Answer To: Rx351 Lab – Module 4 IOI Assignment (Post-Live Session) – 56pts Name...
Dr. Saloni answered on Feb 05 2023
Rx351 Lab – Module 4 IOI Assignment (Post-Live Session) – 56pts
Name ____________________________________________
Med Orders for Karsen Smith (DOB 1/6/75; allergy to tree nuts)
· D5 ¼ NS @ 75ml/h
· Zoledronic Acid 5mg IV q12 mos
· Amikacin 475mg IV q8h
Primary IV: D5 ¼ NS – continuous infusion
1. (2pts) What are the concentrations of the two ingredients in this patient’s primary IV solution?
Ans- The two ingredients in this patient's primary IV solution are D5W (5% Dextrose in Water) and Normal Saline (0.9% Sodium Chloride). The concentration of D5W is 5% dextrose and the concentration of Normal Saline is 0.9% Sodium Chloride.
2. (2pts) What size(s) of this IV solution are available in your storeroom?
Ans- 25 ml to 1000 ml bags. Typically, IV solutions are available in a variety of sizes, including bags, bottles, and syringes, ranging from small, single-dose containers to larger containers for continuous infusions.
3. (2pts) If the first IV bag is started at 0600 this morning, what time would the second bag be started? When would the third bag be started?
Ans- The timing for switching from one IV bag to another will depend on the flow rate (in this case, 75 ml/hr) and the volume of the IV bags being used.
Assuming that the first IV bag was started at 0600 and the flow rate is set at 75 ml/hr, the second bag would be started approximately 8 hours later, at 1400. Similarly, the third bag would be started approximately 8 hours after that, at 2200.
Intermittent Infusion 1: Zoledronic Acid
Go to Lexi-Comp and find information regarding PREPARATION and ADMINISTRATION of Zoledronic Acid
PREPARATION:
4. (2pts) Acceptable Diluents (circle one or both) : D5W NS
Ans- For Zoledronic Acid, either D5W (5% Dextrose in Water) or Normal Saline (0.9% Sodium Chloride) can be used as a diluent. It is possible to choose either one or both of these options, depending on the patient's medical needs and the recommendations of the healthcare provider.
5. (2pts) Acceptable Diluent Volume (list all IV bag sizes that are acceptable):
Ans- The acceptable diluent volume for Zoledronic Acid will vary depending on the specific product and the manufacturer's recommendations. Typically, a variety of IV bag sizes can be used for intermittent infusions, including but not limited to:
· 50 mL
· 100 mL
· 250 mL
· 500 mL
· 1000 mL
6. (2pts) Choose an IV bag from the storeroom list to use for this order (list diluent and size of bag):
Answer- The choice of IV bag for an intermittent infusion of Zoledronic Acid will depend on the volume and concentration of the final solution, as well as the patient's fluid requirements and the recommendations of the healthcare provider.
Typically, a suitable IV bag for an intermittent infusion of Zoledronic Acid would be a 50 mL or 100 mL bag of either D5W (5% Dextrose in Water) or Normal Saline (0.9% Sodium Chloride).
You will use the vial pictured here to prepare the dose (you may need more than one vial.)
7. (2pts) Dose Volume = __________ml (volume of drug solution to prepare one dose)
Ans- The dose volume for Zoledronic Acid injection 4mg/5ml (0.8mg/ml) would be 5ml, which is the volume of the entire vial. The concentration of Zoledronic Acid in this injection is 0.8mg/ml, meaning there is a total of 4mg of Zoledronic Acid in the 5ml vial.
ADMINISTRATION:
8. (2pts) What is the recommended time for infusing a dose of this medication? ______________________
Ans- It should be given in no less than 15 minutes.
CALCULATIONS:
9. (2pts) Based on the recommended time for infusion, calculate a flow rate for administering this drug.
Flow Rate: ____________ml/h
Answer- To calculate the flow rate for administering Zoledronic Acid injection 4mg/5ml (0.8mg/ml) over a period of no less than 15 minutes, you need to determine the volume of the solution that needs to be infused, and divide it by the duration of the infusion in hours.
If the dose volume is 5ml, and the infusion time is 15 minutes (0.25 hours), the...