1. A nurse is preparing the dosage of Dilantin. Based on the medication that is available on the cart, how 13 many milliliters should the patient receive per dose? 2. When preparing to administer the Dilantin, the nurse drops the bottle and all except 42 milliliters remain. How many days should he expect this bottle to last? The patient states: “my throat and ear hurt", The nurse assesses her temperature, notes il to be 102 degress Farenheit and contacts the nurse practitioner who writes the following orders: Omnicef (Cefdinir) 7 mg/kg po q 12 hrs for 10 days Available is a suspension of 125 mg/5 mL Motrin (Ibuprofen) 5 mg/kg po q 6 – 8 hours Available is an oral suspension of 100 mg/5 ml. 3. The nurse is preparing to administer the Omnicef to Miss A. Based on the order and what is available on the cart, how many teaspoons should the nurse expect to administer each day? 4. Based on the above order for Omnicef, how many milligrams should the patient receive per dose? 5. Digoxin (Lanoxin) has been prescribed for Miss A. Based on the medication that is available on the cart, calculate the correct medication and amount that is to be given per dose. 6. Miss A's mother asks the nurse to give her daughter the medicine to treat her constipation and asks her how long will it take for her daughter to expect to "go to the bathroom". Based on the medication that is available on the cart, how many milliliters should the nurse administer each day? 7. The nurse is preparing to re-stock the medications on the cart, and notes that there are 16 ounces remaining in the bottle of Colace. If Miss A receives this medication as per physician orders, how many days should this bottle last? 8. The nurse is preparing to administer the Motrin to Miss A. Based on the medication that is available on the cart, what is the maximum number of milliliters the patient will receive in 24 hours based on the orders written by the nurse practitioner? 9. If there were 250 milliliters in the bottle of the antibiotic, how many milliliters should remain after the course of treatment has been completed if Miss A refused to take 2 doses of this medication? 10. The nurse on the evening shift has just come in to administer the Digoxin to Miss A. How many teaspoons should the nurse administer for the evening dose? LC/ME Spring 2014 Exercise: Case Study on Oral Medications A nurse assigned to the pediatric unit of an acute care facility is taking care of MISS A, an year old patient of Scottish descent who has just been admitted from the emergency ns MIss A and her family are known to this facility: she has a history of multiple admissions, and her family is familiar with the routine on the unit This admission however, is related to a hew onset of a cardiac dysrhythia, An EKG was done in the ER and confirmed this diagnosis; the family is apprehensive and express concern about this health issue. The nurse reviews the admission orders for Miss A, completes the admission history and physical, and documents the following on the EMR: Admitting Diagnosis: Atrial Fibrillation Concurrent Health Problems: H/O: Cerebral Palsy; Right-sided hemiplegia; Seizure Disorder; Constipation Cardiovascular: Vital Signs – T: 98.6 orally P: 64 regular RR: 16 unlabored BP: 102/58 mm/Hg left arm sitting Neuro: A +0x 3 Integumentary: Skin warm and dry Moves & snaps back into place quickly Musculoskeletal: R-sided Hemipareis Wheelchair-dependent Height/Weight: 4' 9' 92 lbs Genitourinary: Gastrointestinal: Abdomen soft Incontinent of urine – incontinent pad in place Hypoactive bowel sounds noted all quadrants Miss A's family remain at the bedside; the nurse reviews the following medication orders that have been written by the nurse practitioner assigned to this patient: Digoxin (Lanoxin) 20 mcg/kg po q 8 hrs x 24 hours; then to be re-evaluated Available as 0.05 mg/ml elixir Dilantin (Phenytoin) 8 mg/kg po BID Available as 125mg/5mL (or 50 mg chewable tablets) Colace (Docusate Sodium) 100 mg po once daily Available as a syrup 50mg/15 mL LC/ME Spring 2014