Pharmacology Case Study
The 70-year-old female who was admitted to the hospital to rule out bowel
obstruction continues to have nausea and vomiting. The client remains slightly
confused and weak. Bowel sounds are a
...
Pharmacology Case Study
The 70-year-old female who was admitted to the hospital to rule out bowel
obstruction continues to have nausea and vomiting. The client remains slightly
confused and weak. Bowel sounds are absent in the right and left lower quadrants.
Abdomen remains hard and distended. Mucous membranes dry; skin turgor poor. IV
of Lactated Ringers is infusing at 100 mL/h in the client’s left hand. A Foley catheter
is in place and is draining 20-30 mL/h. NG tube is in place, connected to intermittent
suction, and is draining coffee-ground material.
The client’s daughter informs the health care provider (HCP) that her mother has
hypertension and takes atenolol every morning. The client has no known drug
allergies.
The health care provider (HCP) orders the following:
1. Metoclopramide 10 mg IVPB in 50 mL of D5W q.i.d.
2. Atenolol 50 mg po daily. Hold for systolic BP < 100 and P < 50. May take with
sip of water.
3. Cefazolin 500 mg IVPB every 6 hours
4. Meperidine 25 mg IM every 4 hours PRN pain
5. Diet: NPO
6. Vitals signs every 4 hours
7. Monitor I & O every shift
Questions:
1. List the six (6) rights of medication administration.
= Right patient, right drug, right route, right time, right to know and right to
refuse
2. What assessments should be made prior to administration of the
following medications: Metoclopramide, Atenolol, Cefazolin, and
Meperidine?
=
3. What is the action of each of the medications prescribed?
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4. What are adverse effects of these medications that the nurse should
monitor?
5. The HCP has ordered Cefazolin 500 mg IVPB every 6 hours. The
pharmacy sends Cefazolin 500 mg in 50 mL of D5/W and it is to run
over 1 hour via an infusion pump. The drop factor of the IVPB set is 60
gtt per mL.
What is the hourly rate? __________mL/hr
What would the hourly rate be if the HCP ordered the Cefazolin to run over 30
minutes?_____________ mL/hr
