A client with pyelonephritis weighs 132.5 lbs. The provider has ordered Gentamycin 3 mg/kg/day to beadministered IM q8h. A vial labeled Gentamycin 80 mg/2 mL is available. Round doses to whole number.1. What is the weight in kg? _____________2. What is the daily dose? __________________3. How many doses will be administered daily? __________4. How many mg/single dose? ___________________5. How many mL/single dose? ________________

6. The order is for Tobramycin 50 mg IM q 8h. Available is Tobramycin 40 mg/1 mL. How many mL should the nurse administer in one dose? Round to the tenth place. _______ mL

Case scenario:Maria, a 55 year-old patient, was recently diagnosed with bronchial asthma. Her mother and three brothers also have asthma. In the past year, Maria has had three asthmatic attacks that were treated with prednisone and an albuterol inhaler. At a clinic visit today, prednisone is prescribed for 4 weeks and the order is written as follows:Day 1: 1 tablet four times a dayDay 2: 1 tablet three times a dayDay 3: 1 tablet two times a dayDay 4: 1 tablet in the morningDay 5: ½ tablet in the morningQuestions:1. Explain the purpose for the use of prednisone during the asthmatic attack. Explain why the dosage is decreased (tapered) over a period of 5 days.2. Can Cromolyn sodium be substituted for prednisone during the asthmatic attack? Explain your answer.

The drug reference indicates 15mg/kg/day q8 h. of kanamycin is a safe dose range. Order: Kanamycin 200 mg IV q8h. The client weighs 35 kg. How much will the nurse administer?

A patient newly diagnosed of septic shock has a BP of 80/46  mm Hg, pulse 136, respiration 32, temperature 104F and blood glucose 246 mg/dl . Which intevention ordered by the health care provider should the nurse implement. first? 1. start a vasopresor to  keep systolic blood pressure >90 mm HG 2.Give acetaminophen 650 mg rectally y to reduce fever 3. start 0.9% normal saline IVF at 500 ml/hr via central line 4. Start insulin drip to maintain glucose at 110 to 150 mg DL

A 62-year-old man who is a chronic smoker with a history of widespread atherosclerotic vascular disease complains of a 3-h history of severe midabdominal pain, accompanied by nausea and vomiting. He has a history of myocardial ischemia and peripheral vascular disease. On examination, he is writhing in pain. His abdomen has normal bowel sounds and minimal tenderness. A small amount of blood is present in the stool specimen. The electrolytes show a low bicarbonate level at 15 mEq/L, and the serum lactate level is high, which are indicative of tissue receiving insufficient oxygenation leading to tissue injury. A surgeon, who is concerned about mesenteric ischemia, has been called to evaluate the patient. Which of the following is the most likely diagnosis? Appendicitis Cholecystitis Gastritis Superior mesenteric thrombosis Amebic colitis

Please answer questions 3 and 4. Thank you

Many older adults are on multiple medications. Take for example Ms. Jones. She is on metformin 1 gram po twice a day, Lantus 20 units SQ daily, Lisinopril 10mg po daily, metoprolol 50mg po twice a day, simvastatin 20mg po qHS,  Eliquis 5mg po BID, Calcium 600mg daily, Vitamin D 2000IU daily, baby aspirin 81mg po daily.   Define polypharmacy and discuss important prescribing points for safety medication in aging adults. What are some ways to determine if the medications listed is safe for the patient to take? What tools are available to use for safe administration? What questions would be important to ask the patient about her medication?

Please help me fill in this chart. Thank you