Ms. Suzette is admitted to your unit after surgery for post-operative care following surgical intervention for a ruptured appendix. The MD orders include:
§ 1 L D5W & ½ NS with 20 mEq KCl/L IV over 10 hours continuously
§ Morphine sulfate 4 mg IM Q4H PRN incisional pain
§ Intake and output q shift
§ Daily weights
§ No known allergies
§ Bedrest x 24 h then BRP with assistance
1. You are to hang the IV solution of 1 L D5%W in 0.45% NS with 20 mEq/L to run over 10 hours. If the drop factor for the IV tubing is 10 gtt/mL, you would set the drip rate for this IV at ________________________ gtt/min.
2. Ms. Suzette has an order for morphine sulfate 4 mg IM Q4H PRN for her incisional pain. She has not had any yet and is waiting for you to administer her injection. The drug label on the vial reads: morphine sulfate for injection, 10 mg per mL. You calculate that you will need to draw up ________________________ mL into your syringe.
3. Ms. Suzette’s IV has 200 mL remaining. It is 2 PM. You calculate that you would need to hang her next IV at __________________ PM.
4. The doctor decides that Ms. Suzette needs an antibiotic and writes the following order: “metronidazole (Flagyl) 500 mg every 12 hours IV.” The pharmacist sends you a 100 mL IV minibag labeled, “0.5 g Flagyl, IV, infuse over 45 minutes.” The secondary (piggyback) tubing has a drop factor of 15 gtt/mL. You calculate the flow rate to be __________ gtt/min.