Exam 3: Injectable Preparations With Clinical Applications

Order: cefamandole (Mandol) 750 mg, IM, q8h Drug available: a. How many milliliters of diluent would you add to the vial? b. After reconstitution, how many milliliters of Mandol solution would you have? c. How many milliliters of Mandol would you give per dose?

Order: Humulin N insulin units 42, subQ, daily Drug available: Humulin N insulin units 100/mL and insulin syringe Indicate on the insulin syringe the amount of insulin you would withdraw.

Order: ampicillin 500 mg, IM, q6h Drug available: a. How many milliliters of diluent would you add to the ampicillin vial? b. After reconstitution, how many milliliters of ampicillin solution would you have? c. How many milliliters of ampicillin would you give per dose?

Order: etanercept (Enbrel) 0.8 mg/kg/wk, subQ; max: 50 mg/wk Patient weighs 132 lb Drugs available: Enbrel 25 mg or 50 mg/mL a. How many kilograms does the patient weigh? b. How many milligrams should the patient receive? c. Is the dose within the maximum weekly dose? d. Which Enbrel strength would you select? e. How many milliliters should the patient receive? (Round off to whole number.)

Order: leucovorin, 6 mg per day, IM for 1 week Drug available: leucovorin, 10 mg/mL How many milliliters should the patient receive IM?

Order: Compazine 2.5 mg, deep IM, q4h Drug available: How many milliliters of Compazine would you give per dose?

Order: chlorpromazine HCl (Thorazine) 20 mg, deep IM, tid Drug available: How many milliliters of Thorazine would you give per dose?

Order: cephapirin (Cefadyl) 600 mg, IM, q8h Drug available: a. How many milliliters of diluent would you add to the vial? b. How many milliliters of reconstituted solution are equivalent to 1 g of Cefadyl solution? c. How many milliliters of Cefadyl would you give per dose?

Order: meperidine (Demerol) 35 mg, IM, q4-6h, prn Drug available: How many milliliters of meperidine would you give per dose?

Order: meperidine 70 mg and atropine sulfate 0.6 mg, IM stat Drugs available: a. How many milliliters of meperidine would you give? How many milliliters of atropine? b. Explain how the two drugs can be mixed.

Order: diazepam 6 mg, IM, bid Drug available: How many milliliters would you withdraw from the ampule?

Order: amikacin (Amikin) 5 mg/ kg, IM, q8h * 5 days Drug available: amikacin 50 mg and 250 mg/mL Patient weighs: 72 kg a. How many milligrams intramuscularly should the patient receive per dose? b. Which amikacin would you select? c. How many milliliters should the patient receive per dose?

Order: cytarabine (Cytosine) 1 mg/kg, IM, every week Patient weighs: 176 lb Drug available: cytarabine 100 mg in powder vial (mix powder with 2 mL of diluent = 2.2 mL of Drug solution per 100 mg a. How much does the patient weigh in kilograms? b. How many milligrams should the patient receive? c. How many milliliters should the patient receive every week?

Order: thiamine 0.1 g, IM, daily Drug available: Conversion factor: 1 g = 1000 mg How many milliliters would you administer?

Order: heparin 2500 units, subQ, q6h Drugs available: a. Which heparin would you use? b. How many milliliters of heparin would you give per dose?

Order: goserelin (Zoladex) 2.4 mg, subQ, every 24 days Drug available: Zoladex 3.6 mg/mL How many milliliters would you administer subQ?

Order: glycopyrrolate (Robinul) 2 mcg/kg, IM, to 1 hour before surgery.Max: 0.1 mg Patient weighs: 65 kg Drug available: glycopyrrolate 200 mcg (0.2 mg)/mL a. How many micrograms should the patient receive? b. How many milliliters should the patient receive?

Order: heparin 7500 units, subQ, q6h Drug available: a. Which type of syringe would you use? b. What is the method of injection? c. How many milliliters of heparin would you give per dose?

Order: oxacillin 250 mg, IM, q6h Drug available: a. How much diluent would you add to the oxacillin vial? b. How many milliliters of oxacillin would you give per dose?

Order: meperidine 30 mg and atropine sulfate 0.3 mg, IM Drugs available: a. How many milliliters of meperidine would you give? How many milliliters of atropine? b. Explain how the two drugs can be mixed.