Deck 3: Injectable Preparations With Clinical Applications

Question 1

Order: heparin 2500 units, subQ, q6h Drugs available:
a. Which heparin would you use?
b. How many milliliters of heparin would you give per dose?

Answer 1

a. Heparin 5000 units
b. =

Question 2

Order: heparin 8000 units, subQ, q6h Drugs available:
a. Which heparin would you use?
b. How many milliliters of heparin would you give per dose?

Answer 2

a. Heparin 10,000 units
b. 0.8 mL of heparin per dose. RP: 10,000 units : 1 mL = 8000 units : x mL, 8000/10,000x = 0.8 mL

Question 3

Order: heparin 7500 units, subQ, q6h Drug available:
a. Which type of syringe would you use?
b. What is the method of injection?
c. How many milliliters of heparin would you give per dose?

Answer 3

a. Tuberculin syringe
b. subQ (subcutaneously)
c. 0.75 mL of heparin per dose. RP: 10,000 units : 1 mL = 7500 units : x mL, 7500/10,000x = 0.75 mL

Question 4

Order: enoxaparin (Lovenox) 30 mg, subQ, bid, post hip surgery Drug available
a. The patient should receive Lovenox how many times per day?
b. How many milliliters should the patient receive per dose?

Question 5

Order: enoxaparin (Lovenox) 1 mg/kg subQ, q12h for treatment of DVT Patient weight: 167 lb Drug available:
a. How many kilograms does the patient weigh round to the whole number?
b. How many milligrams should the patient receive per dose?
c. How many milliliters should the patient receive per dose?

Question 6

Order: insulin glulisine (Apidra) 12 units, subQ, 15 minutes before meal Drug available: Indicate on the insulin syringe the amount of insulin you would withdraw.

Question 7

Order: Regular Humulin insulin 12 units, subQ, stat Drug available:Insulin syringe: Units 100/mL Indicate on the insulin syringe the amount of insulin you would withdraw.

Question 8

Order: NPH insulin 25 units, subQ, daily (7 AM) Drug available: Indicate on the insulin syringe the amount of insulin you would withdraw.

Question 9

Order: Humulin N insulin units 42, subQ, daily Drug available: Humulin N insulin units 100/mL and insulin syringe Indicate on the insulin syringe the amount of insulin you would withdraw.

Question 10

Order: Regular insulin 5 units and Humulin L insulin 45 units subQ, daily Drugs available:
a. Explain the method for mixing the two insulins.
b. Mark on the insulin syringe how much regular insulin and how much Lente insulin you would withdraw.

Question 11

Order: Humulin R insulin 6 units and Humulin N insulin 40 units, subQ, daily Drugs available:Insulin syringe: Units 100/mL
a. Explain the method for mixing the two insulins.
b. Mark on the insulin syringe how much regular insulin and how much NPH insulin you would withdraw.

Question 12

Order: Humulin R insulin 10 units and Humulin N insulin 36 units, subQ Drugs available: Humulin R insulin units 100/mL and Humulin N insulin units 100/mL Mark on the insulin syringe how much Humulin R insulin and how much Humulin N insulin you would withdraw.

Question 13

Order: Narcan 0.2 mg, IM, stat Drug available:
a. How many milliliters of Narcan would you give?
b. Can you refrigerate the unused portion of the vial of Narcan?

Question 14

Order: morphine 10 mg IM, stat Drug available: How many milliliters of morphine would you give?

Question 15

Order: vitamin B₁₂ 500 mcg, IM, 2 times per week Drugs available:
a. Which cyanocobalamin cartridge would you use?
b. How many milliliters of cyanocobalamin would you give?

Question 16

Order: hydroxyzine (Vistaril) 75 mg, deep IM, stat Drug available: Vistaril 100 mg/2 mL How many milliliters of hydroxyzine would the patient receive?

Question 17

Order: meperidine 30 mg and atropine sulfate 0.3 mg, IM Drugs available:
a. How many milliliters of meperidine would you give? How many milliliters of atropine?
b. Explain how the two drugs can be mixed.

Question 18

Order: meperidine 70 mg and atropine sulfate 0.6 mg, IM stat Drugs available:
a. How many milliliters of meperidine would you give? How many milliliters of atropine?
b. Explain how the two drugs can be mixed.

Question 19

Order: diazepam 6 mg, IM, bid Drug available: How many milliliters would you withdraw from the ampule?

Question 20

Order: loxapine (Loxitane) 25 mg, IM, tid Drug available:
a. How many milligrams should the patient receive in 24 hours?
b. How many milliliters should the patient receive per dose?

Question 21

Order: methylprednisolone (Solu-Medrol) 50 mg, IM, daily Drug available: methylprednisolone (Solu-Medrol) 125 mg/2 mL How many milliliters should the patient receive daily?

Question 22

Order: kanamycin (Kantrex) 400 mg, IM, q8h Patient weight: 90 kg Dose parameter: 15 mg/kg/day maximum in two or three divided doses Drug available:
a. What is the dose parameter according to the patient's weight?
b. How many milligrams would the patient receive per day?
c. Is the drug dose within safe dose parameters?
d. How many milliliters of kanamycin would you give per dose?

Question 23

Order: amikacin 500 mg/IM, q12h Patient weight: 149 lb Dose parameter: 15 mg/kg/day maximum in two divided doses Drug available:
a. How many kilograms does the patient weigh?
b. What is the dose parameter according to the patient's weight?
c. Is the drug dose within safe dose parameters?
d. How many milliliters of kanamycin would you give per dose?

Question 24

Order: chlorpromazine HCl (Thorazine) 20 mg, deep IM, tid Drug available: How many milliliters of Thorazine would you give per dose?

Question 25

Order: cimetidine HCl (Tagamet) 100 mg, IM, qid Drug available: How many milliliters of Tagamet would the patient receive per dose?

Question 26

Order: aripiprazole (Abilify) 5 mg, IM once stat. Drug available: Abilify 9.75 mg/1.3 mL How many milliliters should the patient receive stat?

Question 27

Order: buprenorphine (Buprenex) 0.2 mg, IM, q6h, prn Drug available: Buprenex 0.3 mg per 1 mL vial How many milliliters would you give per dose?

Question 28

Order: leucovorin, 6 mg per day, IM for 1 week Drug available: leucovorin, 10 mg/mL How many milliliters should the patient receive IM?

Question 29

Order: fluphenazine decanoate (Prolixin) 12.5 mg, IM, every week, may increase to 25 mg per week Drug available: Prolixin 25 mg/mL
a. How many milliliters would you administer to the patient per week?
b. If the Prolixin was increased to 25 mg, how many milliliters would you administer IM per week?

Question 30

Order: ampicillin/sulbactam (Unasyn) 500 mg, IM, q6h Drug available: Mix with 3.2 mL of diluent = 3.6 mL of drug solution
a. How many grams equal 500 mg?
b. How many milliliters should the patient receive per dose?

Question 31

Order: diazepam (Valium) 10 mg, IM, stat Drug available: How many milliliters should the Patient receive?

Question 32

Order: prochlorperazine (Compazine) 7.5 mg, deep IM, stat Drug available: How many milliliters of Compazine would the Patient receive?

Question 33

Order: Compazine 2.5 mg, deep IM, q4h Drug available: How many milliliters of Compazine would you give per dose?

Question 34

Order: hydroxyzine (Vistaril) 50 mg, IM, q6h Drug available:
a. How many milligrams should the patient receive per day?
b. How many milliliters should the patient receive per dose?

Question 35

Order: ticarcillin (Ticar) 500 mg, IM, q6h Drug available:
a. How many milliliters of diluent would you add to the powdered ticarcillin?
b. How many milliliters of ticarcillin solution would you have after reconstitution?
c. How many milliliters of Ticar would the patient receive per dose?

Question 36

Order: amikacin (Amikin) 5 mg/ kg, IM, q8h * 5 days Drug available: amikacin 50 mg and 250 mg/mL Patient weighs: 72 kg
a. How many milligrams intramuscularly should the patient receive per dose?
b. Which amikacin would you select?
c. How many milliliters should the patient receive per dose?

Question 37

Order: cytarabine (Cytosine) 1 mg/kg, IM, every week Patient weighs: 176 lb Drug available: cytarabine 100 mg in powder vial (mix powder with 2 mL of diluent = 2.2 mL of Drug solution per 100 mg
a. How much does the patient weigh in kilograms?
b. How many milligrams should the patient receive?
c. How many milliliters should the patient receive every week?

Question 38

Order: darbepoetin (Aranesp) 2.25 mcg/kg/wk, subQ Drugs available: Aranesp 40 mcg, 60 mcg, 100 mcg, 150 mcg, 200 mcg/mL Patient weighs: 50 kg
a. How many micrograms should the patient receive?
b. Select the strength of Aranesp?
c. How many milliliters should the patient receive?

Question 39

Order: cefazolin (Ancef) 0.25 g, IM, q6h Drug available:
a. How many milliliters of diluent would you add?
b. After reconstitution, how many milliliters of cefazolin solution would you have?
c. How many milliliters of Ancef would you administer per dose?

Question 40

Order: oxacillin 250 mg, IM, q6h Drug available:
a. How much diluent would you add to the oxacillin vial?
b. How many milliliters of oxacillin would you give per dose?

Question 41

Order: etanercept (Enbrel) 0.8 mg/kg/wk, subQ; max: 50 mg/wk Patient weighs 132 lb Drugs available: Enbrel 25 mg or 50 mg/mL
a. How many kilograms does the patient weigh?
b. How many milligrams should the patient receive?
c. Is the dose within the maximum weekly dose?
d. Which Enbrel strength would you select?
e. How many milliliters should the patient receive? (Round off to whole number.)

Question 42

Order: filgrastim (Neupogen) 5 mcg/kg/day, subQ for 14 days Patient weighs: 154 lb Drugs available: 300 mcg/mL and 480 mcg/1.6 mL
a. How many kilograms does the patient weigh?
b. How many micrograms should the patient receive?
c. Which strength of filgrastim would you select?
d. How many milliliters should the patient receive subQ? (Round off to tenths.)

Question 43

Order: thiamine 0.1 g, IM, daily Drug available: Conversion factor: 1 g = 1000 mg How many milliliters would you administer?

Question 44

Order: nafcillin 0.5 g, IM, q6h Drug available:
a. How many milliliters of diluent would you add?
b. After reconstitution, how many milliliters of nafcillin solution would you have?
c. How many milliliters of nafcillin would you give per dose?

Question 45

Order: Tagamet 0.2 g, IM, q6h Drug available: How many milliliters of Tagamet would you give per dose?

Question 46

Order: dyphylline 0.5 g, IM, q6h Drug available: dyphylline 250 mg/mL How many milliliters of dyphylline would you give per dose?

Question 47

Order: clindamycin 250 mg, IM, q6h Drug available: How many milliliters of clindamycin would you give per dose?

Question 48

Order: mecasermin (Increlex) 0.08 mg/kg, subQ, bid Patient weighs: 150 lb Drug available: mecasermin 10 mg/mL
a. How many kilograms does the patient weigh?
b. How many milligrams should the patient receive per dose?
c. How many milliliters should the patient receive per dose?

Question 49

Order: glycopyrrolate (Robinul) 2 mcg/kg, IM, to 1 hour before surgery.Max: 0.1 mg Patient weighs: 65 kg Drug available: glycopyrrolate 200 mcg (0.2 mg)/mL
a. How many micrograms should the patient receive?
b. How many milliliters should the patient receive?

Question 50

Order: ampicillin 500 mg, IM, q6h Drug available:
a. How many milliliters of diluent would you add to the ampicillin vial?
b. After reconstitution, how many milliliters of ampicillin solution would you have?
c. How many milliliters of ampicillin would you give per dose?

Question 51

Order: cefamandole (Mandol) 750 mg, IM, q8h Drug available:
a. How many milliliters of diluent would you add to the vial?
b. After reconstitution, how many milliliters of Mandol solution would you have?
c. How many milliliters of Mandol would you give per dose?

Question 52

Order: cephapirin (Cefadyl) 600 mg, IM, q8h Drug available:
a. How many milliliters of diluent would you add to the vial?
b. How many milliliters of reconstituted solution are equivalent to 1 g of Cefadyl solution?
c. How many milliliters of Cefadyl would you give per dose?

Question 53

Order: dexamethasone (Decadron) 3 mg, IM, stat Drug available: How many milliliters of Decadron would you give per dose?

Question 54

Order: atropine sulfate 0.6 mg, IM, stat Drug available: How many milliliters of atropine would you give?

Question 55

Order: moxalactam (Moxam) 3 g, IM, q8h Drug available: Moxam 10 g vial; reconstituted: add 8 mL diluent, which equals 10 mL of reconstituted solution How many milliliters of reconstituted solution should the Patient receive?

Question 56

Order: tobramycin sulfate (Nebcin) 3 to 5 mg/kg/day, IM, in three divided doses Patient weight: 64 kg Drug available:
a. How many milligrams of tobramycin would the patient receive per day?
b. How many milligrams of tobramycin would you give per dose?
c. How many milliliters of tobramycin would you give per dose?

Question 57

Order: aztreonam (Azactam) 500 mg, IM, q8h Drug available: Azactam 1 g vial; reconstituted: add 3 mL of diluent, which equals 3.5 mL of reconstituted solution How many milliliters of reconstituted solution would you give per dose?

Question 58

Order: meperidine (Demerol) 35 mg, IM, q4-6h, prn Drug available: How many milliliters of meperidine would you give per dose?

Question 59

Order: goserelin (Zoladex) 2.4 mg, subQ, every 24 days Drug available: Zoladex 3.6 mg/mL How many milliliters would you administer subQ?

Question 60

Order: methocarbamol (Robaxin), 250 mg, IM, in the deep gluteal muscle; may repeat in 8 hours Drug available: Robaxin 100 mg/mL How many milliliters should the Patient receive IM?