The Physician Orders Medication Discussion Paper

## Question

The physician orders Medication A $1.2gIMq.am$. The pharmacy sends Medication $A$, which includes the following instructions on the insert, “Add $12mL,6mL$, or $3mL$ of diluent to provide $100mg,200mg$, or $400mg$ per $mL$, respectively.” The nurse adds $3mL$ of diluent. How many milliters of medication will the nurse administer? Enter the numeral only (not the unit) in your answer. Enter your answer. $mL$ INCORRECT The nurse has an order to administer Novolin N 19 units subcut q.AM. Which insulin syringe can be used to accurately measure the dose? Select all that apply. 30 -unit insulin syringe 50-unit insulin syringe 100 -unit insulin syringe Dual scale insulin syringe The nurse should round the dose up to 20 units and use any of the syringes. INCORAECT During a shift, the patient consumed $180mL$ of water, $200mL$ of tea, $8oz$ of milk, and one 6 oz glass of ice chips. Calculate the total intake for the shift (in mL). Enter the numeral only (not the unit) in your answer. Enter your answer. $mL$ INCORRECT A shift spans a patient’s breakfast and lunch. For breakfast, the patient drank 5 oz of juice and $80mL$ of coffee. For lunch, the patient drank $6oz$ of milk and ate $200mL$ of ice cream. By the end of the shift, the patient drank $500mL$ of water. Calculate the total intake for the shift in milliliters. Enter the numeral only (not the unit) in your arswer. Enter your answer. $mL$ INCORRECT

## Expert Answer

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1st step

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Step 1/4

Answer. 38.

Ordered drug = 1.2 gm

Available drug concentration = 400 mg / ml

1 gm = 1000 mg.

1.2 gm ✖ 1000 mg / gm = 1200 mg.

We need to calculate required volume of drug.

Explanation:

Formula for required volume = Desire drug dose / available drug concentration ✖ quantity.

Required volume = 1200 mg / 400 mg ✖ 1 ml.

Required volume = 3 ✖ 1 ml.

Required volume = 3 ml.

Step 2/4

Answer. 42.

1. 30 unit insulin syringe.

2. 50 unit insulin syringe.

3. Duel scale insulin syringe.

Explanation:

For accurate measure 19 unit insulin we need to use 30 unit, 50 unit and duel scale insulin syringe.

These syringe have marked as 5 , 10 , 15 , 20 to till 50 unit. In between these number these syringes marked as four single lines they represent single unit.

So we can use 30 , 50 and duel scale insulin syringe to measure 19 unit insulin accurately.

In 100 unit insulin syringe marking is 10 , 20 , 30 to 100 unit. In between these marking four line represent every 2 unit.

Step 3/4

Answer. 48.

Total intake during shift:—

1. Water — = 180 ml.

2. Tea = 200 ml.

3. Milk = 8 oz = 8 oz ✖ 30 ml / oz = 240 ml.

4. Ice chips = 6 oz = 6 oz ✖ 30 ml / oz = 180 ml.

Explanation: The Physician Orders Medication Discussion Paper

1 oz = 30 ml.

We need to calculate total volume.

Total intake = water + milk + tea + ice chips.

Total intake = 180 ml + 200 ml + 240 ml + 180 ml.

Total intake = 800 ml.

Step 4/4

Answer. 50.

Total intake during shift :—

1. Juice = 5 oz ✖ 30 ml / oz = 150 ml.

2. Coffee = 80 ml.

3. Milk = 6 oz. ✖ 30 ml / oz = 180 ml

4. Ice cream = 200 ml.

5. Water = 500 ml.

Explanation:

Total intake = 150 ml + 80 ml + 180 ml + 200 ml + 500 ml.

Total intake = 1110 ml.

Final answer

Answer. 38 . 3 ml.

Answer. 42.

1. 30 unit insulin syringe.

2. 50 unit insulin syringe.

3. Duel scale insulin syringe

Answer. 48. 800 ml.

Answer. 50 . 1110 ml

The Physician Orders Medication Discussion Paper