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Flashcards in Lab concepts Deck (34):
1

mosmol=

mmol x species (look at prelab)

2

What is the maximum rate of intermittant infusion for furosemide?

4mg/minute or 240 mg/hour

3

Undiluted furosemide can be administered via IV push at a rate of

20 to 40 mg/minute

4

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)

5

What is an important monitoring parameter for cefazolin?

renal function

6

When should dopamine not be used?

if golden brown - this means it has been exposed to light

7

What is the maximum rate of use for dopamine?

50 mcg/kg/min

8

How can you prevent extravasation for dopamine?

administer via central line

9

Abrupt withdrawal of dopamine can cause

hypotension

10

What are the three premixed solutions available for dopamine?

For 250 mL: 200, 400 and 800

11

For Bactrim, weight based dosing is based on what component?

TMP

12

What is the standard dosing for Bactrim?

8-10mcg/kg per day in 2-4 divided doses for up to five days

13

How should Bactrim be diluted?

5mL in 125mL d5w

14

What type of insulin can be administered by continuous IV?

insulin regular

15

The standard concentration of insulin in the hospital is

100 units per 100mL

16

Why might a patient receiving insulin get less than the apparent amount?

IV adsorption

17

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

18

A serum digoxin concentration/trough level should be drawn

6-8 hours after dose - this is not affected by administration route

19

Digoxin is excreted renally in what state?

50-70% unchanged digoxin

20

What is the purpose of metoclopramide?

treatment of nausea during chemotherapy regimens

21

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

22

Describe cisplatin pre-treatment

Hydration with 1-2 liters of fluid to reduce nephrotoxicity. Also may administer amifostine

23

How should amifostine be administered to reduce nephrotoxicity of cisplatin?

ASAP over a 15 minute period

24

To reduce risk of hemorrhagic cystitis, cyclophosphamide should be administered with

Mesna

25

What are the doses for doxirubicin that are associated with cardiomyopathy?

300-500mg/m^2. assess LVEF before, during and after

26

Phenytoin can be administered via

central or peripheral line; diluted or undiluted

27

How should a loading dose of phenytoin be administered?

IV or orally

28

What type of injection is inappropriate for phenytoin?

IM injection

29

What color is inappropriate in phenytoin?

anything other than clear or faint yellow

30

Adverse effects of phenytoin

CV arrhythmias, hypotension

31

When should phenytoin be administered after preparation?

1-4 hours after

32

What type of filter should be used for phenytoin?

.22-.55 micron filter

33

bacteriostatic water for injection cannot be given to

newborns

34

Molecular weight of NS

58.5