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SHORT ANSWER
ANS:
2 mL
25 = 1 50 = 50
= 2 mL
Proof: 1 50 = 50
25 2 = 50
ANS:
8 mL
= 8 mL
3. Ordered: Measles, mumps, and rubella virus (MMR) vaccine 0.5 mL subcutaneous
Available: 10 mL multidose vial
Directions: Use only the special diluent supplied for reconstitution. Withdraw the entire
content (7 mL) of diluent and inject into the sterile vial of vaccine. Agitate to ensure
thorough mixing. Each dose is 0.5 mL.
How many doses are in the vial?
ANS:
20 doses
0.5 = 1 10 = 10
= 20 doses
Proof: 0.5 20 = 10
1 10 = 10
ANS:
1.5 mL
= 1.5 mL
ANS:
1.3 mL
= 1.25 = 1.3 mL
Proof: 1 25 = 25
20 1.25 = 25
ANS:
1.4 mL
25 = 1 35 = 35
= 1.4 mL
Proof: 1 35 = 35
25 1.4 = 35
ANS:
1 mL
5 = 1.2 4 = 4.8
= 0.96 = 1 mL
5 =6
= 1.2 mL
Proof: 1 6 = 6
5 1.2 = 6
ANS:
1.3 mL
10 = 2.6 5 = 13
= 1.3 mL
Proof: 2.6 5 = 13
10 1.3 = 13
ANS:
1.4 mL
35 = 50
= 1.428 = 1.4 mL
Proof: 1 50 = 50
35 1.428 = 49.98 = 50
11. Ordered: 100 mg Solu-Medrol IM every 6 hours times 5 doses for inflammatory allergic
reaction
Available: 500 mg Solu-Medrol
ANS:
1.6 mL
62.5x = 1 100
x = 1.6 mL
ANS:
1 mL
x = 1 mL
13. Ordered: Tazidime 150 mg IM four times a day for chronic bronchitis.
Available: Tazidime 500 mg
How many mL will you give?
ANS:
1 mL
280x = 270
x = 0.964 = 1 mL
14. Ordered: Penicillin G Potassium 400,000 units IM every 12 hours for an open wound
Available: Pfizerpen 5 million units
a. How much diluent will you add?
b. How many mL will you give?
ANS:
a. Add 8.2 mL of diluent to make 5000,000 units/mL
b. 0.8 mL
5x = 4
x = 0.8 mL
Proof: 5 0.8 = 4
14=4
15. Ordered: Pipracil 400 mg IM two times a day for a wound infection
Available: Pipracil Sodium 2 g
Directions: Add 4 mL of sterile water for injection to yield 1 g per 2.5 mL.
How many mL will you give?
ANS:
1 mL
10 x = 2.5 4 = 10
x = 1 mL
Proof: 10 1 = 10
2.5 4 = 10
16. Ordered: Solu-Medrol 30 mg IM daily times three days for an autoimmune inflammation
Available: Solu-Medrol 40mg
Directions: Press down on activator to force 1 mL of diluents into the vial.
How many mL will you give?
ANS:
0.75 mL
4x=3
x = 0.75 mL
Proof: 1 3 = 3
4 0.75 = 3
17. Ordered: Rocephin 500mg IM every four hours for otitis media
Available: Rocephin (ceftriaxone sodium) 2 g
a. How much diluent will you add?
b. How many mL will you give?
ANS:
a. Add 7.2 mL of diluent
b. 2 mL
250x = 500
x = 2 mL
18. Ordered: Kefzol 200 mg IM daily for 3 days for a burn infection
Available: Kefzol 500 mg for reconstitution
a. How many mL of diluent will you add?
b. How many mL will you give?
ANS:
a. Add 2 mL of diluents
b. 0.9 mL
225x = 200
x = 0.888 = 0.9 mL
ANS:
1.5 mL
100x = 2 75 = 150
x = 1.5 mL
Proof: 2 75 = 150
100 1.5 = 150
20. Ordered: Velosef 200 mg IM 4 times a day for a urinary tract infection
Available: Velosef 250 mg per vial
ANS:
a. Add 1.2 mL of sterile diluent
250x = 200
x = 0.8 mL
ANS:
150 mL per hour to infuse in 40 minutes
4x = 8 1 = 8
x = 2 mL
Proof: 1 8 = 8
42=8
4x = 10 60 = 600
Proof: 10 60 = 600
4 150 = 600
22. Ordered: Piperacillin sodium 2 gram IV every 8 hours for a pelvic infection
Available: Piperacillin 4 gram vial in powdered form
Directions: Add 7.8 mL of diluents to yield 10 mL of drug solution. Dilute the dose in 200
mL of D5W to infuse in 90 minutes.
How many mL per hour will you set the infusion device to infuse?
ANS:
133 mL per hour
4x = 10 2 = 20
x = 5 mL.
Proof: 10 2 = 20
4 5 = 20
9x = 20 60 = 1200
Proof: 20 60 = 1200
9 133.3 = 1199.9
ANS:
180 mL per hour
x = 3 60 = 180
ANS:
150 mL per hour
100x = 500
x = 5 mL
Add 5 mL of Maxipime to 100 mL of D5W.
2x = 5 60 = 300
Proof: 5 60 = 300
2 150 = 300
ANS:
150 mL per hour
2x = 5 60 = 300
2x = 300
Proof: 5 60 = 300
2 150 = 300
26. Ordered: Cipro 400 mg IV for a urinary tract infection. Infuse in 90 minutes.
Available: Cipro (ciprofloxacin) 400 mg in 40 mL of sterile 1% solution
Directions: Further dilute in 200 mL of D5W.
a. How many drops per minute will you set the IV device to infuse using a gravity tubing
at 20 drops per mL?
b. How many mL per hour will you set the electronic infusion device?
ANS:
a. Use the drop rate formula: drop/time volume = drops per min
b. 160 mL
3x = 8 60 = 480
3x = 480
Proof: 80 60 = 480
3 160 = 480
27. Ordered: Ticar (ticarcillin) 500 mg IM daily for 4 days for a skin infection
Available: Ticar for IM or IV use
Directions: For IM use, add 2 mL of Sterile Water for Injection. Each 2.6 mL of solution
will contain 1 gram of ticarcillin.
How many mL will you inject?
ANS:
1.3 mL
10x = 2.6 5 = 13
10x = 13
x = 1.3 mL
Proof: 2.6 5 = 13
10 1.3 = 13
28. Ordered: Oxacillin 250 mg IV every 8 hours for 4 doses for a respiratory tract infection.
Infuse in 150 mL of D5W in 50 minutes.
Available: Oxacillin sodium 1 gram
Directions: Add 5.7 mL Sterile Water for Injection. Each 1.5 mL contains 250 mg of
oxacillin.
a. How many mL per hour will you set the gravity infusion set with 15 drops per minute?
b. How many mL per hour will you set the electronic infusion device to infuse?
ANS:
a.
b. 180 mL
x = 3 60 = 180
x = 180 mL
Proof: 3 60 = 180
1 180 = 180
ANS:
a. 1.33 mL
150x = 200
x = 1.33 mL
b. 100 mL
3x = 5 60 = 300
3x = 300
Proof: 5 60 = 300
3 100 = 300
30. Ordered: 40 mEq potassium chloride in 200 mL of D5W to infuse in 90 minutes for
potassium depletion
Available: 20 mL single-dose vial for IV use. Each mL contains 2 mEq of potassium
chloride.
a. How many mL of medication will you need to inject into 200 mL of D5W for infusion?
b. How many mL per hour will you set the electronic infusion device to infuse?
ANS:
a. 20 mL
2x = 40
x = 20 mL
Proof: 2 20 = 40
1 40 = 40
b. 133 mL
9x = 20 60 = 1200
9x = 1200
Proof: 20 60 = 1200
9 133.33 = 1199.9
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“I suppose we do enjoy things better when we have to work for
them,” said old Mrs. Granby. “We rush round helter skelter, get our
puddings shaken up and our nice crisp pie-crust jammed and
broken, and eat biscuits that have been spread for three hours, and
a bite of cold meat, and after we have gone home to think it over it
seems ever so much better than a great dinner.”
“The good-fellowship adds. I never go on a picnic but I think of the
Apostles having all things in common;” returned Miss Oldways.
“Yes,” said papa, “they gave of their time and interest, and love, as
well. It was not merely a little money. They brought in the whole
family and bestowed with the open-handed tenderness that blesses
the giver as well.”
I heard snatches of their talk as I ran onward, and snatches of
other talk. Here were sandwiches dripping with jelly, that had
somehow been upturned in the basket.
“Jelly is fashionable with meats,” suggested some one.
“There! I haven’t put in a single spoon. And I took the trouble to tie
red threads around each handle, then left them on the dresser. That
was smart!”
“We will reverse the order of things and have two creams with one
spoon, the second to wait until the first is served.”
“Is every plate used? Let’s count. All the elders must come first—
thirty, thirty-one, and the young girls wait on the table—thirty-eight—
it is but fair that their mothers should have the best once in a while.
Sixty-one! Now ring the bell.”
They filled up the first table, putting a little child in here and there.
The tea and coffee steamed out their appetizing fragrance, and as
we had no vases, we placed mounds of fern, grasses and wild
flowers on the table. Every body ate and drank and had a good time.
The dishes were washed, wiped, and put on again, the children
summoned, and after a while all had been feasted. Then there was a
general clearing away, except at one end of the long table where the
fragments were collected for those who might get hungry by and by.
“ Sweets to the Sweet.” Page 181.
CHAPTER X.