Deck 6: Reconstituted Oral and Injectable Medications

Question 1

Ordered: Cefadyl 400 mg IM q6h.
Available: Cefadyl 1g.
Directions: Add 2 mL Bacteriostatic Water for injection. Each 1.2 mL contains 500 mg of cephapirin.
How many mL will you inject?

Answer 1

Question 2

Ordered: Pfizerpen 600,000 units IM q12h.
Available: Pfizerpen 5 million units.
Directions: Add 8.2 mL diluent to yield 500,000 units/mL. Add 3.2 mL diluent to yield 1,000,000 units/mL.
If you add 8.2 mL of diluent, how many mL of Pfizerpen will you give?

Answer 2

Question 3

Ordered: Pipracil 400 mg IM 2 times a day for a wound infection.
Available: Pipracil sodium 2 g.
Directions: Add 4 mL of sterile water for injection to yield 1 g per 2.5 mL.
How many mL will you give?

Answer 3

Question 4

Ordered: Measles, mumps, and rubella virus vaccine 0.5 mL subcutaneous.
Available: 10 mL multidose vial.
Directions: Use only the special diluent supplied for reconstitution. Withdraw the entire content (7 mL) of diluent and inject into the sterile vial of vaccine. Agitate to ensure thorough mixing. Each dose is 0.5 mL.
How many doses are in the vial?

Question 5

Ordered: Penicillin G 250,000 units IM every 12 hr for pneumonia.
Available: Penicillin G sodium 5,000,000 units per vial. a. How much diluent will you add?
b. How many mL will you give?

Question 6

Ordered: 500,000 units Pfizerpen IM q6h.
Available: Pfizerpen 1 million units for reconstitution.
Directions for mixing: Add 18.2 mL diluent to yield 250,000 units per mL or add 3 mL diluent to yield 1,000,000 units per mL.
How many mL will you give if you use 18.2 mL of diluent?

Question 7

Ordered: 100 mg Solu-Medrol IM every 6 hr times 5 doses for inflammatory allergic reaction.
Available: 500 mg Solu-Medrol/8 mL. After reconstituting, how many mL will you give?

Question 8

Ordered: Principen 200 mg po q6h.
Available: Principen (ampicillin) for oral suspension.
Directions: Add 72 mL of water. Shake well to make 100 mL. Each 5 mL yields 125 mg of ampicillin.
How many mL will you give?

Question 9

Ordered: Rocephin 500 mg IM bid.
Available: Rocephin 0.5 g vial.
Directions: Add 1.8 mL of diluent to yield 250 mg/mL. Add 1 mL of diluent to yield 350 mg/mL.
How many mL will you give if you add 1 mL of diluent?

Question 10

Ordered: Ticar 0.5 g.
Available: Ticar 1g.
Directions: Add 2 mL sterile water for injection or 1% lidocaine HCl (without epinephrine). Each 2.6 mL equals 1000 mg of Ticar.
How many mL will you give?

Question 11

Ordered: Tazidime 150 mg IM 4 times a day for chronic bronchitis.
Available: Tazidime 500 mg. How many mL will you give?

Question 12

Ordered: Penicillin G potassium 400,000 units IM every 12 hr for an open wound.
Available: Pfizerpen 5 million units. a. How much diluent will you add?
b. How many mL will you give?

Question 13

Ordered: Penicillin G potassium 250,000 units IM q8h.
Available: Penicillin G potassium 1 million units.
Directions: Add 9.6 mL diluent for 100,000 units/mL. Add 4.6 mL diluent for 200,000 units/mL. Add 1.6 mL diluent for 500,000 units/mL.
How many mL will you give if you add 4.6 mL diluent to the powder?

Question 14

Ordered: Ampicillin 350 mg IM q6h.
Available: Ampicillin 1 g.
Directions: Add 3.5 mL diluent. Each mL equals 250 mg.
How many mL will you give?

Question 15

Ordered: Velosef IM 4 times a day for a urinary tract infection.
Available: Velosef per vial. a. How many mL of diluent will you add?
b. How many mL will you give?

Question 16

Ordered: Librium IM one time only for anxiety.
Available: Librium with of diluent to yield How many mL will you give?

Question 17

Ordered: Solu-Medrol IM daily times 3 days for an autoimmune inflammation.
Available: Solu-Medrol Directions: Press down on activator to force of diluent into the vial.
How many mL will you give?

Question 18

Ordered: Methicillin 750 mg IM q6h.
Available: Methicillin sodium 1 g.
Directions: Add 5.7 mL sterile water for injection. Each 2 mL equals 1 g methicillin sodium. Discard after storing 24 hr at room temperature or after 4 days of refrigeration.
How many mL will you inject?

Question 19

Ordered: Rocephin IM every for otitis media.
Available: Rocephin (ceftriaxone sodium) . a. How much diluent will you add?
b. How many mL will you give?

Question 20

Ordered: Kefzol IM daily for 3 days for a burn infection.
Available: Kefzol for reconstitution. a. How many mL of diluent will you add?
b. How many mL will you give?

Question 21

Ordered: Maxipime 500 mg IV every 8 hr for otitis media.
Available: Maxipime 1 g.
Directions: Add 8.7 mL of diluents to yield 10 mL of drug solution. Further dilute dose in 100 mL of D5W to infuse in 40 min.
How many mL per hr will you set the IV infusion device to infuse?

Question 22

Ordered: Cipro 400 mg IV for a urinary tract infection. Infuse in 90 min.
Available: Cipro (ciprofloxacin) 400 mg in 40 mL of sterile 1% solution.
Directions: Further dilute in 200 mL of D5W.
a. How many drops per min will you set the IV device to infuse using a gravity tubing at 20 drops per mL?
b. How many mL per hr will you set the electronic infusion device?

Question 23

Ordered: Tagamet 200 mg IV every 12 hr for a duodenal ulcer.
Available: Tagamet multidose vial with 300 mg per 2 mL.
Directions: Dilute each dose with 50 mL of D5W to infuse in 30 min.
a. How many mL of Tagamet will you need?
b. How many mL per hr will you set the electronic infusion device to infuse?

Question 24

Ordered: Piperacillin sodium IV every for a pelvic infection.
Available: Piperacillin vial in powdered form.
Directions: Add of diluents to yield of drug solution. Dilute the dose in of D5W to infuse in .
How many mL per hr will you set the infusion device to infuse?

Question 25

Ordered: 40 mEq potassium chloride in 200 mL of D5W to infuse in 90 min for potassium depletion.
Available: 20 mL single-dose vial for IV use. Each mL contains 2 mEq of potassium chloride.
a. How many mL of medication will you need to inject into 200 mL of D5W for infusion?
b. How many mL per hr will you set the electronic infusion device to infuse?

Question 26

Ordered: Ticar (ticarcillin) 500 mg IM daily for 4 days for a skin infection.
Available: Ticar for IM or IV use.
Directions: For IM use, add 2 mL of Sterile Water for Injection. Each 2.6 mL of solution will contain 1 g of ticarcillin.
How many mL will you inject?

Question 27

Ordered: Methicillin (Staphcillin) every IV for a respiratory infection.
Available: Staphcillin in powdered form in the vial.
Directions: Add of diluent to yield . Further dilute in of D5W and infuse in .
How many mL per hr will you set the infusion device to infuse?

Question 28

Ordered: Oxacillin 250 mg IV every 8 hr for 4 doses for a respiratory tract infection. Infuse in 150 mL of D5W in 50 min.
Available: Oxacillin sodium 1 g.
Directions: Add 5.7 mL Sterile Water for Injection. Each 1.5 mL contains 250 mg of oxacillin.
a. How many mL per hr will you set the gravity infusion set with 15 drops per min?
b. How many mL per hr will you set the electronic infusion device to infuse?

Question 29

Ordered: Ranitidine (Zantac) 50 mg IV every 8 hr for gastric ulcers.
Available: Zantac injection (ranitidine hydrochloride) 50 mg in 50 mL 0.45% sodium chloride.
Directions: Infuse in 20 min.
How many mL per hr will you set the IV infusion device to infuse?

Question 30

Ordered: Doxycycline (Vibramycin) 100 mg IV every 12 hr for gonorrhea.
Available: Vibramycin vial with powder to make 100 mg of medication.
Directions: Add 8 mL of diluent to make 100 mg of Vibramycin. Further dilute in 150 mL of D5W to infuse in 50 min.
How many mL per hr will you set the IV infusion device to infuse?