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Exam 19: Reconstitution of Solutions

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Directions: Use the label (where provided) to obtain the necessary information. Round answers to the nearest tenth where indicated. Order: Synagis 65 mg IM q8h Available: Refer to label and package insert. Directions: Use the label (where provided) to obtain the necessary information. Round answers to the nearest tenth where indicated. Order: Synagis 65 mg IM q8h Available: Refer to label and package insert. a. What diluent is recommended for reconstitution? ___________ b. How much diluent must be added? ____________ c. What is the dosage strength of the reconstituted solution? ______ d. How many milliliters will you administer? ________ e. How long is the reconstituted solution good for? ___________ a. What diluent is recommended for reconstitution? ___________ b. How much diluent must be added? ____________ c. What is the dosage strength of the reconstituted solution? ______ d. How many milliliters will you administer? ________ e. How long is the reconstituted solution good for? ___________

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Question 1
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a. Sterile water for injection
b. 1 mL
c. 100 mg per mL
d. 0.7 mL
e. 6 hours

Directions: Prepare the following strength solutions. Describe your calculations. Order: Amoxicillin 175 mg p.o. q8h Available: Directions: Prepare the following strength solutions. Describe your calculations. Order: Amoxicillin 175 mg p.o. q8h Available: a. Form: _______________ b. Route of administration: _______________ c. Type of diluent and amount to use: _______________ d. Directions for mixing: _______________ e. Dosage strength of reconstituted solution: _____ g. How many milliliters will you administer? __________ a. Form: _______________ b. Route of administration: _______________ c. Type of diluent and amount to use: _______________ d. Directions for mixing: _______________ e. Dosage strength of reconstituted solution: _____ g. How many milliliters will you administer? __________

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Question 2
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a. Oral suspension when reconstituted
b. By mouth, orally
c. Water, 77 mL
d. Tap bottle to loosen powder, add the water in two portions, shaking well after each addition
e. 125 mg per 5 mL
f. Discard suspension after 14 days
g. 7 mL

Directions: Indicate how you would prepare each of the following using full-strength hydrogen peroxide (solute) and normal saline (solvent). 0.24 L of 1/3 strength for wound care

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Question 3
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Conversion required. 1 L = 1,000 mL, 0.24 L = 240 mL
1/3 * 240 mL = 80 mL (solute)
240 mL - 80 mL = 160 mL (solvent/normal saline)
To make 240 mL of 1/3 strength hydrogen peroxide, mix 80 mL of full-strength hydrogen peroxide and 160 mL of normal saline.

Directions: Prepare the following strength solutions. Describe your calculations. Directions: Prepare the following strength solutions. Describe your calculations. a. What is the total dosage strength of the vial? _____ b. If 450,000 units IV of penicillin were ordered, which concentration would be appropriate to mix? _____ c. How much diluent must be added to make the appropriate concentration? _____ d. If the medication is reconstituted at 1:00 AM on December 18, what must you print on the label? _______________ e. How many milliliters will you give to administer 450,000 units IV? _______ a. What is the total dosage strength of the vial? _____ b. If 450,000 units IV of penicillin were ordered, which concentration would be appropriate to mix? _____ c. How much diluent must be added to make the appropriate concentration? _____ d. If the medication is reconstituted at 1:00 AM on December 18, what must you print on the label? _______________ e. How many milliliters will you give to administer 450,000 units IV? _______

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Question 4

Order: Zithromax 250 mg p.o. daily Available: Order: Zithromax 250 mg p.o. daily Available: a. How many milliliters of diluent must be added to the bottle? _____________ b. What is the final concentration of the prepared solution? ________________ c. How many milliliters will you administer? ___________________ a. How many milliliters of diluent must be added to the bottle? _____________ b. What is the final concentration of the prepared solution? ________________ c. How many milliliters will you administer? ___________________

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Question 5

Directions: Prepare the following strength solutions. Describe your calculations. 360 mL of 1/4 strength Ensure percutaneous endoscopic (PEG) tube over 4 hours

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Question 6

Directions: Use the label (where provided) to obtain the necessary information. Round answers to the nearest tenth where indicated. Order: Zosyn 3 g IV q6h Available: Directions: Use the label (where provided) to obtain the necessary information. Round answers to the nearest tenth where indicated. Order: Zosyn 3 g IV q6h Available: a. How many milliliters of diluent should be used to reconstitute the solution? _____ mL b. What is the dosage strength of the prepared solution? _______________ c. How many milliliters will you add to the IV? _____ mL a. How many milliliters of diluent should be used to reconstitute the solution? _____ mL b. What is the dosage strength of the prepared solution? _______________ c. How many milliliters will you add to the IV? _____ mL

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Question 7

Directions: Indicate how you would prepare each of the following using full-strength hydrogen peroxide (solute) and normal saline (solvent). 300 mL of 3/4 strength for skeletal pin care

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Question 8

Directions: Use the label (where provided) to obtain the necessary information. Round answers to the nearest tenth where indicated. Order: Amoxicillin clavulanate potassium 275 mg p.o. q12h Available: Directions: Use the label (where provided) to obtain the necessary information. Round answers to the nearest tenth where indicated. Order: Amoxicillin clavulanate potassium 275 mg p.o. q12h Available: a. How much diluent is recommended for reconstitution? _________ b. What is the dosage strength of amoxicillin when reconstituted? _______ c. What is the total volume of the reconstituted solution? __________ d. How many milliliters will you administer? (based on the amoxicillin) ________ a. How much diluent is recommended for reconstitution? _________ b. What is the dosage strength of amoxicillin when reconstituted? _______ c. What is the total volume of the reconstituted solution? __________ d. How many milliliters will you administer? (based on the amoxicillin) ________

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Question 9

Directions: Use the label (where provided) to obtain the necessary information. Round answers to the nearest tenth where indicated. Order: cefazolin (Ancef) 0.375 g IM q6h Available: Directions: Use the label (where provided) to obtain the necessary information. Round answers to the nearest tenth where indicated. Order: cefazolin (Ancef) 0.375 g IM q6h Available: a. How many milliliters of diluent will you add for IM use? _____ mL b. Why will the reconstituted volume be larger than the amount of diluent? _____ c. What is the dosage strength of the reconstituted solution? ___________ d. What are the directions for use? e. How many milliliters will you administer? _____ mL a. How many milliliters of diluent will you add for IM use? _____ mL b. Why will the reconstituted volume be larger than the amount of diluent? _____ c. What is the dosage strength of the reconstituted solution? ___________ d. What are the directions for use? e. How many milliliters will you administer? _____ mL

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Question 10

Directions: Prepare the following strength solutions. Describe your calculations. Prepare irrigant 250 mL 1/2 strength solution: ______________________________

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Question 11

Directions: Use the label (where provided) to obtain the necessary information. Round answers to the nearest tenth where indicated. Order: Vancomycin 0.85 g IV q12h Available: Directions: Use the label (where provided) to obtain the necessary information. Round answers to the nearest tenth where indicated. Order: Vancomycin 0.85 g IV q12h Available: a. How many milliliters of diluent are used to reconstitute the solution? _____ mL b. What is the dosage strength of the prepared solution? _______________ c. How many milliliters will you add to the IV? _____ mL a. How many milliliters of diluent are used to reconstitute the solution? _____ mL b. What is the dosage strength of the prepared solution? _______________ c. How many milliliters will you add to the IV? _____ mL

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Question 12

Directions: Indicate how you would prepare each of the following using full-strength hydrogen peroxide (solute) and normal saline (solvent). 8 oz of 1/2 strength for wound care

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Question 13

Directions: Prepare the following strength solutions. Describe your calculations. 1/4 strength Ensure 8 oz p.o. q4h for 24 hours

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Question 14

Directions: Use the label (where provided) to obtain the necessary information. Round answers to the nearest tenth where indicated. Order: Ceftriaxone 0.5 g IV q12h Available: Directions: Use the label (where provided) to obtain the necessary information. Round answers to the nearest tenth where indicated. Order: Ceftriaxone 0.5 g IV q12h Available: a. How many milliliters of diluent will you add to reconstitute the solution for IV use? _____ mL b. What is the dosage strength of the reconstituted solution for IV use? _____ c. How many milliliters will you administer? __________ mL a. How many milliliters of diluent will you add to reconstitute the solution for IV use? _____ mL b. What is the dosage strength of the reconstituted solution for IV use? _____ c. How many milliliters will you administer? __________ mL Directions: Use the label (where provided) to obtain the necessary information. Round answers to the nearest tenth where indicated. Order: Ceftriaxone 0.5 g IV q12h Available: a. How many milliliters of diluent will you add to reconstitute the solution for IV use? _____ mL b. What is the dosage strength of the reconstituted solution for IV use? _____ c. How many milliliters will you administer? __________ mL

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Question 15

Directions: Prepare the following strength solutions. Describe your calculations. 800 mL of 3/4 strength Sustacal via gastrostomy over 6 hours

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Question 16

Order: Doxycycline 100 mg IVPB q12h Available: Order: Doxycycline 100 mg IVPB q12h Available: How many milliliters will you administer? __________ How many milliliters will you administer? __________

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Question 17
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