What is Colin’s estimated creatinine clearance? X([140-age] × weight in kg)/(serum creatinine IN micromol/L Where X =1.04 for female and X= 1.23 for male 2. What is the maximum daily dose (in grams) of meropenem that Colin will receive?
Q: Mr. Jones’ serum creatinine is 1.4 mg/dL at 1 month after discharge. At what point would you…
A: INTRODUCTION The advantage of use of ACE inhibitor for patient having kidney disease is given below.
Q: What are the criteria for a medication to be administered in the central line as well in the…
A: Administer medication :- when administering medications through central line that time need to make…
Q: 2. What is the maximum daily dose (in grams) of meropenem that Colin will receive?
A: To calculate creatinine clearance , the creatinine level in the urine is multipiled by the total…
Q: A medication with a dosage of 250 mg is added to 125 mL solution and infused at 30 mL/hr. Calculate…
A: Concentration of drug= amount of drug÷volume
Q: Ali is a 75-year-old, 62-kg (5 ft 9 in) male with S. epidermidis sepsis. His current serum…
A: Given- Serum creatinine- 1.3mg/dl Steady peak concentration-40ug/ml Steady state trough…
Q: The normal induction dosage my wife gives for the drug Propofol is 2.25 mg/kg. How many propofol…
A: The normal induction dosage of a drug is the amount of drug required to bring about a particular…
Q: It was found empirically that Bill would stay healthy and have no significant infections if his IgG…
A: XLA or x linked agammaglobulinemia is an immune deficiency disorder in which affected individuals…
Q: A patient who has had an accidental overdose of tricyclic antidepressants is to receive…
A: The concentration of the drug plays an important role in improving health outcomes. The drug is…
Q: A patient has frequent episodes of paroxysmal atrial fibrillation. He has received a medication for…
A: Atrial fibrillation is a condition that results in an irregular heartbeat with rapid heart rate,…
Q: Determine the maintenance dose (in mg) of tobramycin for a 65 year old male patient weighing 85 kg…
A: The maintenance dose of a medicine is the maintenance rate of administering the drug that should be…
Q: Amaan was administered a 2.0 mg/mL solution of azithromycin at a rate that delivered 500 mg in 60…
A: Question is related to drug calculation. According to bartleby guidelines detailed solution of 1…
Q: For this problem I need help taking the case study information on the patient and diagnosing what…
A: Hello there! As you have posted multiple questions, we are answering only the definition part of…
Q: The drip rate of a dobutamine IV depends on the dose (in mcg/min), the weight of the patient, and…
A: Many medicines are administered incorrectly in the healthcare setting, and miscalculation is one…
Q: The order reads: “Dopamine 3 mcg/kg/min IV.” The solution available is 400mg in 250 mL D5W, and the…
A: Drugs are medications that are used to treat the signs and symptoms of diseases. The drugs should be…
Q: A 31-year-old woman was diagnosed with serious endogenous depression and was started on treatment…
A: Introduction: bioavailability is defined as the fraction (%age) of an administered drug that reaches…
Q: rthy is given an intravenous antibiotic (gentamicin) at a dose of 7 mg/kg per day for a period of 7…
A: Gentamycin is an anti-bacterial injection used to prevent a wide variety of bacterial diseases.
Q: Baby Joan has been diagnosed with gastroesophageal reflux disease and placed on metoclopramide…
A: Therapeutic action(s) of metoclopramide: Reduces lower esophageal sphincter pressure thus promoting…
Q: How much will Erthy be getting per day in mg based on this order? How much volume of the gentamicin…
A: In this question asked about drug calculation. Detailed solution is in step 2 .
Q: Julie H is a 32 year old woman with a history of mild hypertensio who is planning to begin a family…
A: According to the question, the patient is dealing with the mild hypertension and is on Hyzaar…
Q: You need to give your patient a dose of 20mg and the medication comes in a dry form with a dry…
A: Calculating the right amounts of medicines to be given or injected is a regular part of the nursing…
Q: I just need help answering questions 10-16 since there seem to be a lot of different meanings. These…
A: We’ll answer the first three subparts of the question since the exact one wasn’t specified. Please…
Q: An 84 year old male patient has been given a loading dose of digoxin of 298 micrograms in divided…
A: Digoxin is a drug used for treating heart failure combined with other medicines. It helps in…
Q: You are caring for a client receiving a ordered HEPARIN infusion of 1,000 units/hour. On intial…
A: Medication or medicine that alters the physiological changes when consumed is called drug. Factors…
Q: The order reads give Lidocaine 15mg by mouth every 4 hours as needed for sore throat. Pharmacy sends…
A: Lidocaine is used for nerve pain relief (neuralgia). Lidocaine helps to alleviate sharp, burning…
Q: The instructions for the azithromycin state to reconstitute the 600 mg vial with 3.6 mL until…
A: Dose available = 600mg (150 mg/mL) Azithromycin 600 mg vial is reconstituted 3.6 mL sterile water It…
Q: Mrs B presents you with a prescription for warfarin tablets 1 mg. The directions are to take 6 mg at…
A: Given, Tablets available of 1mg Directions to give = 6 mg on the first day followed by alteranting…
Q: child has been prescribed pethidine 35mg IM at 0800 hours. 1ml Stock ampoules have been labelled 5%…
A: 5% pethidine=50mg in 1 ml Stock volume=1 ml 35mg IM
Q: The nurse is preparing to give an oral dose of acetaminophen (Tylenol) to a child who weighs 12 kg.…
A: To administer the drug to the patient is a very important role of the nurse. SO it is necessary for…
Q: The peak plasma concentration achieved after the first IV dose of drug X is 25 mg/L. The drug’s…
A: Drug calculation is a important aspect in calculating the dose based on the BMI ,BSA ,age and body…
Q: How much will the order medication “Potassium Chloride 40meq in 1L to run for 8 hours” raise the…
A:
Q: The normal induction dosage that my wife gives for the drug Propofol is 1.8 mg/kg How much propofol…
A: Propofol drug is used to provide anaesthesia. It results in lack of consciousness, it slows down…
Q: Saihou is also having an allergic reaction. He weighs 37 pounds and the provider would like to give…
A: Drug Any chemical substance that creates physical or emotional changes through its chemical action…
Q: Colin who is 78 years old has been admitted to a ward where you are working, with acute bacterial…
A: Meropenem is mainly excreted by kidney. That's why it given very carefully in patient of kidney…
Q: A patient taking ketoconazole, an antifungal agent, was also prescribed dofetilide to treat…
A: Dofetilide is an anti-arrhythmic medication. It works by preventing certain electrical signals in…
Q: A calibrated burette will be used to deliver an intravenous medication dosage order of 200 mg…
A: The drug to be administered is 200 mg in 5 ml. This drug will be diluted in 40 ml. hence,
Q: A medication order for a 44-lb pediatric patient calls for vancomycin, 10 mg/kg, to be administered…
A: Given, weight of patient = 44lb = 19.96 kg Drug to be given = 10mg/kg 10-mL injection containing 500…
Q: B. Wendy Marawi, a 35-year-old cancer patient, recently underwent a bone marrow transplant. During…
A: Bone marrow transplant is a procedure for replacing the patients bone marrow with a compatible bone…
Q: Assume that Ali (same patient in question 1) was prescribed vancomycin 1000 mg every 36 hours. After…
A: Introduction- Although there is development of many sophisticated antibiotics that are active…
Q: An IV bag containing 50 mg/250 mL of nitroglycerin is to be administered at a rate of 39 mcg/min.…
A: According to this question solution given below
Q: A child weighing 6.6kg is prescribed a dose of 12 mg/kg/day ciprofloxacin, to be given by…
A: In this question asked about drug calculation . Detailed solution in step 2 .
Q: our patient has two continuous infusions running. Bag # 1 is Lactated Ringers and the patient is…
A: Firstly we will calculate the 720 mg contains how much ml of fluid for this, we would use the below…
Colin who is 78 years old has been admitted to a ward where you are working, with acute bacterial meningitis. The duty doctor wants to treat with meropenem and she would like to know what dose to treat with. In Colin’s notes you see that he has a history of kidney injury, you have his weight which is 49kg and his serum creatinine is 157micromol/L.
What is Colin’s estimated creatinine clearance?
|
2. What is the maximum daily dose (in grams) of meropenem that Colin will receive?
Step by step
Solved in 2 steps
- Colin who is 78 years old has been admitted to a ward where you are working, with acute bacterial meningitis. The duty doctor wants to treat with meropenem and she would like to know what dose to treat with. In Colin’s notes you see that he has a history of kidney injury, you have his weight which is 49kg and his serum creatinine is 157micromol/L. What is Colin’s estimated creatinine clearance? 2. What is the maximum daily dose (in grams) of meropenem that Colin will receive?Colin who is 78 years old has been admitted to a ward where you are working, with acute bacterial meningitis. The duty doctor wants to treat with meropenem and she would like to know what dose to treat with. In Colin’s notes you see that he has a history of kidney injury, you have his weight which is 49kg and his serum creatinine is 157micromol/L.A patient on your ward is in status epilepticus. The consultant has told his junior doctor to prescribe a loading dose of phenytoin, please help calculate the dose.The patient is an adult female weighing 50kg1) Calculate the intravenous loading dose for phenytoin.(show working) 2) what diluent/infusion fluid should the doctor use when making up the infusion?3) What volume of infusion fluid should he use and what rate should he run this at?4) Is there any monitoring required whilst the patient is receiving this infusion?5) Look at your BNFs to see what other drugs are commonly used to treat status epilepticus.
- 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?Wendy Marawi, a 35-year-old cancer patient, recently underwent a bone marrow transplant. During her teleconsultation with her doctor, she complains that she has been experiencing nausea and bowel movement discomfort, and she cannot sleep at night due to fever. The doctor requested the Blood Bank to investigate if there were some errors in the transfusion. ALP 92U/L AST 35U/L ALT 40U/L Total bilirubin 1.5mg/dL Total protein 8.5g/dL Albumin 5.3g/dL Creatinine 1.2mg/dL BUN 23mg/dL C3 3.1g/L RBC 2x1012/L WBC 2.4x109/L Platelet 93x109/L Hemoglobin 11g/dL Hematocrit 30% Does she need further workup? What laboratory work up?Wendy Marawi, a 35-year-old cancer patient, recently underwent a bone marrow transplant. During her teleconsultation with her doctor, she complains that she has been experiencing nausea and bowel movement discomfort, and she cannot sleep at night due to fever. The doctor requested the Blood Bank to investigate if there were some errors in the transfusion. ALP 92U/L AST 35U/L ALT 40U/L Total bilirubin 1.5mg/dL Total protein 8.5g/dL Albumin 5.3g/dL Creatinine 1.2mg/dL BUN 23mg/dL C3 3.1g/L RBC 2x1012/L WBC 2.4x109/L Platelet 93x109/L Hemoglobin 11g/dL Hematocrit 30% Does she need further workup?
- Ali is a 75-year-old, 62-kg (5 ft 9 in) male with S. epidermidis sepsis. His current serum creatinine is 1.3 mg/dL, and it has been stable since admission. Compute a vancomycin dose for this patient to provide a steady-state peak concentration of 40 µg/mL and a steady-state trough concentration of 15 µg/mL. a. Estimate creatinine clearance (CI) b. Estimate volume of distribution (Vd) c. Estimate rate constant (Ke) and half-life (t1/2) d. Calculate the dose interval e. Using IV bolus equations, calculate the dose f. Calculate the loading dose, if needed for this patient Assume that Ali (same patient in question 1) was prescribed vancomycin 1000 mg every 36 hours. After few days, Steady-state vancomycin concentrations were obtained before and after the fourth dose, and the peak concentration (obtained ½ hour after a 1- hour infusion of vancomycin) was 34 µg/mL while the trough concentration (obtained immediately before dosage administration) was 2.5 pg/mL. Compute a revised vancomycin…You have been ordered to give phenytoin (Dilantin) IV to your seizure patient. Your patient weighs 80 kg. The dose ordered is 15 mg/kg to be diluted in 250 mL bag of saline to be given at 25 mg/min. How long will the infusion take to complete?Mrs B presents you with a prescription for warfarin tablets 1 mg. The directions are to take 6 mg at 6pm that evening, followed by alternating daily doses of 4 mg and then 3 mg (as long as her INR remains within the recommended range). What is the exact number of warfarin 1 mg tablets required for a 28 day supply assuming her INR remains in range?
- Order Heparin infusion. Loading dose of 7500 units. Start infusion at 1000 units/hour Pharmacy Supply: Vials of heparin 10000units/mL; Infusion bag 12500 units/250 mL How many mLs will you deliver IVP for the bolus and what will be your initial infusion rate in mL/hr?A 30-year-old female patient with uncontrolled hypertension is suspected by an investi- gating endocrinologist of having Conn's syndrome. Results of routine biochemistry were (reference ranges are given in brackets): Sodium Potassium Urea Creatinine Alkaline phosphatase Alanine aminotransferase Albumin Bilirubin Calcium 146 mmol/L 2.1 mmol/L 7.2 mmol/L 146 μmol/L 290 IU/L 20 IU/L 49 g/L 8 μmol/L 2.19 mmol/L (135-145) (3.5-5.0) (3.5-6.6) (70-150) (95-320) (5-42) (35-50) (<17) (2.12-2.62) (a) Are any of the electrolyte concentrations abnormal, and if so what condition is suggested? (b) What further biochemistry investigations would you undertake? Explain your reasoning.The order reads: “Infuse 1000 mL of normal saline over the next 8 hours.” The IV tubing has a drop factor of 15 gtt/mL. Calculate the mL/hour rate, and calculate the drops/minute setting for the IV tubing with this gravity infusion.