A patient is ordered 50 mg of gentamicin (Garamycin) by IM injection.

The
drug is available in 20 mg/5 mL. How many mL should the nurse administer?
RATIONALE:
DOSAGE / STOCK x VOLUME
50MG/20MG x 5ML = 12.5ML
You have an order to give a patient a 1 liter Normal saline bolus over 2 hours,
then 100ml/hr for 12 hours. What is the total mls of fluid the patient will
receive in 6 hours?
RATIONALE:
1 liter = 1000ml, this will be given in the first 2 hours. The patient will receive
100ml/hr for the next 4 hours which will be 400ml. 1000ml + 400ml = 1400ml in 6
hours. 1400ml = 1.4L
An IV with NTG is infusing at 8ml/hr. The concentration of the IV is 50mg in
250ml of D5W. How many mg/hr is the patient receiving?
RATIONALE:
50MG / 250ML x 8ML = 1.6MG/HR
The physician has ordered a Fentanyl drip for sedation for a patient on the
ventilator. The drip comes as 1mg/100ml NS. The dose rate is 100mcg/hr,
titrate as needed. How many ml/hr will this drip infuse?
RATIONALE:
The fentanyl drip has 1mg/100ml. 1mg is equal to 1000mcg giving you 1000mcg in
a 100ml bag of Normal Saline (NS). 1000mcg/100ml = 10mcg per ml meaning there
is 10mcg of fentanyl for every 1ml. 10ml will contain 100mcg of fentanyl so the drip
will run at 10ml/hr.
The doctor has ordered Solu-Medrol, 40mg IVP q8h for a patient with a COPD
exacerbation. The vial comes as 125mg/2ml. How many ml will you give?
RATIONALE:
40mg/250mg x 2ml = 0.64ml
1.5L Normal saline bolus to be infused over 2 hours. What ml/hr will you set
the pump to infuse this fluid?
RATIONALE:

1500ml / 2 = 750ml