A patient has been ordered dronabinol tetrahydrocannabinol for nausea. The provider orders 2.5mg/Kg orally every 2 hours after chemotherapy for a patient weighing 121 lbs. The medication is available in 100 mL bottles with a concentration of 5 mg/mL. How many mĹ's will the nurse administer per dose? (Round to the whole number)
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- A client receives a prescnption for methylprednisolone 100 mg intramuscularly The medication is available in 80 ma/ml vial How many mL should the practical nurse (PN) administer? (Enter numerical value only. If rounding is required, round to the nearest lenth)Order: Phenobarbital 100 mg IM STAT Pharmacy supply: 130 mg/mL liquid in an ampule How much will you give your patient? Order: Heparin 15,000 units sc q 12 hr Pharmacy: Heparin injection 20,000 units/mL How many mL should the nurse administer per dose? ( Round the answer to the nearest hundredth. use a leading zero if it applies. do not use a trailing zero) Order: chlorpromazine 40 mg IM stat Pharmacy: Chlorpromazine 25 mg/mL How many mL should the nurse administer? (Round the answer to the nearest hundredth. Use a leading zero if it applies. do not use a trailing zero)A nurse is preparing to administer trazodone (Desyrel)75 mg PO at bedtime. Available in 50mg. How many tablets should the nurse administer per dose? I s there a rounding off of the answer?
- A 79 year old white male is taking hydrocodone/APAP 10/325 for lower back pain (pt diagnosed with degenerative disc disease several months ago). The physician had written a prescription for Vicodin® 10/325 1 or 2 tablets Q4-6h prn pain with a quantity of 120. Her expectation was that this would last the patient for one month. The patient is now requesting refills about every 10-14 days. He states he has been taking 2 tabs Q4h (12 tablets per day) because “the pain is so bad I just can’t stand it!”. He also tells the provider he is "constipated so bad it somtimes hurts to sit, bend or walk".This patient is a 45 year old female admitted to the psychiatric unit for major depressive disorder withassociated psychosis. She has a history of breast cancer with inoperable metastases to the brain. NKDAAllergies NKDA Current MedicationsFentanyl (Duragesic) 75mcg/hr patch Q3daysSertraline (Zoloft) 200 mg po dailyLorazepam (Ativan) 0.5 – 2 mg po or IM q4h prn agitationRisperidone (Risperdal) 1 mg po BIDPhenytoin (Dilantin) 300 mg po QHSPMH Major depression with psychosisHx of breast cancerBrain metastases1. This patient is complaining that her gums are getting larger and are starting to grow over her teeth.What might be causing this?This patient is a 45 year old female admitted to the psychiatric unit for major depressive disorder withassociated psychosis. She has a history of breast cancer with inoperable metastases to the brain. NKDAAllergies NKDA Current MedicationsFentanyl (Duragesic) 75mcg/hr patch Q3daysSertraline (Zoloft) 200 mg po dailyLorazepam (Ativan) 0.5 – 2 mg po or IM q4h prn agitationRisperidone (Risperdal) 1 mg po BIDPhenytoin (Dilantin) 300 mg po QHSPMH Major depression with psychosisHx of breast cancerBrain metastasesWhat is the mechanism of action of sertraline and the common side effects?
- This patient is a 45 year old female admitted to the psychiatric unit for major depressive disorder withassociated psychosis. She has a history of breast cancer with inoperable metastases to the brain. NKDAAllergies NKDA Current MedicationsFentanyl (Duragesic) 75mcg/hr patch Q3daysSertraline (Zoloft) 200 mg po dailyLorazepam (Ativan) 0.5 – 2 mg po or IM q4h prn agitationRisperidone (Risperdal) 1 mg po BIDPhenytoin (Dilantin) 300 mg po QHSPMH Major depression with psychosisHx of breast cancerBrain metastases2. The physical therapist comes to you the next afternoon & states that he is unable to arouse thepatient for therapy. You enter the room and discover that the patient has been chewing on an oldfentanyl patch. She has probably overdosed. What medication can be given to this patient?This patient is a 45 year old female admitted to the psychiatric unit for major depressive disorder withassociated psychosis. She has a history of breast cancer with inoperable metastases to the brain. NKDAAllergies NKDA Current MedicationsFentanyl (Duragesic) 75mcg/hr patch Q3daysSertraline (Zoloft) 200 mg po dailyLorazepam (Ativan) 0.5 – 2 mg po or IM q4h prn agitationRisperidone (Risperdal) 1 mg po BIDPhenytoin (Dilantin) 300 mg po QHSPMH Major depression with psychosisHx of breast cancerBrain metastases1. This patient is complaining that her gums are getting larger and are starting to grow over her teeth.What might be causing this?2. The physical therapist comes to you the next afternoon & states that he is unable to arouse thepatient for therapy. You enter the room and discover that the patient has been chewing on an oldfentanyl patch. She has probably overdosed. What medication can be given to this patient?3. What are common side effects of fentanyl? How should they be…This patient is a 45 year old female admitted to the psychiatric unit for major depressive disorder withassociated psychosis. She has a history of breast cancer with inoperable metastases to the brain. NKDAAllergies NKDA Current MedicationsFentanyl (Duragesic) 75mcg/hr patch Q3daysSertraline (Zoloft) 200 mg po dailyLorazepam (Ativan) 0.5 – 2 mg po or IM q4h prn agitationRisperidone (Risperdal) 1 mg po BIDPhenytoin (Dilantin) 300 mg po QHSPMH Major depression with psychosisHx of breast cancerBrain metastases The patient started to hallucinate and became combative with the staff. Her physician ordered 5mg ofhaloperidol to be given IM. Later that day the patient came to the nursing station complaining ofsevere spams in her neck and back. What is his happening to her and what is causing it?symptoms?