Quiz 7 Problems

1. Order: Solu-Medrol 250 mg IV q6h.
    Supply: Each 2 mL contains methylprednisolone sodium succinate equivalent to 125 mg.
    Give _____ mL Solu-Medrol
    Drug handbook states: "give by direct IV at a rate of 500 mg or fraction thereof over 60 seconds."

    How many mL per minute should be administered?

2. Order: Digoxin 0.25 mg IV qd.
    Supply: Digoxin 500 mcg in 2 mL
    Give _____ mL Digoxin
    Drug handbook states: 
    "may be administered diluted in 4 mL sterile water. Administer each direct IV dose over at least 5 min."

    How many mL per minute should be administered?

3. Order: morphine sulfate 2mg IVP q 30 min for breakthrough pain.
    Supply: morphine sulfate 2 mg per mL
    Give _______ mL morphine sulfate

    Drug handbook states: "may be given by direct IV over 4 - 5 min."
    If you give the medication over 4 minutes, how many mL will be injected every minute? 

4. Order: Droperidol 0.625 mg IV q6h for postoperative nausea
    Supply: Droperidol 5 mg/2mL
    Give _____mL Droperidol

    Drug handbook states: "may be given undiluted at a rate of 10 mg over 60 seconds"
    If you administer the dose over 1 minute, how many mL will be injected every 15 seconds?

5. Order: Lasix 80 mg IVP q8h
    Supply: Lasix 40 mg/4mL
    Give _____mL Lasix

    Drug handbook states: "give by direct IV undiluted at a rate of 20 mg over 1 minute."
     What is a safe infusion time for the entire 80 mg dose?
     How many mL per minute should be administered? 

6. The IVP dose to be administered is 6 mL to be infused over 5 minutes.  
    Over how many seconds will you administer each calibration on the following syringe? 
    

7. The medication to be administered IVP is 2 mL to be given over  10 minutes.
    Over how many seconds will you administer each calibration on the syringe? 
    

8. The IVP medication to be administered is 1 mL over 1 minute.
    How many mL will you give each 15 seconds?
  


 

9. The IVP medication to be administered is 0.25 mL to be given over 2 minutes.
    Over how many seconds will you administer each calibration on the syringe?
    

10. The IVP medication to be given is 5 mL to be given over 5 minutes.
       Over how many seconds will you administer each calibration on the syringe?
     

11. For a Dexamethasone suppression test, dose ordered is 5 mg q6h X 48 hrs
       Supply: 10 mg/mL
       Drug handbook states, "Give undiluted over 1 minute."
       Give _____ mL
       Over how many seconds should the nurse administer each calibration on the syringe?

12. Order: Lasix 60 mg IV push at the rate of 2 mg/min
       Supply: 10 mg/mL
       Give _____ mL/min

13. Order: Calcium chloride 10% (5mL) over 5 minutes
       Give _____ mL/min

14. Order: Dilantin loading dose 900 mg IV at the rate of 50 mg/min
       Supply: Dilantin 100 mg/mL
       Give _____ mL
       Give _____ mL/min

15. Order Lanoxin 0.25 mg IV q AM
       Supply: Lanoxin 500 mcg/2 mL
       Give _____ mL
       To administer this dose over 5 minutes, give _____ ml/min

16. Give Drug "XYZ" 1 mg IVP over 10 min
       The literature specifies a minimum of 5 minutes for administration.
       Supply: 250 mcg/mL
       Give _____ mL
       Give _____ mL/min

17. Give 20 mL Drug "K" over 10 minutes
       Give _____ mL per 15 seconds

18. Give 100 mg Drug "L" IVP stat
       Drug "L" preparation is 20 mg/mL
       Give _____ mL
       Drug handbook states, "Give 10 mg per minute."
       Total time for this IVP medication  _____ minutes
       Give _____ mL each 15 seconds

19. Give 10 mL Drug "M" over 5 minutes
       Give _____ each 15 seconds

20. Give 2 mL Drug "N" over 2 minutes
       Give _____ mL each 15 seconds

Key

1. Give  4 mL at a rate of 4 mL/min

2. Give 1 mL at a rate of 1 mL/min

3. Give 1 mL morphine sulfate at 0.25 mL per min

mL  = 1 mL = 0.25 mL/ min
min 4 min  

4. Give 0.25 mL Droperidol at 0.06 mL/15 sec.

mL     = 0.25 mL  X 15 sec = 0.06 mL per 15 sec
15 sec 60 sec    

5. Give 8 mL Lasix over 4 min; give at a rate of 2 mL/ min

min = 1 min X 80 mg = 4 min
  20 mg    

    

mL   = 8 mL  X 20 mg  X = 2 mL/ min
min 80 mg 1 min  

6. Give each calibration on the syringe over 10 seconds.

sec            = 300 sec  X 5 min  X 6 mL = 10 sec/ cal
calibration 5 min 6 mL 30 cal.  

7. Give each calibration on the syringe over 30 seconds.

sec    = 600 sec  X 10 min = 30 sec/ cal.
cal. 10 min 20 cal  

8. Give 0.25 mL over 15 seconds

mL       = 1 mL  X 1 min  X 15 sec = 0.25 mL over 15 sec
15 sec 1 min 60 sec    

9. Give each calibration on the syringe over 5 seconds.

sec   = 120 sec  X 2 min  X 0.25 mL = 5 sec
cal. 2 min 0.25 mL 25 cal.  

10. Give each calibration on the syringe over 12 seconds

sec   = 300 sec  X 5 min  X 5 mL = 12 sec
cal. 5 min 5 mL 5 cal.  

11. Give 0.5 mL; give each calibration on the syringe over 12 seconds

sec   = 60 sec  X 1 min  X 0.5 mL = 12 sec
cal. 1 min 0.5 mL 5 cal.  

12. Give 0.2 mL per minute

mL   = 1 mL  X 2 mg = 0.2 mL/ min
min 10 mg 1 min  

13. Give 1 mL/min

mL  = 5 mL = 1 mL/ min
min 5 min  

14. Give 9 mL at a rate of 0.5 mL/min

mL  = 1 mL   X 50 mg  X = 0.5mL/ min 
min 100 mg 1 min  

          15. Give 1 mL at a rate of 0.2 mL/min

mL  = 1 mL = 0.2 mL/ min
min 5 min  

16. Give 4 mL at a rate of 0.4 mL/min

mL  = 4 mL =  0.4 mL/ min
min 10 min  

17. Give 0.5 mL over 15 seconds
       

mL     = 20 mL  X 10 min  X 15 sec =  0.5 mL over 15 sec
15 sec 10 min 600 sec    

18. Give 5 mL over 10 minutes
       Give 0.1 mL each 15 sec
       

Total time
min = 1 min  X 100 mg = 10 minutes
  10 mg    

mL per 15 sec.
mL     = 1 mL  X 10 mg  X 1 min  X 15 sec = 0.1 mL/ 15 sec
15 sec 20 mg 1 min 60 sec    

19. Give 0.5 mL each 15 sec

mL     = 10 mL  X 5 min  X 15 sec = 0.5mL/ 15 sec
15 sec 5 min 300 sec    

20. Give 0.3 mL each 15 sec

mL     = 2 mL  X 2 min  X 15 sec = 0.25 mL/ 15 sec (round up to 0.3 mL/ 15 sec)
15 sec 2 min 120 sec