RX 351 Lab – Module 5 Assignment (28pts)

Name _______________________________________________________________

Complete and submit on Canvas. You must show all work to receive full credit. Do not leave off units and make sure to use leading zeros. Dropping units in your answer or failure to use a leading zero in an answer will result in no credit for that answer, even if the number itself is correct.

(4pts) A 70.5lb pediatric patient is ordered cefazolin 550mg IV q8h x 5 days to treat a case of cellulitis. Use the dosing regimen here (copied from the drug monograph) to determine if this dosing regimen is appropriate for this patient.

Skin and soft tissue infections, S. aureus, methicillin susceptible (mild to moderate): Infants, Children, and Adolescents:

S. aureus, methicillin susceptible skin and soft tissue infections including pyomyositis: IV: 50 mg/kg/day divided every 8 hours; maximum dose: 1,000 mg/dose; higher doses may be required in severe cases; duration of therapy at least 5 days, but longer may be necessary in some cases, e.g., febrile and neutropenic patients: 7 to 14 days; pyomyositis: 14 to 21 days

As ordered by prescriber, patient would receive _________mg/kg/day of cefazolin divided q ______hours for _______ days.

Initial here if daily dose (on mg/kg basis), frequency, and duration fall within the recommended guidelines: _____________

(Acceptable is within 5% of recommended dose, in this scenario.)

If dose is not acceptable, explain here:

Answer the following questions and process the med order for patient David Lee’s intermittent infusion.

Med Orders (adult patient with NKDA)
D5 ½ NS @ 50ml/h
Clindamycin 600mg IV q6h

(2pts) What is the concentration of the two ingredients in this patient’s primary IV solution?

(1pt) What size(s) of this IV solution are available in your storeroom?

(2pts) If the first IV bag is started at 0500 this AM, what day/time would the second bag be started? What day/time would the third bag be started? Express in military time.

Go to Lexi-Comp and find information regarding PREPARATION and ADMINISTRATION of clindamycin.

DRUG INFORMATION:

(1pt) Acceptable Diluents (circle one or both) : D5W NS

(1pt) Acceptable Diluent Volume (list all IV bag sizes that are acceptable):

(1pt) Choose an IV bag from the storeroom list to use for this order (list diluent and size of bag).

(2pts) What is the recommended time for infusing a dose of this medication? ______________________

CALCULATIONS:

You will use the vial pictured here to prepare a 24-hour

supply of doses (you may need more than one vial.)

(2pts) Dose Volume = __________ml (volume of drug solution to prepare one dose)

(2pts) Based on the recommended time for infusion, calculate a flow rate for administering this drug.

Flow Rate: ____________ml/h

(5pts) Complete the instructions for compounder to prepare three doses of clindamycin. Round volume appropriately based on calibration of syringe. Include specific information regarding supplies in innstructions (size of syringe, diluent solution, size of IV bag, etc).

Instructions for Compounder:

(5pts) Complete the required information on the IV label (that would be attached to each of the three IV bags). Use the information from the IOI Part 3 slide set to guide you.