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Ray Chan, age 24, Is Involved in a multiple car accident. Mr. C was wearing a seatbelt; air bag was activated. Mr. C was alrlifted to the nearest trauma 1 hospital. Injuries Included 3 broken ribs, broken sternum, broken left femur, contusions, open scalp wound of 4 cm. N/G tube was inserted. No previous medical history. (Topics covered: calculating basic IV drip rates on an Infusion pump, determining hours an IV will run, adding medications to continuous IVs, enteral feeding, recording IV Intake.) Medications orders: 1 LD5W V2 NS with 20 mEq KCl at over 12 hours ceftazidime 1.25 g in 100 mL IVPB every 8 hours, infuse over 30 minutes ampicillin 750 mg in 50 mL IVPB IV every 6 hours, Infuse over 30 minutes Tube feedings: administer V4 strength Isocal at 60 ml/hour, total volume 240 mL . Calculate the doses (round the infusion rates to the nearest whole number): 1. D5W 12 NS. Supply: KCl 40 mEq/20 mL. How many mL to add to the IV? What is the infusion rate on the pump? Fluids were started at 10 AM, when will the IV be complete? 2. Ceftazidime. Supply: Available: 2 g vial, reconstitution yields 2 g/10 mL. How many mL to add to the IV? What is the infusion rate on the pump? 3. Ampicillin. Supply: 1.5 g vial. Reconstitution yields 1.5 g/4 mL. How many mL to add to the IV? What is the infusion rate on the pump? 4. How much water to add to make ya strength Isocal? How much Isocal? 5. What is the total fluid intake for 24 hours?
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