Question: Case Study 1: Metric System Mr. Poulous, A 72 Y/o Male Who Weighs 183 Pounds And Is 173 Cm Tall, Was Admitted To The Hospital With Shortness Of Breath And Severe Edema (swelling) Of His Lower Extremities. His Physician Left The Following Treatment Orders For Him A) Lanoxin 0.125 Mg Po Daily B) Lasix 40 Mg Po Bid Potassium Chloride 670 Mg Po Tid 2 Glow …

Case Study 1: Metric System Mr. Poulous, a 72 y/o male who weighs 183 pounds and is 173 cm tall, was admitted to the hospital with shortness of breath and severe edema (swelling) of his lower extremities. His physician left the following treatment orders for him a) Lanoxin 0.125 mg po daily b) Lasix 40 mg po bid Potassium chloride 670 mg po tid 2 glow Na (sodium) diet e) Fluid restriction of 15 L per day 1) O, (oxygen) at 2 L by nasal cannula continuously 1) How many mog of Lanoxin is the patient receiving per day? 2) How many mg of Lasix is the patient receiving per day? 3) How much potassium chloride, ing is the patient receiving per day? 4-5) If the patient had 456 mg of Na (sodium) for breakfast, 637 mg Na at lunch, and 837 mg Na at dinner, how many mg did he consume that day? Did he follow the recommended diet? 6-7) For breakfast the patient consumed 180 mL of juice, and 240 mL of milk. At lunch he drank 360 mL of pop, and at dinner he had another 240 ml of milk. Throughout the day he sipped on and finished a container containing 1 L of water. How many mL of fluid did he have for the day? Was his fluid restriction parameter met? 8) Convert the patient’s weight from pounds to kg. A patient suffering from a cold is given a prescription for 15 ml of cough suppressant every 8 h for 10 days. 9) How many milliliters of medication will the patient take in one day? 10) of the medication is supplied in 0.51 bottles, how many bottles will the patient need to complete the 10 days of treatment? 49 Case Study 3: Parenteral Labels NDC 0009-0758-01 4-125 mg doses Prinivil” 5 mg (Lisinopril) 3 METOX & CO.INC Whitehouseo NG, USA R only See package insert for complete product information Store at controlled room temperature 20° to 25°C (68° to 77° F). Protect from light. Reconstitute with 8 ml Bacteriostatic Water for injection with Benzyl Alcohol. When reconstituted as directed each 8 mL contains: *Methylprednisolone sodium succinate equivalent to 500 mg methylprednisolone (62.5 mg per mL). Store solution at controlled room temperature 20 to 25°C (68° to 77°F) and use within 40 hours after missing. Lyophilized in container. Protect from light Reconstituted: Pharmacia & Upjohn Co., Kalamazoo MI 49001 USA Solu-Medrol® methylprednisolone sodium succinate for injection, USP 500 mg 100 Tablets For intramuscular or intravenous use Diluent contains Benzyl Alcohol as a preservative NDC 0049-0520-83 READ ACCOMPANYING PROFESSIONAL INFORMATION 500mg NDC OOZ9-6000-31 Pfizerpen® RECOMMENDED STORAGE IN DRY FORM Penicillin G potassium For injection AUGMENTIN USUAL DOSAGE Average single intramuscular injection 200,000 – 400,000 Units Intravenous Additional information about the use of this produce intravenously can be found in the package insert mL diluent Units per ml added of solution 18 2 mL 8.2 mL 500,000 3.2 mL 1,000,000 STORE BELOW 86 F (30°C) FIVE MILLION UNITS AMOXICILLIN/CLAVULANATE POTASSIUM TABLETS AMOXICILLIN, 500 MG, as the trihydrate CLAVULANIC ACID, 125 MG, as clavulanate potassium 250,000 Roerig Division of Pine NY, NY 10017 CAUTION. Federal Irw prohibits diapering without prescription Single Unit Package: 100 Tablets Mr. Baron, a 63 year old male who is 5 feet 8 inches tall and weighs 154 pounds, presented to his family physician with cough and shortness of breath. He has a history of emphysema from smoking 1 pack a day for 40 years. He also has hypertension. His regular medications include: a. Lisinopril 12.5 mg po daily b. Albuterol inhaler 2 inhalations tid After thorough examination, his physician determines that Mr. Baron is having an acute exacerbation (worsening) of his emphysema. The physician’s treatment plan includes: A. Penicillin G potassium 3,000,000 Units IM to be given now. B. Methylprednisolone 40 mg IM now. C. Follow the above with Augmentin 1 tablet po tid for 10 days. D. Continue regular medications. E. Return visit in 1 week. If the smallest possible volume of penicillin is to be given, that is, the most concentrated solution is to be made, how much diluent should be added? 2) What is the strength of the solution as reconstituted in #1? After the diluent is added, how many mL of the penicillin solution should be given in order to administer the 3,000,000 Units ordered? 53