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Complex Patient Case Results Doris Turner ShadowHealth 2024
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Complex Patient Case Results Doris Turner ShadowHealth 2024Suppose Mrs. Turner's orders call for 500 mg of azithromycin to be administered
intravenously for community-acquired pneumonia. The solution has been diluted to a
concentration of 2 mg/ml and needs to be administered over 1 hour.
At what rate should the infusion pump be set? - Determine how many milliliters of the
concentration will be delivered to administer
the ordered dose.
500 mg x1 mL/2 mg= 250 mL
Divide the total number of ml needed to deliver the 500 mg by the expected
duration of 1 hour.
250 mL/ 1 hr = 250 mL/hr
Number: 250
Units / Rate: mL/hr
Problem type: Dosage calculation + Stock on hand
Medication: venlafaxine
Mrs. Turner's daily medications include venlafaxine extended-release, 150 mg, by
mouth, once a day. However, the hospital pharmacy only carries 75 mg
extended-release tablets.
How many tablets of venlafaxine extended-release should be administered to her? -
You can use the equation below, where X is the number of tablets that should be
administered
D(ordered dose)/H(dose on hand) x Quantity = X
SAMPLE SOLUTION
1. Determine what information you have.
D (ordered dose) = 150 mg
H (dose on hand) = 75 mg
Q (quantity) = 1 tablet
2. Plug into the equation and solve
D (150 mg) x 1 tablet = X
H (75 mg)
X = 2 tablets
ANSWER
, Number: 2
Units: tablets
Problem tvpe: Total daily dosage
Medication: Acetaminophen @ hospital - hypothetical
Suppose Mrs. Tumer's provider updated her order for 325 mg, 2 tabs, by mouth q6h
PRN temp. > 100.5 F to 325 mg, 2 tabs, by mouth q4h PRN temp. > 100 5 F. The
Davis's Drug Guide reports that acetaminophen has a maximum recommended dosage
of 4 g/day
How many doses can Mrs. Turner take without exceeding the recommended maximum
dosage? - HINT
There are 1000 mg in one gram.
SAMPLE SOLUTION
1. Determine how many milligrams are in 4 grams.
4 g x 1000 mg/ 1 g= 4000 mg
2. Determine how many 325 mg tablets go into 4000 mg.
4000 mg x1 tablet/ 325 mg = 12.3 tablets
3. Round down to the nearest whole tablet = 12 tablets
4. Divide the total number of tablets by the number tablets in a dose.
12 tablets total x 1 dose/ 2 tablets = 6 doses
ANSWER
Number 6
Units: doses
Problem type: Total daily dose calculation
Medication: acetaminophen @ hospital
PROBLEM
Suppose Mrs. Tuner's current temperature is 100.8 F. For temperatures greater than
100.5
F, the prescriber's order allows acetaminophen, 325 mg, 2 tabs, by mouth, every 6
hours
Assume that on her first day of hospitalization, Mrs. Tumer's temperature is greater than
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