A 74-year-old man is admitted with a myocardial infarction and a severe acute cardiac arrhythmia. You decide to give lidocaine to correct the arrhythmia. A continuous intravenous infusion of lidocaine, 1.92 mg/min, is started at 8 AM. The pharmacokinetic parameters of lidocaine are: Vd 77 L; clearance 640 mL/min; half-life 1.4 h. What is the expected steady-state plasma concentration? a. 40 mg/L b. 0.025 mg/L C. 3.46 mg/L d. 7.2 mg/L e. 3.0 mg/l
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- Daisy (7 years old; 30 kg) is admitted to hospital for meningitis and requires a short intravenous infusions of cefotaxime. A dose of 50 mg/kg is recommended every 6 hours for the first 4 days. Only 2 g cefotaxime vials are available. The powder in the vials is dissolved with 4.0 mL of saline. Calculate the volume (in mL to 1 d.p.)of this solution which should be transfered to the 40mL syringe driver for a single infusion.A patlent has been prescribed 1.25 mg ramipril capsules 43h poat myocardial infarction. How many capaules need to be dapenned for a 14 dey supely Assume that ramipril is wel tolerated 1. Name of the medicinal product Ramipril 1.25 mg capsules, hard 2. Qualitative and quantitative composition Ramipril 1.25 mg, capsules, hard contains 1.25 mg of ramipril For the full list of excipients, see section 6.1. Symptomatic heart failure Starting Dose: In patients stabilized on diuretic therapy, the recommended initial dose is 1.25 mg daly. Titration and maintenance dose Ramipril should be titrated by doubling the dose every one to two weeks up to a maximum daily dose of 10 mg. Two administrations per day are preferable. Secondary prevention after acute myocardial infarction and heart failure Starting Dose After 48 hours, following myocardial infarction in a clinically and haemo dynamically stable patient, the starting dose is 2.5 mg twice daily for three days. If the initial 2.5 mg dose is not…Order: Pantoprozole 40mg IV q12h. According to the IV drug guide, you need to add the 40mg /10mL dose to a 100 mL minibag of 0.9% NS for administration. The recommended rate of infusion is 30 minutes. If you administer the pantoprazole using an infusion pump, you need to set an hourly rate. In order to infuse the 100ml minibag in 30 minutes, what hourly rate would you set on the pump?
- 8) An order is written for 10 mL of a 10% calcium chloride injection and 10 mL of multivitamin o) An order is written for 10 mL of a 10% calcium chloride iniection and 10 mL of multivitamin Injection (MVI) to be added to1000 ml. of D5W. The infusion is to be administered over 6 hour* me iv set delivers 10 drops/ mL. What should be the rate of flow in drops per minute to deliver this infusion? normal saine is0.9%odum chloriee access TPN/P Perisher 9) A nurse hangs a bag of D51/2 NS with 20meg kcl. The bag is a 1 liter bag and needs to be infused at 120ml/hour. She needs to deliver a bolus of fluid first of 200ml to be infused in 30 minutes before she can run the regular IV rate. She has an IV set that is 10gtts/ml. She gets off work at 6pm and wants to know if she will need another bag of IV fluids before she leaves work. It is currently noon. The bag of fluids will run out at what time?The doctor ordered PLR 1L (80/ml hour) for a 78 kg patient. The Surviving Sepsis Guideline indicates that "For patients with sepsis induced hypoperfusion or septic shock we suggest that at least 30 mL/kg of intravenous (IV) crystalloid fuid should be given within the frst 3 h of resuscitation." Does the ordered medication comply with the guideline? If not, what should be the infusion rate of the PLR 1L and how many PLR 1L will be used?Calculate the I & O from 7 am-3 pm. A client has IV fluids D5 ½ NS with 20 mEq potassium chloride (KCI) infusing at 75 mL/hr at 7 am. An order is received to increase the IV fluid to 100 mL/hr at 10 am. The IV fluids are held for 1 hour while Ampicillin 1 g in 100 mL of 0.9% NS is infused from 12 pm to 1 pm. The client consumes the following: Breakfast: 1½ glasses of cranberry juice (glass = 6 oz) 2½ cups of tea (cup = 8 oz) Lunch: 3/4 can of gingerale (can = 12 oz) 2 bowl of broth (bowl = 6 oz) 4 oz ice cream The client voids four times during the shift: 375 mL, 250 mL, 400 mL, and 300 mL of urine. Intake Output mL mL