Face Sheet

Client: Betsy Rossland

Age 82 GenderF Weight150 lbHeight5’2” RaceAfrican American

Allergies No Known Allergies

Attending Dr. T. Jefferson

Past MedicalHistory – Hypertension, hard of hearing,glaucoma, seizures, incontinence, hyperlipidemia and chronic kidney disease.Liveswith her daughter.

Present History of Illness- Recently discharged from the hospitalwith Dx: UTI. Alert and orientated x 3.Being admitted to a skilled nursing facility forphysical therapy and antibiotics. Currently uses a walker for mobility. Independent ambulation previously.

Betsy just arrived at your skilled facility with her daughter. The admission paperworkis finished, and you have just completed your geriatric assessment. Now it istime to reconcile the medications before you call thedoctor.


Calculate the Possible Medication Dosages

Ciprofloxacin Dosage 250 mg IV in 250 ml every 8 hours x 7 days. Ciprofloxacin runs over 1.5 hrs.

5- What is the rate of the pump? How many mgs of ciprofloxacin doesBetsy receive in a week?

Due to the possibility of not having enough pumps during thispandemic, we might need to run our antibiotics without the use of apump in long term care. So,it is important to know howto calculate gravity fed medications.

• To determine the number of drops per hour, dividedose by the (hours) and multiply it by the drip factor (based on theassumption of 14 drops = 1 mL).

• To determine the number of drops per hour divide the number ofdrops per minute by 60.

• Watch the drip chamber and time the drops according to thefollowing examples:

Ifgoal rate per hour is:

Dropsper minute (approximately):

Dropsper 15 seconds (approximately):

60mL

14

4

80mL

19

5

100mL

23

6

120mL

28

7

140mL

33

8

6- For gravity administration,

Our Ciopro flow rate will be ______drops/minor _______dropsper15seconds.

.

Bactrim IV: Order 10 mg/kg/day (trimethoprim component) IV in 2equally divided doses (every 12 hours) for 14 days
-Maximumdose: 960 mg/day (trimethoprim component)

7- Betsy will receive _______ _____mgsof Bactrim every 12 hrs

Nitrofurantoin Dosage 100 mg orally twice a day for 7 days.

8- How many mg of nitrofurantoin does Betsy receive in a week if thisis the choice?

9- Are any of Betsy’s other medications of concern togive?

Date of Order:

Medication:

Dosage:

Route:

Frequency:

Date of Administration

Time of Administration:

Initials

Metoprolol

100mg

po

everyday

0800

Furosemide

40mg

po

twiceper day

0800

1600

Atorvastatin

50mg

po

oncedaily

1600

Aspirin

81mg

po

oncedaily

0800

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