Exam 3: Injectable Preparations With Clinical Applications

Order: methylprednisolone (Solu-Medrol) 50 mg, IM, daily Drug available: methylprednisolone (Solu-Medrol) 125 mg/2 mL How many milliliters should the patient receive daily?

Order: aztreonam (Azactam) 500 mg, IM, q8h Drug available: Azactam 1 g vial; reconstituted: add 3 mL of diluent, which equals 3.5 mL of reconstituted solution How many milliliters of reconstituted solution would you give per dose?

Order: Tagamet 0.2 g, IM, q6h Drug available: How many milliliters of Tagamet would you give per dose?

Order: enoxaparin (Lovenox) 1 mg/kg subQ, q12h for treatment of DVT Patient weight: 167 lb Drug available: a. How many kilograms does the patient weigh round to the whole number? b. How many milligrams should the patient receive per dose? c. How many milliliters should the patient receive per dose?

Order: Humulin R insulin 6 units and Humulin N insulin 40 units, subQ, daily Drugs available:Insulin syringe: Units 100/mL a. Explain the method for mixing the two insulins. b. Mark on the insulin syringe how much regular insulin and how much NPH insulin you would withdraw.

Order: diazepam (Valium) 10 mg, IM, stat Drug available: How many milliliters should the Patient receive?

Order: fluphenazine decanoate (Prolixin) 12.5 mg, IM, every week, may increase to 25 mg per week Drug available: Prolixin 25 mg/mL a. How many milliliters would you administer to the patient per week? b. If the Prolixin was increased to 25 mg, how many milliliters would you administer IM per week?

Order: methocarbamol (Robaxin), 250 mg, IM, in the deep gluteal muscle; may repeat in 8 hours Drug available: Robaxin 100 mg/mL How many milliliters should the Patient receive IM?

Order: aripiprazole (Abilify) 5 mg, IM once stat. Drug available: Abilify 9.75 mg/1.3 mL How many milliliters should the patient receive stat?

Order: ampicillin/sulbactam (Unasyn) 500 mg, IM, q6h Drug available: Mix with 3.2 mL of diluent = 3.6 mL of drug solution a. How many grams equal 500 mg? b. How many milliliters should the patient receive per dose?

Order: mecasermin (Increlex) 0.08 mg/kg, subQ, bid Patient weighs: 150 lb Drug available: mecasermin 10 mg/mL a. How many kilograms does the patient weigh? b. How many milligrams should the patient receive per dose? c. How many milliliters should the patient receive per dose?

Order: filgrastim (Neupogen) 5 mcg/kg/day, subQ for 14 days Patient weighs: 154 lb Drugs available: 300 mcg/mL and 480 mcg/1.6 mL a. How many kilograms does the patient weigh? b. How many micrograms should the patient receive? c. Which strength of filgrastim would you select? d. How many milliliters should the patient receive subQ? (Round off to tenths.)

Order: loxapine (Loxitane) 25 mg, IM, tid Drug available: a. How many milligrams should the patient receive in 24 hours? b. How many milliliters should the patient receive per dose?

Order: buprenorphine (Buprenex) 0.2 mg, IM, q6h, prn Drug available: Buprenex 0.3 mg per 1 mL vial How many milliliters would you give per dose?

Order: dyphylline 0.5 g, IM, q6h Drug available: dyphylline 250 mg/mL How many milliliters of dyphylline would you give per dose?

Order: nafcillin 0.5 g, IM, q6h Drug available: a. How many milliliters of diluent would you add? b. After reconstitution, how many milliliters of nafcillin solution would you have? c. How many milliliters of nafcillin would you give per dose?

Order: atropine sulfate 0.6 mg, IM, stat Drug available: How many milliliters of atropine would you give?

Order: moxalactam (Moxam) 3 g, IM, q8h Drug available: Moxam 10 g vial; reconstituted: add 8 mL diluent, which equals 10 mL of reconstituted solution How many milliliters of reconstituted solution should the Patient receive?

Order: hydroxyzine (Vistaril) 50 mg, IM, q6h Drug available: a. How many milligrams should the patient receive per day? b. How many milliliters should the patient receive per dose?

Order: insulin glulisine (Apidra) 12 units, subQ, 15 minutes before meal Drug available: Indicate on the insulin syringe the amount of insulin you would withdraw.