Situation 2: You are treating a 127.6  lb female who is pres…

Situation 2: You are treating a 127.6  lb female who is presenting with non-rate-dependent frequent multi-focal PVC’s.  You are ordered to administer to the patient a lidocaine bolus IV push of 1 mg/kg, followed by a lidocaine drip at a dosage of 2 mg/min. What is the patient’s weight? [A1] kg   The pre-filled syringe for the lidocaine bolus comes packaged as “100 mg/10 ml..” What is the concentration of lidacaine? [A2] mg/ml   How many ml of lidocaine do you push? [A3] ml   You have a 500 ml bag of D5W to which you add 2 gm of lidocaine.  Your IV tubing is a mini-drip solution set. What is the concentration of lidocaine? [A4] mg/ml   How many gtt/min do you give? [A5] gtt/min

Situation 12: You are transporting a 28-pound 3-year old chi…

Situation 12: You are transporting a 28-pound 3-year old child who has an extensive cardiac history.  The patient has an IV of D5W running at a KVO rate.  The monitor shows the child throwing multifocal PVC’s at a tare of 8/min.  You contact the base hospital.  The physician advises you to administer a bolus of lidocaine at a dose of 1 mg/kg.  Your pre-filled syringe of lidocaine is labeled “100 mg/10 ml.” What is the patient’s weight? [A1] kg   What is the concentration of the drug? [A2] mg/ml   How many ml of lidocaine do you administer? [A3] ml   The physician has also requested a lidocaine drip be started.  He advises adding 120 mg of lidocaine to 100 ml of D5W.  You have another pre-filled syringe of lidocaine labeled “100 mg/10 ml,” as well as what I left in the other pre-filled syringe. How many ml of lidocaine do you add to the IV bag? [A4] ml   What is the concentration of the lidocaine mixture? [A5] mg/ml   You attach a mini-drip solution set to the lidocaine mixture bag.  The physician tells you to run the drip at a rate of 20 mcg/kg/min. How many gtt/min do you run the lidocaine drip? [A6] gtt/min

You are treating a 148-lb man who is in status epilepticus. …

You are treating a 148-lb man who is in status epilepticus.  You are ordered to start an IV of D5W to be run at a KVO (30 ml/hr) rate.  You select a 500 ml bag of D5W and a mini-drip solution set. How many gtt/min do you run the IV? [A1] gtt/min   The base physician requests you to administer 5 mg of diazepam slow IV push.  Your pre-filled syringe of diazepam comes packaged as “10 mg/2ml.   What is the concentration of diazepam? [A2] mg/ml   How many ml of diazepam do you push? [A3] ml

Situation 3: You are treating a 63-year old male who is in p…

Situation 3: You are treating a 63-year old male who is in pulmonary edema due to left heart failure.  His blood pressure is 120/82, and his pulse, which matches his ECG, is 96/min.  You are ordered to start an IV of D5W to be run at a rate of 20 cc/min.  You select a 500 ml bag of D5W and a 10 drop solution set. How fast do you run the IV? [A1] gtt/min   You are ordered to give your patient 40 mg of furosemide IV push over 1 to 2 minutes.  Your pre-filled syringe of furosemide comes as “100 mg/10 ml.” What is the concentration of the furosemide? [A2] mg/ml   How many ml of furosemide do you administer? [A3] ml