After assessing a client, a primary healthcare provider prescribes diphenhydramine 25 mg IV STAT for anaphylaxis. The pharmacy supplies a vial with a concentration of 50 mg/mL.
How much and when should a nurse administer this medication?
Administer 0.5 mL of medication immediately to the client
Administer 25 mg of medication once a day to the client for two weeks
Administer 25 mg of medication every eight hours
Administer 0.5 mL of medication if the client has symptoms of allergy
Administer 0.5 mL of medication if the client has symptoms of allergy
The Correct Answer is A
To find how much medication to administer, you need to calculate the following:
- The volume of diphenhydramine in milliliters
- The infusion time in minutes
First, divide the dose of diphenhydramine by the concentration to get the volume in milliliters:
25 mg / 50 mg/mL = 0.5 mL diphenhydramine should be diluted in 10 to 20 mL of normal saline and infused over at least 2 minutes.
Therefore, the nurse should administer **0.5 mL** of diphenhydramine diluted in 10 to 20 mL of normal saline over **at least 2 minutes**.
The nurse should administer this medication **as soon as possible** after receiving the order and the medication from the pharmacy, as STAT means immediately or urgently. The nurse should also monitor the client for signs of improvement or adverse reactions.
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Related Questions
Correct Answer is B
Explanation
To find the rate in mL/hr, you need to use the formula for infusion rate:
Infusion rate (mL/h) = Total volume (mL) / Time (h)
Since the total volume is 500 mL and the time is 2 hours, plug in these values into the formula:
Infusion rate (mL/h) = 500 mL / 2 h
Simplify and solve for the infusion rate:
Infusion rate (mL/h) = 250 mL/h
Therefore, the nurse should set the IV pump to deliver **250 mL/h** to infuse LR 500 mL over 2 hours.
Correct Answer is C
Explanation
The nurse should add 250 mL of water to the formula to dilute it to half strength.
This answer is correct because it is based on a simple ratio and proportion calculation. The nurse can set up a proportion as follows:
250 mL / 1 = x mL / 0.5
Cross-multiplying and solving for x gives:
x = 500 mL
Therefore, the nurse should add 250 mL of water to the formula to make a total volume of 500 mL, which is half the concentration of the original formula.
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