Study Guide Quiz 2

Week 9
1. Calculate drop factors and flow rates for IV
fluids.
o Intermittent and continuous infusions
o IV push
o Calculation of IV flow rate
o Infusion pumps

2. Compare and contrast the use of intermittent

and continuous IV infusions.
3. Describe the strategies to reduce risk of
delivering a medication via IV push (QSEN/Safety).
4. List the indications for various analgesic drugs.
o Benefits and potential risks of analgesic medication

Know:
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Medication Error
preventable

Adverse drug reaction

undesirable effect at therapeutic dose

Allergic reaction
hypersensitivity immune response

Idiosyncratic reaction
unexpected in a particular patient

Teratogenic effect
structural damage to fetus

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Pharmacology and the Nursing Process chapter 9 (pp 122-128), chapter 10, chapter 29
(473-449). Stop at blood products.
Clinical Calculations: chapter 10
Focus on slides 4-8, 10-12, 20-24,
Week 10
1. Calculate the drug dosages for IV medications
A review of the calculations necessary to reconstitute, dilute, and administer
intravenous medication.

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2. Compare and contrast IV piggyback/intermittent, antegrade, and volutrol systems

for delivery of IV doses.
3. Examine unsafe practices to better understand risks involved in adding medication
to IV infusions (QSEN/Safety).
4. List special considerations in IV medication across the lifespan

Clinical Calculations: chapter 10

Slides 2-3, 6,9,10, 15-17
Week 11
1. Describe the causes and identify the consequences of medication error.
o Adverse reactions
o Medication error
o Impact of error on patients and the healthcare system
o Prevention of error and Medication reconciliation
2. Recognize how nursing is part of a complicated system regarding the process of
pharmacologic treatment (QSEN/Quality Improvement)
3. Discuss methods the RN can use to prevent medication error and list the
limitations of safety-enhancing technology (QSEN/Safety)
4. List the agencies concerned with the occurrence and prevention of medical error
(QSEN/Quality Improvement).
5. Participate in a mock root cause analysis of a medication error using the USF
Medication Error and Near Miss reporting tools. (QSEN/Quality Improvement)

Pharmacology and the Nursing Process chapter 5

Articles posted on blackboard:
Selected medication-error data from USPs MEDMARX program for 2002
Avoiding Med Errors

Slides 5-8, 12

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Pharm practice quiz

1. Order: Sulfisoxazole 50 mg/kg daily in 4
divided doses. Pt weighs 150 lbs.
Patient Weight in Kg =
Total daily dose in mg =
How many mg shall pt receive per dose =
Bonus: calculate pts weight in kg on Mars
_____kg, Jupiter _____kg, and the moon
_____kg
Would the med dosage change?

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2 . A physician orders 4500 ml of lactated

Ringers solution to infuse over 36 hours. The
RN is aware that the IV rate should be set at:

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3. In order to administer a premixed dose of

Gentamicin that arrives to the unit in a 500ml
piggyback bag over 120 minutes via infusion
pump, the nurse will:

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In order to administer the entire dose, plus the

required 20ml flush to follow, the RN will set
the IV pump rate at ____________ml/hour

4) A patient is scheduled to undergo surgery,

and must receive a dose of Gentamicin prior to
the procedure. The order states: 200mg
Gentamicin IV x 1 now.
The patient weighs 210 pounds. According to the drug reference guide, the safe dose is
1.5mg/kg/dose.

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Is the dose safe?
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Extra credit (not, really but this is a tough one if youre up for it)
!

The RN receives an order to provide maintenance IV fluid to a pediatric patient

weighing 88 pounds. The nurse knows that the standard for IV pediatric fluid
maintenance is calculated using the 4-2-1 rule:

For 0-10kg: 4 mL/kg/hr

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For 10-20kg: + 2 mL/kg/hr

For >20kg: + 1 mL/kg/hr

The available tubing is macrodrip (15gtts/ml) and there is NO pump.

The nurse will administer:
A)_________mL/hr

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B) __________mL/min
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C) The nurse will allow _________gtts/min
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Answers:
1.
pt weight in kg 150/2.2= 68.18 kg
Total daily dose 68.18 kg X 50 mg/kg = 3409.09 mg
How many mg shall pt receive per dose = 3409.09mg/4 doses = 852.27
mg/dose
Bonus: calculate pts weight in kg on Mars _26.82 kg, Jupiter 180.91 kg,
and the moon 10.91 kg
Would the med dosage change? No

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2. 125mL/hr
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3. 260mL/hr
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4. 210lbs/2.2 = 95.45 kg
95.45kg X 1.5 mg/kg/dose = 143.18 mg/dose
It is NOT safe

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Extra credit:
A) 80mL/hr

B) 1.3333 mL/min
C) 20 gtts/min

Bruce Mitchell Spring 2014

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