Rx351 Lab – Module 4 IOI Assignment (Post-Live Session) – 56pts Name...

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Rx351 Lab – Module 4 IOI Assignment (Post-Live Session) – 56pts
Name ____________________________________________
    Med Orders for Karsen Smith (DOB 1/6/75; allergy to tree nuts)
· D5 ¼ NS @ 75ml/h
· Zoledronic Acid 5mg IV q12 mos
· Amikacin 475mg IV q8h
Primary IV: D5 ¼ NS – continuous infusion
1. (2pts) What are the concentrations of the two ingredients in this patient’s primary IV solution?
2. (2pts) What size(s) of this IV solution are available in your storeroom?
3. (2pts) If the first IV bag is started at 0600 this morning, what time would the second bag be started? When would the third bag be started?
Intermittent Infusion 1: Zoledronic Acid
Go to Lexi-Comp and find information regarding PREPARATION and ADMINISTRATION of Zoledronic Acid
PREPARATION:
4. (2pts) Acceptable Diluents (circle one or both) :         D5W        NS
5. (2pts) Acceptable Diluent Volume (list all IV bag sizes that are acceptable):
6. (2pts) Choose an IV bag from the storeroom list to use for this order (list diluent and size of bag):

You will use the vial pictured here to prepare the dose (you may need more than one vial.)
7. (2pts) Dose Volume = __________ml (volume of drug solution to prepare one dose)
ADMINISTRATION:
8. (2pts) What is the recommended time for infusing a dose of this medication? ______________________

CALCULATIONS:
9. (2pts) Based on the recommended time for infusion, calculate a flow rate for administering this drug.
                                        Flow Rate: ____________ml/h
10. (5pts) Complete the instructions for compounder to prepare one dose of zoledronic acid. Round volume appropriately based on cali
ation of syringe (see Module 3 Lab Assignment for guidance). Include specific information regarding supplies in innstructions (size of syringe, diluent solution, size of IV bag, etc).
Instructions for Compounder:
11. (5pts) Complete the required information on the IV label (that would be attached to the IV bag). Use the information from the IOI Part 3 slide set to guide you.
    MR# MR43333
    General Hospital
    Karsen Smith
    DOB: 1/6/1975
    47yo M



    Provider:
Manuel Bachman, MD
Dose:
Route:
IV
First Dose Due:
Frequency:
    Alerts:
All: Tree Nuts
Storage:
Expiration Date:
Manufacture
Lot#:
Pharmacist:
    Instructions:
12. (2pts) What other information, related to the infusion, could be provided to the nurse regarding administration of this drug (that isn’t already included on your label)?
Intermittent Infusion 2: Amikacin
Go to Lexi-Comp and find information regarding PREPARATION and ADMINISTRATION of Amikacin
PREPARATION:
13. (2pts) Acceptable Diluents (circle one or both) :         D5W        NS
14. (2pts) Acceptable Concentration Range: __________________________
15. (2pts) Acceptable Diluent Volume (list all IV bag sizes that are acceptable):
16. (2pts) Choose an IV bag from the storeroom list to use for this order:
17. (2pts) Dose Volume = __________ml (volume of drug solution to prepare one dose)
You may use any combination of the vials pictured here to prepare enough doses for a 24-hour supply (you may need more >1 vial.) Minimize waste as you will need to discard any unused fluid.
18. (1pt) Write the number of vials you will use of each under the picture of the vials here:
ADMINISTRATION:
19. (2pts) What is the recommended time for infusing a dose of this medication? ______________________
20. (1pt) Choose an infusion time from the range – either the low or the high end. _______________

CALCULATIONS:
21. (2pts) Based on your chosen time for infusion, calculate a flow rate for administering this drug.
                                        Flow Rate: ____________ml/h

22. (5pts) Complete the instructions for compounder to prepare a 24-h supply of amikacin. Round volume appropriately based on cali
ation of syringe (see Module 3 Lab Assignment for guidance). Include specific information regarding supplies in innstructions (size of syringe, diluent solution, size of IV bag, etc).
Instructions for Compounder:
23. (5pts) Complete the required information on the IV label (that would be attached to each of the IV bags). Use the information from the IOI Part 3 slide set to guide you.
    MR# MR43333
    General Hospital
    Karsen Smith
    DOB: 1/6/1975
    47yo M



    Provider:
Manuel Bachman, MD
Dose:
Route:
IV
First Dose Due:
Frequency:
    Alerts:
All: Tree Nuts
Storage:
Expiration Date:
Manufacture
Lot#:
Pharmacist:
    Instructions:

1

module-4-ioi-lab-assignment-1-drh2qs4s.docx

Dr. Saloni · Accepted Answer

Rx351 Lab – Module 4 IOI Assignment (Post-Live Session) – 56pts 
Name ____________________________________________
	Med Orders for Karsen Smith (DOB 1/6/75; allergy to tree nuts) 
· D5 ¼ NS @ 75ml/h 
· Zoledronic Acid 5mg IV q12 mos 
· Amikacin 475mg IV q8h 
Primary IV: D5 ¼ NS – continuous infusion 
1. (2pts) What are the concentrations of the two ingredients in this patient’s primary IV solution? 
Ans- The two ingredients in this patient's primary IV solution are D5W (5% Dextrose in Water) and Normal Saline (0.9% Sodium Chloride). The concentration of D5W is 5% dextrose and the concentration of Normal Saline is 0.9% Sodium Chloride.
2. (2pts) What size(s) of this IV solution are available in your storeroom? 
Ans- 25 ml to 1000 ml bags. Typically, IV solutions are available in a variety of sizes, including bags, bottles, and syringes, ranging from small, single-dose containers to larger containers for continuous infusions.
3. (2pts) If the first IV bag is started at 0600 this morning, what time would the second bag be started? When would the third bag be started? 
Ans- The timing for switching from one IV bag to another will depend on the flow rate (in this case, 75 ml/hr) and the volume of the IV bags being used.
Assuming that the first IV bag was started at 0600 and the flow rate is set at 75 ml/hr, the second bag would be started approximately 8 hours later, at 1400. Similarly, the third bag would be started approximately 8 hours after that, at 2200.
Intermittent Infusion 1: Zoledronic Acid 
Go to Lexi-Comp and find information regarding PREPARATION and ADMINISTRATION of Zoledronic Acid 
PREPARATION: 
4. (2pts) Acceptable Diluents (circle one or both) : 		D5W		NS
Ans- For Zoledronic Acid, either D5W (5% Dextrose in Water) or Normal Saline (0.9% Sodium Chloride) can be used as a diluent. It is possible to choose either one or both of these options, depending on the patient's medical needs and the recommendations of the healthcare provider.  	
5. (2pts) Acceptable Diluent Volume (list all IV bag sizes that are acceptable): 
Ans- The acceptable diluent volume for Zoledronic Acid will vary depending on the specific product and the manufacturer's recommendations. Typically, a variety of IV bag sizes can be used for intermittent infusions, including but not limited to:
· 50 mL
· 100 mL
· 250 mL
· 500 mL
· 1000 mL
6. (2pts) Choose an IV bag from the storeroom list to use for this order (list diluent and size of bag):
Answer- The choice of IV bag for an intermittent infusion of Zoledronic Acid will depend on the volume and concentration of the final solution, as well as the patient's fluid requirements and the recommendations of the healthcare provider.
Typically, a suitable IV bag for an intermittent infusion of Zoledronic Acid would be a 50 mL or 100 mL bag of either D5W (5% Dextrose in Water) or Normal Saline (0.9% Sodium Chloride).
You will use the vial pictured here to prepare the dose (you may need more than one vial.)
7. (2pts) Dose Volume = __________ml (volume of drug solution to prepare one dose)
Ans- The dose volume for Zoledronic Acid injection 4mg/5ml (0.8mg/ml) would be 5ml, which is the volume of the entire vial. The concentration of Zoledronic Acid in this injection is 0.8mg/ml, meaning there is a total of 4mg of Zoledronic Acid in the 5ml vial.
ADMINISTRATION:	
8. (2pts) What is the recommended time for infusing a dose of this medication? ______________________
Ans- It should be given in no less than 15 minutes.
							
CALCULATIONS: 
9. (2pts) Based on the recommended time for infusion, calculate a flow rate for administering this drug. 
										Flow Rate: ____________ml/h 
Answer- To calculate the flow rate for administering Zoledronic Acid injection 4mg/5ml (0.8mg/ml) over a period of no less than 15 minutes, you need to determine the volume of the solution that needs to be infused, and divide it by the duration of the infusion in hours.
If the dose volume is 5ml, and the infusion time is 15 minutes (0.25 hours),

Rx351 Lab – Module 4 IOI Assignment (Post-Live Session) – 56pts Name ____________________________________________ Med Orders for Karsen Smith (DOB 1/6/75; allergy to tree nuts) · D5 ¼ NS @...

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