JHPC PARAMEDIC PROGRAM ASSIGNEMENT CODE DCHW-01

Drug calculations, homework practice     serial#      Hit Counter

Answers at the bottom.  You can get a homework credit on these if you show the work that got you to the answer.
You are encouraged to collaborate in study groups on this assignment. BE SURE TO READ THE QUESTION CAREFULLY TO KNOW EXACTLY WHAT IT IS ASKING FOR.  SHOW ALL WORK ON THE BACK OR ON SCRAP PAPER. NO CREDIT WITHOUT WORK.

1. Push 0.4 mg of morphine using standard concentration. How many cc's?.  _____________What size syringe should you use?______

2. Push 100 mg lasix IV bolus using standard concentration.  How many cc's? _____________

3. Run a maintenance drip from a 1 liter bag at the rate of 100 cc/hr.  What is the drops per min using a 10 drip set?  _____________

4.  Bolus your patient with 1 mg/kg of lidocaine for malignant PVC's.  Your patient weights 110 lbs. How many cc's of the drug will you draw up using standard concentration?

5. Now that you have achieved a therapeutic level of lidocaine I am sure you want to start a maintenance drip.  Let's run it at 3 mg/min to start with using 1 gram of lidocaine placed into a 250 cc bag.  What is the drip rate using a 60 set?

6.  Well you took too long to set up that drip and your patient is refractrory to your lidocaine.  Let's try running some procainamide at 30 mg/min placing it in a 50 cc bag using standard concentration of procainamide.  How much fluid do you need to drop out of the bag before you start?  _________.  What is the drip rate going to be using a 60 dripset?__________

7. The procainamide didn't work either. Somebody found some still in date code bretylium in standard concentration which we are going to run in at 5 mg/kg (still working on patient from number 4, above) and we want run it in over 8 min.  We are going to use a 50 cc bag and disregard any additional volume from the bretylium, and use a 10 dripset. How much bretylium is going into the bag? __________ What is the drip rate? ______________

8. Perform a fluid challenge on  a 30 kg pediatric at standard fluid challenge rate (20 cc/kg) using a 10 drip set over 15 min.   What is the drip rate? _________

9. Low in the algorithm for bradycardia is an epi drip. Put 1 mg of 1-1000 epi using standard concentration into a 250 cc bag and run it at 4 micrograms/min  (60 dripset). What is the drip rate?

10. Push benadryl a the rate of 1 mg/kg to a max of 50 milligrams for a 110 pound patient. Using standard concentration benadryl, how many cc's of the drug will you be drawing up?\

 

 

ANSWERS START HERE

 

Answers:

1.  0.4 cc      1 cc

2.  10 cc

3. 17 gtt/min

4. 2.5 cc

5. 45 gtt/min

6. 90 gtt/min

7.  250 mg       62 gtt/min

8. 400 gtt/min

9. 60 gtt/min

10. 1 mg