Flashcards in Lab concepts Deck (34):
mmol x species (look at prelab)
What is the maximum rate of intermittant infusion for furosemide?
4mg/minute or 240 mg/hour
Undiluted furosemide can be administered via IV push at a rate of
20 to 40 mg/minute
Manufacturing instructions for cefazolin for surgery
Postoperative infection; Prophylaxis: 1 to 2 g initiated 30 to 60 minutes prior to surgery; may repeat after 2 hours if procedure is lengthy with 500 mg to 1 g intraoperatively, followed by 500 mg to 1 g every 6 to 8 hours for 24 hours postoperatively. (This is from the manufacturing label)
What is an important monitoring parameter for cefazolin?
When should dopamine not be used?
if golden brown - this means it has been exposed to light
What is the maximum rate of use for dopamine?
How can you prevent extravasation for dopamine?
administer via central line
Abrupt withdrawal of dopamine can cause
What are the three premixed solutions available for dopamine?
For 250 mL: 200, 400 and 800
For Bactrim, weight based dosing is based on what component?
What is the standard dosing for Bactrim?
8-10mcg/kg per day in 2-4 divided doses for up to five days
How should Bactrim be diluted?
5mL in 125mL d5w
What type of insulin can be administered by continuous IV?
The standard concentration of insulin in the hospital is
100 units per 100mL
Why might a patient receiving insulin get less than the apparent amount?
What is the serum concentration range of digoxin that is considered therapeutic?
0.8-2 mg/mL. HF .5-.9ng/ml. Full Range is .5-2ng/ml
A serum digoxin concentration/trough level should be drawn
6-8 hours after dose - this is not affected by administration route
Digoxin is excreted renally in what state?
50-70% unchanged digoxin
What is the purpose of metoclopramide?
treatment of nausea during chemotherapy regimens
What is the dosing for metoclopramide?
1mg/kg over 15 minutes 30 minutes prior to chemo. Repeat every two hours for 2 doses. Then every 3 hours for 3 doses. Eliminated via the kidneys may need to adjust for CrCl
Describe cisplatin pre-treatment
Hydration with 1-2 liters of fluid to reduce nephrotoxicity. Also may administer amifostine
How should amifostine be administered to reduce nephrotoxicity of cisplatin?
ASAP over a 15 minute period
To reduce risk of hemorrhagic cystitis, cyclophosphamide should be administered with
What are the doses for doxirubicin that are associated with cardiomyopathy?
300-500mg/m^2. assess LVEF before, during and after
Phenytoin can be administered via
central or peripheral line; diluted or undiluted
How should a loading dose of phenytoin be administered?
IV or orally
What type of injection is inappropriate for phenytoin?
What color is inappropriate in phenytoin?
anything other than clear or faint yellow
Adverse effects of phenytoin
CV arrhythmias, hypotension
When should phenytoin be administered after preparation?
1-4 hours after
What type of filter should be used for phenytoin?
.22-.55 micron filter
bacteriostatic water for injection cannot be given to