Ordered: Hydrocortisone, IV push, 50 mg bolus dose, for an adolescent with adrenal insuffi-ciency. Patient weight is 45 kg. SDR: 1-2 mg per kg IV bolus: Dilute each 250 mg or fraction thereof with 2 mL bacteriostatic SW and give over 3 minutes
a. SDR for this patient:
b. Evaluation: Safe to administer or hold and contact prescriber promptly?
c. Amount to withdraw from the vial:Estimate:DA:Evaluation:Total mL for IV bolus (prepared dose plus diluent added):
d. mL per minute to administer:
DA:
e. Draw an arrow indicating the volume administered at end of first minute and second minute.
a. SDR: 45-90 mg
b. Evaluation: Safe to administer
c. Estimate: of 2 mL; less than 0.5 mL
Estimate support Answer. Equation is balanced.
d. Total mL for IV bolus: 2.4 mL – 0.4 mL medication = 2 mL diluent
e. 0.8 mL per minute
DA:
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