many gabapentin 100mg capsules should you dispense to the patient?

NOTES (Use only if needed)