Case: A 20-year-old man, height 5.8 ft and weight 65 kg, with no past medical history presented to a primary stroke center with sudden left sided weakness and imbalance followed by decreased level of consciousness. Head CT scan showed no hemorrhage, no acute ischemic changes, and a hyper-dense basilar artery. The CT angiography shoed a mid-basilar occlusion. Physician order to start 3% Sodium Chloride 1 Liter with the dose of 1ml/kg/hr via peripheral line. The available preparations of Sodium Chloride at the Hospital Pharmacy are: 1. 0.9% Sodium Chloride 1L 2. Sodium Chloride 50mEq/20ml vial Activity: 1. Determine how many mL of 0.9% Sodium Chloride and Sodium Chloride 50 mEq/20ml are needed to make 3% Sodium Chloride 1 liter. Show your computation.

Understanding Health Insurance: A Guide to Billing and Reimbursement
14th Edition
ISBN:9781337679480
Author:GREEN
Publisher:GREEN
Chapter10: Coding Compliance, Clinical Documentation Improvement, And Coding For Medical Necessity
Section: Chapter Questions
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Case:
A 20-year-old man, height 5.8 ft and weight 65 kg, with no past medical history presented to a primary stroke center with sudden left sided weakness and imbalance followed by decreased level of consciousness. Head CT scan showed no hemorrhage, no acute ischemic changes, and a hyper-dense basilar artery. The CT angiography shoed a mid-basilar occlusion. Physician order to start 3% Sodium Chloride 1 Liter with the dose of 1ml/kg/hr via peripheral line.
The available preparations of Sodium Chloride at the Hospital Pharmacy are:
1. 0.9% Sodium Chloride 1L
2. Sodium Chloride 50mEq/20ml vial
Activity:
1. Determine how many mL of 0.9% Sodium Chloride and Sodium Chloride 50 mEq/20ml are needed to make 3% Sodium Chloride 1 liter. Show your computation.
2. What will be the rate of infusion (ml/hr) to be given to the patient.
3. Is 3% Sodium Chloride infusion recommended to be infused via peripheral line? Please provide
reference for your answer.

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