Case Study: Interpreting, Processing, and Preparing to Compound an IV Admixture Order
Mr. Smith, who is a patient on the surgical unit, is suffering from a bacterial wound infection. He has been prescribed sodium chloride 0.9% continuous IV and 2g of cloxacillin IV in a 50-mL MiniBag of D5W to be administered every 8 hours. The cloxacillin IV is to be infused over 30 minutes. Your pharmacy carries 2-g vials of cloxacillin powder requiring the addition of 6.5mL of sterile water for injection for reconstitution, yielding a final volume of 8mL stock solution.
1. What is the first thing you would do after receiving this order? (Napra 3.1)
2. What would be the concentration of cloxacillin per milliliter of stock solution? (Napra 3.1)
3. What is the volume of the cloxacillin powder? (Napra 3.1)
4. What would be the concentration of cloxacillin per milliliter in the MiniBag of D5W? (Napra 3.1)
5. How many MiniBags would you send to the surgical unit to cover 24 hours of treatment? (Napra 3.1)