Which numeric form is appropriate, according to the Joint Commission?
3.0
0.30
0.03
0.3
Calculate all drug dosages by body surface area.
The Correct Answer is D
This numeric form is appropriate, according to the Joint Commission, because it does not use a trailing zero after a decimal point, which is a common cause of medication errors and should be avoided. A trailing zero may be misread or misinterpreted as a larger dose or omited altogether, resulting in a 10-fold overdose or underdose, respectively. For example, when prescriptions have been writen for "Coumadin 1.0 mg," patients have received 10 mg in error¹². Therefore, the Joint Commission requires that a trailing zero may be used only when required to demonstrate the level of precision of the value being reported, such as for laboratory results, imaging studies that report the size of lesions, or catheter/tube sizes. It may not be used in medication orders or other medication-related documentation.
The other options are not appropriate numeric forms because:
a) 3.0 uses a trailing zero after a decimal point, which poses a risk of confusion or error.
b) 0.30 uses a trailing zero after a decimal point, which poses a risk of confusion or error.
c) 0.03 is not equivalent to 0.3, as it is 10 times smaller.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
To find the flow 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 2.5 L and the time is 15 hours, plug in these values into the formula:
Infusion rate (mL/h) = 2.5 L / 15 h
However, before you can simplify and solve for the infusion rate, you need to convert the volume from liters to milliliters by multiplying by 1000:
Infusion rate (mL/h) = 2500 mL / 15 h
Simplify and solve for the infusion rate:
Infusion rate (mL/h) = 166.67 mL/h
Therefore, the flow rate for continuous infusion is **166.67 mL/h**.
Correct Answer is A
Explanation
To find the total amount of heparin, you need to calculate the following:
- The concentration of heparin in units per milliliter
- The volume of heparin infused from 9:00 am to 11:00 am and from 11:00 am to 2:00 pm
- The amount of heparin in units from each time period and the total amount
First, divide the amount of heparin by the volume of D5W to get the concentration in units per milliliter:
25,000 units / 250 mL = 100 units/mL
Next, multiply the infusion rate by the duration to get the volume infused in each time period:
From 9:00 am to 11:00 am (2 hours), the infusion rate is 12 mL/hr:
12 mL/hr x 2 hours = 24 mL
From 11:00 am to 2:00 pm (3 hours), the infusion rate is 10 mL/hr:
10 mL/hr x 3 hours = 30 mL
Then, multiply the volume infused by the concentration to get the amount of heparin in units in each time period:
From 9:00 am to 11:00 am, the volume infused is 24 mL:
24 mL x 100 units/mL = 2400 units
From 11:00 am to 2:00 pm, the volume infused is 30 mL:
30 mL x 100 units/mL = 3000 units
Finally, add the amounts of heparin from each time period to get the total amount:
2400 units + 3000 units = 5400 units
Therefore, the patient received **5400 units** of heparin from 9:00 am to 2:00 pm.
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