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

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