Pharmacology Case Study Question & Answer Guide (With Explanation)

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Original Question

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: Metoclopramide 10 mg IVPB in 50 mL of D5W q.i.d. Atenolol 50 mg po daily. Hold for systolic BP < 100 and P < 50. May take with sip of water. Cefazolin 500 mg IVPB every 6 hours Meperidine 25 mg IM every 4 hours PRN pain Diet: NPO Vitals signs every 4 hours Monitor I & O every shift Questions: List the six (6) rights of medication administration. What assessments should be made prior to administration of the following medications: Metoclopramide, Atenolol, Cefazolin, and Meperidine? What is the action of each of the medications prescribed? What are adverse effects of these medications that the nurse should monitor? 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

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