An order is written for phenytoin IV. A loading dose of 15mg/kg is to be infused at 0.5mg/kg/min for a 33 pound child. The Pharmacy has phenytoin injection solution 50mg/ml in a 5ml vial in stock. The pharmacist will put the dose into 50 ml NS. Over how many minutes should the dose be administered? Round to the nearest whole number.

Answers

Answer 1

The dose should be administered over 29 minutes.

To calculate the administration time, we need to determine the total dose of phenytoin needed and the infusion rate.

First, we calculate the total dose:

Weight of the child = 33 pounds

15 mg/kg loading dose for phenytoin

Converting pounds to kilograms:

33 pounds × 0.4536 kg/pound = 14.97 kg

Total dose = 15 mg/kg × 14.97 kg = 224.55 mg

Next, we calculate the infusion rate:

Infusion rate = 0.5 mg/kg/min

Weight of the child = 33 pounds

Converting pounds to kilograms:

33 pounds × 0.4536 kg/pound = 14.97 kg

Infusion rate = 0.5 mg/kg/min × 14.97 kg = 7.485 mg/min

Since the concentration of the phenytoin injection is 50 mg/ml and we need a total dose of 224.55 mg, we can calculate the volume of the injection needed:

Volume = Total dose / Concentration

Volume = 224.55 mg / 50 mg/ml ≈ 4.491 ml

Since the pharmacist will dilute the dose into 50 ml of normal saline (NS), the final volume will be 54.491 ml.

To calculate the administration time:

Administration time = Final volume / Infusion rate

Administration time = 54.491 ml / 7.485 mg/min ≈ 7.29 minutes

Rounded to the nearest whole number, the dose should be administered over 29 minutes.

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Related Questions

Vhat body position will likely be most comfortable for a patient experiencing congestive heart failure
CHF)? Why?

Answers

Answer:

Sitting upright is the most comfortable position for a patient experiencing congestive heart faliure.

Explanation:

Congestive heart failure is when your heart doesn't pump enough blood to meet the body's needs and the blood backs up, causing fluid to build up in your lungs. So, when sitting upright, gravity pulls the fluid down, but if laying down the fluid can fill the lungs more easily.

The following are antigen presenting cells except?
A) macrophages
B) neutrophils
C) B lymphocyte
D) dentritic

Answers

Answer:

the answer is neutrophils

What type of blood disorder caused by an infection

Answers

Proliferative Disorders is the answer

client refueses take medication because capsules are made of geliton wich nationality is it muslim christion or buddhist

Answers

The client who denied capsule medication will be Buddhist. Therefore option "C" is correct. Capulse is a form of medication. They contain ingredients that have active pharmaceutical ingredients and recipients.  The shell of the gelatin capsule should be such that it gets dissolved in the stomach.

Gelatin can be derived from animal sources and also can be from cellulose-based material. It hydrolysis when come in contact with digestive enzymes, acidic, and thermal hydrolysis. The types of capsular material used are fish, liquid-filled, and starch capsules.

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A client calls the clinic complaining of diarrhea that has lasted 36 hours. The nurse recommends what nutritional intervention for this client

Answers

The nurse recommends Liberal fluid intake nutritional intervention for this client.

What is Liberal fluid intake?

It facilitates some postoperative difficulties such as nausea, vomiting, drowsiness, dizziness, and length of stay. In patients experiencing minor surgery, mostly in the ambulatory setting, liberal fluid management may improve early healing and symptoms of dehydration (dizziness, nausea, and thirst).

Diarrhea exists usually driven by a virus or, sometimes, contaminated food. Less frequently, it can be a symptom of another disorder, such as inflammatory bowel disorder or irritable bowel syndrome.

Symptoms contain frequent, loose, watery stools and belly pain. Most cases are clear on their own. Some conditions may require antibiotics. Extreme cases can cause enough dehydration to need intravenous fluids.

Hence, Option A is correct. The nurse recommends Liberal fluid intake nutritional intervention for this client.

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The complete question is,

A client calls the clinic complaining of diarrhea that has lasted 36 hours. The nurse recommends what as nutrition therapy for this client?

A) Liberal fluid intake

B) Clear liquids only to decrease bowel stimulation

C) Low-potassium foods

D) Liberal intake of apple juice to replace nutrients

If someone is bitten by a poisonous spider, which neurotransmitter causes muscle spasms and
weakness?

Answers

Answer:

hope it helped

Explanation:

Acetylcholine is a chemical messenger, or neurotransmitter, that plays an important role in brain and muscle function. Imbalances in acetylcholine are linked with chronic conditions, such as Alzheimer's disease and Parkinson's disease. Acetylcholine was the first neurotransmitter discovered

Decreasing the angle between two bones. Bending a limb.Choose matching term1Open Fracture2Adduction3Flexion4Extension

Answers

Flexion is the joint action that lessens the angle between two nearby body segments. When the angle between the bones narrows, flexion, also known as bending, takes place.

Flexion can be seen in the movement of the wrist to bring the hand closer to the forearm or the forearm upward at the elbow. The angle between the bones of a joint widens during extension, which is the opposite of flexion. Extending a limb after flexion is an illustration of extension. Hyperextension is the term used to describe extension past the normal anatomical position. To do this, one can tilt their head back and look upward, or they can bend their wrists to move their hand away from their forearm. A bone moves into abduction when it deviates from the body's midline.

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3. You check the driver and discover that the driver is unresponsive. You tell a bystander to call 9-1-1. List the information that the bystander should have when calling 9-1-1.

Answers

A calm approach to the people on the phone, your location, if you know what is need (fire dep., ambulance etc.), and the situation (who’s hurt what happened and if there’s a bad guy where he/she is)

You should wash your hands BEFORE which of the following activities?
O a. Using the restroom
O b. Eating or smoking
O c. Taking out the trash
O d. Putting on clean gloves

Answers

Answer:

eating or smoking

Explanation:

so as to avoid infection or disease

a nurse is preparing to administer ceftazidime 1 g by intermittent IV bolus every 12 hr. Available is ceftazidime injection 1 g in 0.9% sodium chloride

Answers

The nurse should administer the ceftazidime 1 g by intermittent IV bolus every 12 hours as prescribed by the healthcare provider.

What should the nurse do before administering the medication?

Before administering the medication, the nurse should ensure that the patient does not have any allergies to ceftazidime or any other cephalosporin antibiotics.

The nurse should also verify the dosage and frequency of administration with the prescribing healthcare provider and assess the patient's renal function as ceftazidime is primarily eliminated by the kidneys.

To administer the medication by intermittent IV bolus, the nurse should follow these steps:

Wash hands thoroughly and put on gloves.Check the medication label for accuracy, including the expiration date and concentration of the solution.Use an alcohol swab to clean the rubber stopper on the medication vial.Withdraw 10 mL of 0.9% sodium chloride solution into a syringe.Inject the 10 mL of 0.9% sodium chloride solution into the medication vial.Gently swirl the vial to mix the medication with the solution.Withdraw 1 g of the reconstituted medication into the syringe.Choose a suitable injection site, such as the patient's upper arm or thigh.Clean the injection site with an alcohol swab.Administer the medication slowly over 3-5 minutes, observing the patient for any adverse reactions.Dispose of the syringe and needle in a sharps container.Document the medication administration in the patient's medical record.

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why people buy fast food knowing it is bad for their health

Answers

because it’s relatively easy to acquire and usually cheap. way faster to get then cooking a home meal.

bob is a telemarketer so spent a large amount of his day sitting. however, bob is also a high level marathon runner so he gets a high volume of moderate to high intensity exercise. does this type of lifestyle help him lower his risk of mortality?

Answers

Yes, this type of lifestyle helps him lower his risk of mortality.

A healthy lifestyle is one that assists people in maintaining and improving their health and well-being while simultaneously dealing with stress. Many governments and non-governmental groups are working to promote healthy living. Healthy living has a long-term impact. Healthy nutrition, physical activity, weight control, and stress management are all part of being healthy.

A balanced diet is part of a healthy lifestyle. This does not imply eliminating vital food categories from your diet or lowering your daily calorie intake. A well-balanced diet includes foods from all food categories at each meal. Meats, dairy products, fruits, and vegetables are all key components of a balanced diet.

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Which spinal plexus gives rise to the phrenic nerve, and what organ does this nerve supply?.

Answers

The phrenic nerve is derived from the cervical plexus and receives innervation from the C3, C4, and C5 nerve roots. It is the longest branch of the cervical plexus.

Why does phrenic nerve supply diaphragm?

The C3-C5 spinal nerves in the neck give rise to the phrenic nerve, a mixed motor and sensory nerve. The diaphragm, the main muscle of respiration, is exclusively controlled by the nerve, making it essential for breathing.

What organ does this nerve supply?.

The jejunum receives both intrinsic and extrinsic nerve supply. The preganglionic parasympathetic and postganglionic sympathetic branches of the celiac plexus provide the autonomic extrinsic supply. These neurons go via branches of the major vessels from the mesentery into the jejunum.

What are the 4 types of nerves?

It is conventional, however, to describe nerve types on the basis of their function: motor, sensory, autonomic or cranial.

Motor Nerves. Sensory Nerves.Autonomic Nerves. Cranial Nerves.

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An individual who experiences disabling symptoms such as recurrent and intrusive distressing memories or dreams, flashbacks, difficulty sleeping, or inability to experience positive emotions within three days to a month after exposure to a traumatic event may be diagnosed with _____.

Answers

The individual is diagnosed with acute stress disorder (ASD). A stressful experience might result in acute stress disorder (ASD), a mental health condition, within the first month.

The symptoms of ASD are similar to those of PTSD, however PTSD requires that you have the symptoms for more than one month. Acute stress reactions (ASD) might cause the following symptoms: psychological signs and symptoms such anxiety, melancholy, irritability, mood swings, lack of sleep, difficulty concentrating, and a desire for solitude. Flashbacks are recurring dreams, which can be bothersome and unpleasant acute stress disorder.

A horrifying incident has been presented to those who suffer from acute stress disorder (ASD). Either directly or indirectly, they might feel it. For instance, direct exposure could result in the threat of death, severe damage, or violent behavior.

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The physician orders 1 gram of Keflex to be administered in 4 divided daily doses. What is the dosage to be administered in each individual divided dose?

Answers

Answer:

With only 1 gram being the dose for a whole day, every time the individual would take 0.25 grams of Keflex.

Explanation:

1 / 4

Only 1 gram being the dose for a whole day, every time the individual is going to have 0.25 grams of Keflex.

Who is a physician?

A doctor with a medical degree is referred to as a "physician" in general. Physicians investigate, diagnose, and treat illnesses and injuries in an effort to preserve, promote, and restore health.

A multitude of bacterial illnesses can be treated with cefalexin, which is also known as cephalexin. By preventing the development of the bacterial cell wall, it destroys most gram-positive bacteria as well as some gram-negative ones.

As well as, the doctor instructs 4 daily doses of 1 gramme of Keflex to be provided. The dosage for the entire day was just 1 gramme, thus the patient would take 0.25 grams of Keflex each time.

Thus, 0.25 grams of dosage to be administered in each individual divided dose.

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When is periodontal disease reversible?

Answers

Answer:

it's reversible

it is related to teeth

Yes it is reversible

______ is accounts for approximately one-third of the body's water.

Answers

Intracellular fluid (ICF) accounts for approximately one-third of the body's water.

ICF refers to the fluid that is found within cells and is separated from extracellular fluid (ECF), which is the fluid found outside of cells. The ICF plays a vital role in maintaining cellular function, as it contains important nutrients, electrolytes, and signaling molecules that are necessary for cell growth, metabolism, and communication. Imbalances in ICF volume and composition can have significant impacts on overall health, and may contribute to the development of a range of diseases and disorders. Maintaining proper hydration is essential for ensuring that the body's ICF is functioning optimally.

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Sumaya is ordered ceftazidime PO 9mg/kg per day. Her weight is 10kg. Calculate Sumaya's dosage for the day

Answers

Answer:

Sumaya's dosage for the day is 90mg

Explanation:

Given

\(PO=9mg/kg\) --- daily

\(Weight = 10kg\)

Required

The daily dosage

To do this, we simply multiply Sumaya's weight and the dose of PO

So, we have:

\(Dosage = PO * Weight\)

\(Dosage = 9mg/kg * 10kg\)

\(Dosage = 90mg\)

Sue Larson am active 16 year old presented to the office with ankle fracture the provider has order you to help fit her for crutches. She states she has never had an injury like this before and that she doesn’t think she needs assistance it will be fun and easy to use crutches

Answers

Answer: well first of all using crutches is not easy and fun i was stuck in crutches for one month and half first wrapped the ankle up then have them  try and walk around with the crutches  

Explanation:

I'll tell the patient that crutches will help her walk better as they'll provide her with the needed support when they walk.

Crutches are often used by someone who has an injury in the leg and cannot walk properly.

Since Sue has an ankle fracture, using crutches will her her regain stability and balance. Using the crutches is also important as it'll reduce the stress on the leg.

In conclusion, the above reasons will be given to Sue to enable her take the crutches.

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Select the individuals who are more vulnerable to developing an active infection.- Elderly patients- Newborns- Patients taking immunosuppressive medications

Answers

Patients taking immunosuppressive medications and elderly patients are more vulnerable to developing an active infection.

One of the most significant issues with immunosuppressive medications is the increased risk of infections because these drugs severely impair the immune systems of their users.

Due to a number of circumstances, elderly persons are more prone to infections. As people age, comorbid illnesses like diabetes, renal failure, and arthritis become increasingly prevalent. People are more susceptible to infections due to the large number and variety of comorbid disorders.

The general vulnerability of a person exposed to a virus is influenced by a variety of innate factors (such as age, nutritional state, heredity, immunological competence, and pre-existing chronic conditions) and external ones (such as concurrent medication therapy).

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Calculate the amount you will prepare for one dose.
Order: atropine gr 1/100 IM on call to O.R
Supply: atropine 0.4 mg/mL (Use gri = 60mg)
0.01

Answers

The amount you will prepare for one dose is mathematically given as

x = 1.5 ml

What is the amount you will prepare for one dose.?

Parameters

Volume = 1ml

Dose = 0.4 mg

Quantity to be Allotted= x

Generally, the equation for gr is mathematically given as

gr 1/ 100 = 0.6 mg

Therefore

\(Quantity to be Allotted=dose order * \frac{ total\ volume \ in \ hand}{dose in hand}\)

x=0.6 * 1 / 0.4

x = 1.5 ml

In conclusion,  the amount you will prepare for one dose.

x = 1.5 ml

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Mr Ford shows you a deep wound on the interior side of his body medial to the left hip lateral to the ambucus inferior to the collar bone and interior to the waist. In the activity, place an indication where where the patient describes the location.​

Answers

Answer:

a tad bit lower then the rib cage

Explanation:

A
the petty cash fund has $0.82. your policy and procedure requires that there be a minimum of $100 in the
fund. after adding the $100, you reimburse several employees for out-of-pocket business expenses in the
following amounts: purchase of folders: $5.16, payment of courier: $75.00, and replenishment of soda machine:
$15.00. after completing the petty cash log, what is the ending balance?

Answers

Petty Cash Fund 0.82 + 100.00 Added= 100.82. Reimbursements $5.16+$15.00+$75.00= 95.16.100.82-95.6= $5.22 Ending balance.

What is Balance?

The net residual balance in an account is the finishing balance. It is typically measured as part of the closing process at the conclusion of a reporting period.

The term "closing balance" in banking simply means the balance in your account at the end of the day, month, or year. Both credit and debit sums are included in this.

There may be outstanding transactions that haven't been cleared by the bank yet that wouldn't be included in a bank closure statement but would be included in an accounting closing statement, causing a bank closing balance to differ from an accounting closing balance.

Therefore, Petty Cash Fund 0.82 + 100.00 Added= 100.82. Reimbursements $5.16+$15.00+$75.00= 95.16.100.82-95.6= $5.22 Ending balance.

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Which of the following is NOT a long-term effect of marijuana use?

A.
Lower learning capabilities
B.
Weaker communication skills
C.
Increased memory
D.
Shorter attention span

Answers

Answer:

I think it's increased memory

Answer:

its c. increases memory

Which of these would a three-year-old probably not be ready to do?
O use glue
O fasten his or her buttons
O string beads
O speak in complete sentences

Answers

Answer:

speak in complete sentences

fasten his or her buttons or speak in complete sentences.


1. Explain why you think the office would have a "no cell phones" policy for employees
D

Answers

Answer:

hipaa violations

Explanation:

The office would have no cell phones policy for employees to increase the concentration during the working hours and increase the productivity of work.

What is no cell phone policy?

No cell phone policy is the policy in which the use of cell phone is strictly prohibited and it is implemented in offices or working place to increase the productivity and concentration in workings hours.

Excessive use of cell phone at work can reduce the quality of work because while using phone brain stops to generate the good ideas and limit yourself.

During working hours mobile devices are could to be in the desk and advised not to keep the mobile phone in hand or nearby working table.

Cell phone policies is a set of guidelines regarding use of cellphone in the workplace. The employees of that workplace should be  read cell phone policies before joining.

Several countries banned cell phone on working place to avoid distraction during work. It helps to maintain the productivity and total working are utilized properly in order to achieve the target.

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You respond to call for trouble breathing. When you arrive, you find a 75 year old man struggling to breathe. You notice he has gurgling sounds when breathing, and he is coughing up pink fluid . The patient has swollen ankles, and he tells you he had a heart attack 6 months ago. What should you do?

Answers

Answer: he might have Congestive Heart Failure

Explanation:

A chronic condition in which the heart doesn't pump blood as well as it should.

Heart failure can occur if the heart cannot pump (systolic) or fill (diastolic) adequately.

Symptoms include shortness of breath, fatigue, swollen legs, and rapid heartbeat.

Treatments can include eating less salt, limiting fluid intake, and taking prescription medications. In some cases a defibrillator or pacemaker may be implanted.

why bromoacetic acid is added slowly in the synthesis of 5 fluorouracil acetic acid?

Answers

This reduces the possibility of temperature spikes and ensures that the reaction proceeds in a regulated manner.

What is bromoacetic acid?

The chemical compound bromoacetic acid, sometimes referred to as bromoacetate, has the molecular formula CH2BrCOOH. It is a white liquid with a strong, unpleasant smell that is soluble in water.

Since the reaction between the bromoacetic acid and 5-fluorouracil is highly exothermic, bromoacetic acid is introduced gradually throughout the manufacture of 5-fluorouracil (5-FU). The temperature may rise quickly if the bromoacetic acid is added too quickly, which could result in uncontrollable reactions and unintended side effects.

Bromoacetic acid is added gradually, which reduces the possibility of temperature spikes and ensures that the reaction proceeds in a regulated manner. This allows the heat produced during the reaction to be dispersed gradually. This lowers the quantity of undesirable byproducts while increasing the output of the desired product, 5-fluorouracil acetic acid.

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pomies
(03.02 MC)
You are helping your family make better grocery shopping choices. Which
A. new grocery store your family hasn't heard of before
B. A popular local market that is well established
C. small market that needs more customers to stay open
D. A food truck that sells expensive pastries and sandwiches​

Answers

Answer:

B

Explanation:

Better to shop where you know and be sure you'll get the best quality no matter how the market looks like

The answer should be B. A popular local market that is well established

List three reasons a TST would be contraindicated in a patient.

Answers

A TST (Tuberculin Skin Test) is a diagnostic test used to detect the presence of tuberculosis (TB) infection. However, there are some situations where a TST would be contraindicated or not recommended. Here are three reasons why a TST may not be appropriate for a patient:

1. Prior positive TST: If a patient has already had a positive TST result in the past, then they are considered to have a latent TB infection and do not need another TST. Instead, a different test such as interferon-gamma release assay (IGRA) may be used to monitor the patient's TB infection status.

2. Recent vaccination: If a patient has received a bacille Calmette-Guérin (BCG) vaccine within the past 4-6 weeks, then the vaccine may cause a false-positive TST result. Therefore, it is recommended to wait at least 4-6 weeks after BCG vaccination before administering a TST.

3. Immunosuppression: If a patient is immunocompromised due to a medical condition or medication use, then the TST may not be reliable in detecting TB infection. In such cases, an IGRA test may be more appropriate, or other diagnostic tests may be necessary to evaluate the patient's TB infection status.

It is important to note that the decision to perform a TST or any diagnostic test is based on the patient's individual medical history and risk factors. Before administering any diagnostic test, healthcare providers should review the patient's medical history and assess any contraindications or potential risks associated with the test.
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PLEASE HELP! Will give brainliest if its the correct answer!!! This is a photo taken several years after the Kilauea volcano erupted in Hawaii. What type of succession is shown and how do you know?Primary because there are only small plants growing,Primary because a volcanic eruption covers the area in rock,Secondary because small plants are able to grow soon after the disturbanceSecondary because you can still see trees in the background that were not covered by lava evaluate the current situation of Turkey's agriculturaleconomics sector arp reported on the number of weeks it takes a worker aged 55 plus to find a job. the data on number of weeks spent searching for a job contained in the file jobsearch are consistent with the aarp findings. a. provide a point estimate of the population mean number of weeks it takes a worker aged 55 plus to find a job. b. at 95% confidence, what is the margin of error? c. what is the 95% confidence interval estimate of the mean? d. discuss the degree of skewness found in t I need 40 people to enter this link and Singh up, can you please help mehttps://xzjob.xyz/ba36399822546/ Please help with this!! Which type of succession occurs when communities form in an area that was previously uninhabited by organisms?. In Nigeria, people can open their own business, choose their careers and job paths, and can purchase a wide variety of goods. However, the national government places tariffs on imported goods, they have a significant share in the oil industry and they regulate much of the country's industry. Based on this description, Nigeria could BEST be categorized as which type of economy? At mid ocean ridges, rocks may undergo metamorphism under conditions that are low pressure, high temperature. True B False Sylvester is hired by the defense to help select jurors who would be less likely to convict. This is an example of the following role played by psychologists in the legal system:A. advisorB. clinicianC. evaluatorD. reformer A type of painting that is large and semi-detailed it uses large broad strokes How long does it take to deposit a coating of gold 1.00 mu m thick on a disk-shaped medallion 4.00 cm in diameter and 2.00 mm thick at constant current of 83 A? The density of gold is 19.3 g/cm3 and the gold is from an Au(III) solution. Let f(x, y, z) = x2 + y2 + z2. Find the directional derivative of f in direction a = - V2i-j-k at the point P = = (1,-1,2). = O A. The directional derivative is 412 - 4. OB. The directional derivative is 2-1 2 O C. The directional derivative is 2-1. D. The directional derivative is 2/2 - 2. O 0 which topic is most important for the nurse to discuss preoperatively with a patient who is scheduled for a colon resection?\ An individual has the genotype Aa Bb CC Dd ee FF. How many different types of gametes could it produce in terms of unique allelic combinations of these genes? Observe a produao de leite de minha fazenda: *em janeiro produzi 818,4 litros de leite *em fevereiro 771,1 litros de leite *em maro 815,2 litros de leite *em abril 784,5 litros de leite *em maio 803,4 litros de leite * em junho 742,9 litros de leite Agora responda: a) Quantos litros de leite foram produzidos EM MDIA, POR MS? b)Quantos litros de leite, em mdia, foram produzidos DIARIAMENTE no ms de JANEIRO. *COLOQUE O CALCULO E RESULTADO PFVR* what is a negative minus a negative The covert cia effort to overthrow the castro regime in the early 1960s was known by what codename?. when darley and batson (1973) staged an ambiguous emergency (a man slumped in a doorway) in front of seminary students they found that Which of the following is a file extension that indicates the file type of application in a Windows environment?a. ocxb. appc. inid. exe 8. using the information given in chapters 2 and 3, describe the conditions that induce brittle fracture in an otherwise ductile piece of metal.