Question 1

Order: prochlorperazine (Compazine) 7.5 mg, deep IM, stat Drug available:  How many milliliters of Compazine would the Patient receive?

Accepted Answer

1.5 mL of Compazine deep IM, stat. RP: 5 mg : 1 mL = 7.5 mg : x mL, 7.5/5x = 1.5 mL

Question 2

Order: Regular insulin 5 units and Humulin L insulin 45 units subQ, daily Drugs available:  
a. Explain the method for mixing the two insulins.
b. Mark on the insulin syringe how much regular insulin and how much Lente insulin you would withdraw.

Accepted Answer

a. Inject 45 units of air into the Humulin L insulin bottle (carefully not to touch the needle to the insulin solution), and 5 units of air into the Humulin R insulin bottle. Withdraw 5 units of Humulin R insulin and then 45 units of Humulin L insulin, for a total amount of 50 units of insulin.
b.

Question 3

Order: darbepoetin (Aranesp) 2.25 mcg/kg/wk, subQ Drugs available: Aranesp 40 mcg, 60 mcg, 100 mcg, 150 mcg, 200 mcg/mL Patient weighs: 50 kg
a. How many micrograms should the patient receive?
b. Select the strength of Aranesp?
c. How many milliliters should the patient receive?

Accepted Answer

a. Patient should receive 112.5 or 113 mcg (in tenths) per wk.
b. Select 150 mcg strength.
c. Patient should receive 0.75 mL or 0.8 mL (in tenths) per wk. RP: 150 mcg : 1 mL = 113 mcg : x mL, 113/150x = 0.75

Question 4

Order: Narcan 0.2 mg, IM, stat Drug available:  
a. How many milliliters of Narcan would you give?
b. Can you refrigerate the unused portion of the vial of Narcan?

Accepted Answer

The answer of Order: Narcan 0.2 mg, IM, stat Drug...

Question 5

Order: kanamycin (Kantrex) 400 mg, IM, q8h Patient weight: 90 kg Dose parameter: 15 mg/kg/day maximum in two or three divided doses Drug available:  
a. What is the dose parameter according to the patient's weight?
b. How many milligrams would the patient receive per day?
c. Is the drug dose within safe dose parameters?
d. How many milliliters of kanamycin would you give per dose?

Accepted Answer

The answer of Order: kanamycin (Kantrex) 400 mg, IM, q8h...

Question 6

Order: dexamethasone (Decadron) 3 mg, IM, stat Drug available:  How many milliliters of Decadron would you give per dose?

Accepted Answer

The answer of Order: dexamethasone (Decadron) 3 mg, IM, stat...

Question 7

Order: amikacin 500 mg/IM, q12h Patient weight: 149 lb Dose parameter: 15 mg/kg/day maximum in two divided doses Drug available:  
a. How many kilograms does the patient weigh?
b. What is the dose parameter according to the patient's weight?
c. Is the drug dose within safe dose parameters?
d. How many milliliters of kanamycin would you give per dose?

Accepted Answer

The answer of Order: amikacin 500 mg/IM, q12h Patient weight:...

Question 8

Order: cimetidine HCl (Tagamet) 100 mg, IM, qid Drug available:  How many milliliters of Tagamet would the patient receive per dose?

Accepted Answer

The answer of Order: cimetidine HCl (Tagamet) 100 mg, IM,...

Question 9

Order: enoxaparin (Lovenox) 30 mg, subQ, bid, post hip surgery Drug available  
a. The patient should receive Lovenox how many times per day?
b. How many milliliters should the patient receive per dose?

Accepted Answer

The answer of Order: enoxaparin (Lovenox) 30 mg, subQ, bid,...

Question 10

Order: Regular Humulin insulin 12 units, subQ, stat Drug available:Insulin syringe: Units 100/mL  Indicate on the insulin syringe the amount of insulin you would withdraw.

Accepted Answer

The answer of Order: Regular Humulin insulin 12 units, subQ,...

Question 11

Order: heparin 8000 units, subQ, q6h Drugs available:  
a. Which heparin would you use?
b. How many milliliters of heparin would you give per dose?

Accepted Answer

The answer of Order: heparin 8000 units, subQ, q6h Drugs...

Question 12

Order: vitamin B₁₂ 500 mcg, IM, 2 times per week Drugs available: a. Which cyanocobalamin cartridge would you use? b. How many milliliters of cyanocobalamin would you give?

Accepted Answer

The answer of Order: vitamin B₁₂ 500 mcg, IM, 2...

Question 13

Order: hydroxyzine (Vistaril) 75 mg, deep IM, stat Drug available: Vistaril 100 mg/2 mL How many milliliters of hydroxyzine would the patient receive?

Accepted Answer

The answer of Order: hydroxyzine (Vistaril) 75 mg, deep IM,...

Question 14

Order: morphine 10 mg IM, stat Drug available:  How many milliliters of morphine would you give?

Accepted Answer

The answer of Order: morphine 10 mg IM, stat Drug...

Question 15

Order: cefazolin (Ancef) 0.25 g, IM, q6h Drug available:  
a. How many milliliters of diluent would you add?
b. After reconstitution, how many milliliters of cefazolin solution would you have?
c. How many milliliters of Ancef would you administer per dose?

Accepted Answer

The answer of Order: cefazolin (Ancef) 0.25 g, IM, q6h...

Question 16

Order: NPH insulin 25 units, subQ, daily (7 AM) Drug available:  Indicate on the insulin syringe the amount of insulin you would withdraw.

Accepted Answer

The answer of Order: NPH insulin 25 units, subQ, daily...

Question 17

Order: Humulin R insulin 10 units and Humulin N insulin 36 units, subQ Drugs available: Humulin R insulin units 100/mL and Humulin N insulin units 100/mL Mark on the insulin syringe how much Humulin R insulin and how much Humulin N insulin you would withdraw.

Accepted Answer

The answer of Order: Humulin R insulin 10 units and...

Question 18

Order: tobramycin sulfate (Nebcin) 3 to 5 mg/kg/day, IM, in three divided doses Patient weight: 64 kg Drug available:  
a. How many milligrams of tobramycin would the patient receive per day?
b. How many milligrams of tobramycin would you give per dose?
c. How many milliliters of tobramycin would you give per dose?

Accepted Answer

The answer of Order: tobramycin sulfate (Nebcin) 3 to 5...

Question 19

Order: clindamycin 250 mg, IM, q6h Drug available:  How many milliliters of clindamycin would you give per dose?

Accepted Answer

The answer of Order: clindamycin 250 mg, IM, q6h Drug...

Question 20

Order: ticarcillin (Ticar) 500 mg, IM, q6h Drug available:  
a. How many milliliters of diluent would you add to the powdered ticarcillin?
b. How many milliliters of ticarcillin solution would you have after reconstitution?
c. How many milliliters of Ticar would the patient receive per dose?

Accepted Answer

The answer of Order: ticarcillin (Ticar) 500 mg, IM, q6h...

Exam 3: Injectable Preparations With Clinical Applications

Order: prochlorperazine (Compazine) 7.5 mg, deep IM, stat Drug available: How many milliliters of Compazine would the Patient receive?

Order: Regular insulin 5 units and Humulin L insulin 45 units subQ, daily Drugs available: a. Explain the method for mixing the two insulins. b. Mark on the insulin syringe how much regular insulin and how much Lente insulin you would withdraw.

Order: darbepoetin (Aranesp) 2.25 mcg/kg/wk, subQ Drugs available: Aranesp 40 mcg, 60 mcg, 100 mcg, 150 mcg, 200 mcg/mL Patient weighs: 50 kg a. How many micrograms should the patient receive? b. Select the strength of Aranesp? c. How many milliliters should the patient receive?

Order: Narcan 0.2 mg, IM, stat Drug available: a. How many milliliters of Narcan would you give? b. Can you refrigerate the unused portion of the vial of Narcan?

Order: dexamethasone (Decadron) 3 mg, IM, stat Drug available: How many milliliters of Decadron would you give per dose?

Order: cimetidine HCl (Tagamet) 100 mg, IM, qid Drug available: How many milliliters of Tagamet would the patient receive per dose?

Order: enoxaparin (Lovenox) 30 mg, subQ, bid, post hip surgery Drug available a. The patient should receive Lovenox how many times per day? b. How many milliliters should the patient receive per dose?

Order: Regular Humulin insulin 12 units, subQ, stat Drug available:Insulin syringe: Units 100/mL Indicate on the insulin syringe the amount of insulin you would withdraw.

Order: heparin 8000 units, subQ, q6h Drugs available: a. Which heparin would you use? b. How many milliliters of heparin would you give per dose?

Order: vitamin B12 500 mcg, IM, 2 times per week Drugs available: a. Which cyanocobalamin cartridge would you use? b. How many milliliters of cyanocobalamin would you give?

Order: hydroxyzine (Vistaril) 75 mg, deep IM, stat Drug available: Vistaril 100 mg/2 mL How many milliliters of hydroxyzine would the patient receive?

Order: morphine 10 mg IM, stat Drug available: How many milliliters of morphine would you give?

Order: cefazolin (Ancef) 0.25 g, IM, q6h Drug available: a. How many milliliters of diluent would you add? b. After reconstitution, how many milliliters of cefazolin solution would you have? c. How many milliliters of Ancef would you administer per dose?

Order: NPH insulin 25 units, subQ, daily (7 AM) Drug available: Indicate on the insulin syringe the amount of insulin you would withdraw.

Order: Humulin R insulin 10 units and Humulin N insulin 36 units, subQ Drugs available: Humulin R insulin units 100/mL and Humulin N insulin units 100/mL Mark on the insulin syringe how much Humulin R insulin and how much Humulin N insulin you would withdraw.

Order: clindamycin 250 mg, IM, q6h Drug available: How many milliliters of clindamycin would you give per dose?

Order: ticarcillin (Ticar) 500 mg, IM, q6h Drug available: a. How many milliliters of diluent would you add to the powdered ticarcillin? b. How many milliliters of ticarcillin solution would you have after reconstitution? c. How many milliliters of Ticar would the patient receive per dose?

Order: vitamin B₁₂ 500 mcg, IM, 2 times per week Drugs available: a. Which cyanocobalamin cartridge would you use? b. How many milliliters of cyanocobalamin would you give?