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 Calculating Flow Rates for Enteral and Intravenous Solutions Case Study

A patient has been admitted to the hospital with a diagnosis of right upper lobe pneumonia, dehydration, and left-sided hemiparesis. Patient has a nasogastric tube in place for tube feedings. Vital signs are as follows: T 101F, P 128, R 30, BP 140/102. The attending physician wrote the following orders:

• Enteral feeding q 3 h, Sustacal 240 mL followed by 50 milliliters of sterile water.
• 400 mL 5% D 1/2 NS q 6 h IV (continuous)
• Colace 100 mg oral suspension bid vial enteral tube
• Azithromycin in oral suspension 750 mg q.d. via enteral tube
• Tylenol oral suspension 600 mg q 4 h prn for temperature above 101.8F via enteral tube
• Lasix 40 mg bid via enteral tube, oral suspension
• K-lor 40 meq packet dissolved in 40 milliliters of H2O bid.

 1 . Calculate the flow rate of the Sustocal. The drop factor is 18 drops per milliliter.   To create paragraphs in your essay response, type

at the beginning of the paragraph, and

at the end. 2 . Calculate the flow rate for the 5% D 1/2 NS. The drop factor is 60 micro drops per milliliter.   To create paragraphs in your essay response, type

at the beginning of the paragraph, and

at the end. 3 . Colace oral suspension is prepared 150 milligram per 15 mL. How many milliliters will you administer to your patient?   To create paragraphs in your essay response, type

at the beginning of the paragraph, and

at the end. 4 . The label for the azithromycin reads 125 milligrams per 5 milliliters. How many milliliters will you administer to this patient?   To create paragraphs in your essay response, type

at the beginning of the paragraph, and

at the end. 5 . Calculate the amount of Lasix you will administer to your patient if the label reads 0.04 g in 5 milliliters.   To create paragraphs in your essay response, type

at the beginning of the paragraph, and

at the end. 6 . Your patient has a temperature of 102F. How many milliliters of Tylenol will you administer if the label reads 100 milligrams per milliliter?   To create paragraphs in your essay response, type

at the beginning of the paragraph, and

at the end. 7 . Calculate the total amount of fluid this patient will receive in 24 hours (enteral and intravenous only).   To create paragraphs in your essay response, type

at the beginning of the paragraph, and

at the end.

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