PHAR 503 Study Guide - Quiz Guide: Melphalan, Ciprofloxacin, Allopurinol

MD ORDERS: Start peripheral IV & infuse D2W at 60ml/kg/day for hydration. Give Ciprofloxacin 500mg IVPB every 12 hrs; dilute Ciprofloxacin with 40mL with D2W using buretrol. 1 bag = 1L, patients weight = 77 pounds.

D2W FOR HYDRATION: a. At what rate should the IV pump be set to infuse the D2W for hydration? b. How long will it take for 1 bag to infuse? c. If the IV was hung at 1000 hrs, at what time should the next bag be hung (use hours from b.)? d. How many IV bags in a 24 hr period?

CIPROFLOXACIN: a. How many mLsof Ciprofloxacin should be drawn up and added to the buretrol per dose? b. How many mLs of D2W are needed to dilute the drug? c. How many mLs are needed for the flush? d. At what rate would you set the infusion pump to infuse the Ciprofloxacin? e. The 1st dose of Ciprofloxacin was hung at 1000 hrs. When is the next dose due?

Please show all work :-) Thank you.

1)Ordered: Cardizem 20mg IV for a rapid ventricular rate. Available: Cardizem 5 mg/mL after reconstitution. Literature recommends giving each single dose over 2 minutes. What is the total mL to be injected?

2)This is a 2 answer problem: Ordered: Granisetron hydrochloride injection (Kytril) 10 mcg/kg IV injection 30 minutes before chemotherapy to reduce nausea and vomiting. Available: Kytril vial IV 0.1 mg/mL/ Patient weight 60kg. The nurse adds 2.4 mL of sterile normal saline for injection to the medication for ease of timing the injection rate into the injection port. What is the total dose of drug in mg to be given? 1 What tis the total volume of the drug for injection? 2

3)Ordered: Isoproterenol (Isuprel) IV inufsion 120 mcg/hr for a patient with coronary artery disease. IV solution at bedside: Isuprel 1mg in 500mL of D5W infusing at 50 mL per hour. How many mL/hr are ordered?

4)Ordered: Nicardipine hydrochloride IV 1.2mg/hr for a patient with hypertension. IV solution at bedside: 25mg Nicardipine in 500 mL of normal saline infusing at 24 mL/hr. What is the mL per hour ordered flow rate for this solution?

5)Calculate the hourly IV flow rate: The IV for a patient in critical care is flowing at 12 mL/hr. Ordered: 0.2mg per minute. IV: 500mg in 1000mL. Is the flow rate correct? If not, what should it be?

6)Calculate the hourly IV flow rates. Total drug: 100mg, Total volume: 100 mL, Hourly drug ordered: 4mg. What is the hourly volume (flow rate) (mL per hour to the nearest tenth of a mL).

7)5mcg per kg per min =_________mcg/hr. Weight: 30kg

8)Calculate the hourly IV flow rates. Ordered: An IC of 2 mcg per kg per minute. Available: The pharmacy-prepared IV contains 100mg in 250 mL. Patient weight: 50 kg. How many mL/hr are needed to the nearest 10th of a mL?

9)Ordered: Dopamine IV at 4 mcg/kg/min. SDR: 2-10mcg/kg/min. IV is flowing at 10 mL/hr. Patient weight is 60 kg. Is the order within SDR?

10)10 mcg per kg per min =_______mcg/hr. Weight 75 kg

. Massy, who specializes in internal medicine, wants to analyzehis sales mix to find out how the time of his physician assistant,Consuela Ortiz, can be used to generate the highest operatingincome.

Ortiz sees patients in Dr. Massy's office, consults withpatients over the telephone, and conducts one daily weight-losssupport group attended by up to 50 patients. Statistics for thethree services are as follows:

Ortiz works seven hours a day.

Required

I am really struck on the formula to answer the followingquestion, also what type of spreadsheet would I use. Can someonehelp?

Dr. Massy believes the ranking is incorrect. He knows that thedaily 60-minute meeting of the weight- loss support group has 50patients and should continue to be offered. If the new ranking forthe services is (1) weight-loss support group, (2) phone calls, and(3) office visits, how much time should Ortiz spend on each servicein a day? What would be the total contribution margin generated byOrtiz, assuming the weight-loss support group has the maximumnumber of patient billings?

Manager Insight: Which ranking would yourecommend? What additional amount of total contribution marginwould be generated if your recommendation is accepted?