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QUESTION

Nimina has Stage 4 pancreatic cancer. Her palliative doctor has ordered an HDC line to be inserted for the frequent morphine administration.

Nimina has Stage 4 pancreatic cancer. Her palliative doctor has ordered an HDC line to be inserted for the frequent morphine administration. Upon entering the medication room you notice that the stock morphine availability is 10mg/mL 1 mL ampoules. Doctor’s OrdersMorphine 2.5 mg SC q2hrInsert HDC line for morphine administration1.Using the Case Scenario above to answer the following questions.•What is the total dose of morphine you will draw up to ensure you are compliant with both the Dr. Orders and HDC initiation policy?2.Paul has an IV 22 gauge in his left forearm that is dated two days ago. His arm is red, swollen, and cool to touch distally from the IV site. He has indicated that there is pain over the infusion site upon palpation. What are your immediate actions? (Minimum 2)3.Anya was admitted to PCU 46 at the Foothills Medical Center for severe dehydration from her long term care facility four days ago. She has an IV site dated yesterday in her right hand. The site is healthy, no redness, no swelling and she denies pain at the site. The IV pump is alarming and upon entering her room you observe the pump reads: Downstream occlusion. 4.The night nurse was very tired due to an extremely busy night. Her one patient was screaming in 10/10 abdominal pain. The night nurse hung Hydromorphone 4mg via IVPB @ 0600. When you go into the patient’s room at 0730 you introduce yourself as his day nurse, and then you quickly scan the IV pump and medications that are hanging. You realize that he had IVPB of Hydromorphone at 0600, but you recall that according to the EMAR he is ordered Morphine 4 mg.•What are your immediate actions? (minimum 3)•What is the difference between Hydromorphone and Morphine? 5.According to the drug monograph for Ativan, please explain what is meant by the following:6.Your patient is going through severe DT’s (Delirium Tremens) and is ordered Ativan 2mg q1-2hrs direct IV. 7.Daisy is a 47-year-old female who has been diagnosed with Pseudomonas Aeruginosa Infection of her upper respiratory tract and requires antibiotics for treatment. She currently weighs 325 lbs and is 5’4” tall. The doctor’s order is as follows:•Gentamicin 7mg/kg/day based on ideal body weight•What is a major side effect of Gentamicin?8.Your patient is on IV Penbritin and you are about to administer his 1400hr dose. He has received three doses prior to the current dose. The eMAR reads Penbritin 750 mg IVPB 4 times daily. What is an appropriate vial size to choose based on the doctors order? There is currently no IV running on your patient, but they have a saline loc in place that has been regularly maintained. There is no pump or IV solution in the patient’s room. What is your choice for primary solution; provide rationale to your selection?9. Kevin is on Flagyl 500mg IVPB every 8 hours and Ceftriaxone 1g IVPB every 8 hours and is ordered Toradol 30mg every 12 hours.•What is the total volume of Ceftriaxone you will draw up from your vial?

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