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NEW QUESTION # 35
A physician orders Dopamine 5 mcg/kg/min. The concentration of the Dopamine IV bag is 400 mg in 250 D5W. The patient's weight is 168 lbs. Calculate the infusion rate in mL/hr.
Answer: E
Explanation:
Explanation
Pt's weight in Kg 76.4. 76.4 * [5 mcg/kg/min] = 381.18 mcg/min Concentration of the bag [400 mg/250 mL]
= 1.6 mg/ml or 1600mcg 381.18 mcg * [1 mL/1600 mcg] = 0.2382 mL/ml 60 in * [0.0.2382 mL/min] = 14.29 mL in one hour
NEW QUESTION # 36
Which of the following illnesses is an example of a type III hypersensitivity reaction?
Answer: A
Explanation:
Explanation
A type III hypersensitivity reaction is mediated by immune complex deposition. In lupus, auto-antibodies are formed and these complexes are deposited in other tissues, especially in the kidneys, skin, and joints. Graves disease and myasthenia gravis are examples of type II but in some classification systems they are called type V reactions. The auto-antibodies created in Graves attack TSH receptors in the thyroid, whereas in Myasthenia the target is the acetylcholine receptor. Hashimoto's thyroiditis is usually considered an example of a combination of type II and IV reactions, as T cells are directed at thyroid antigens and antibodies are also produced. Allergic rhinitis is a classic example of a type I, IgE mediated reaction.
NEW QUESTION # 37
A physician orders 300gms of albumin post paracentesis, how many milliliters of 25% albumin do you need to give 300gms?
Answer: D
Explanation:
25g/100ml = 300g/Xml Xml = 1200mL
NEW QUESTION # 38
What is the active ingredient found in the medicine Adalat?
Answer: B
Explanation:
Explanation
The dihydropyridine drug - nifedipine - is the active ingredient found in the medicine Adalat. Nifedipine is used to treat angina, Reynaud's phenomenon and hypertension. It is also used as a tocolytic agent in premature labor.
NEW QUESTION # 39
LN is 84 YOM who is in hospital for a back surgery. His height is 5 feet and 4 inches, weight 85 kg and NKDA.
His past medical history includes hypertension, diabetes mellitus, major depression, hypothyroidism and chronic back pain. Post-op day 1, LN's medication includes Dexamethasone 8mg iv q6h with taper dosing, Ondansetron 4mg iv q6h prn for N/V, Levothyroxine 0.075mg po daily, Lisinopril 10mg po daily, Citalopram
20mg po daily, Docusate sodium / Senna 1 tab po twice a day, Bisacodyl 10mg suppository daily prn for constipation, Famotidine 20mg iv q12hr, Metoclopramide 10mg iv q6h, Metformin 500mg po bid, D51/2NS with
20K at 125mls/hour and Hydromorphone PCA at 0.2mg/hour of basal rate, demand dose 0.1mg. lock-out every
6min, one hour limit 2.2mg/hour. Pertinent morning labs includes serum creatinine 1.4mg/dl, Mg 1.5mg/dl, K
5.0mmol/L, Na 135mmol/L.
Which of the following medication's dose are adjusted for poor renal function?
Answer: C
Explanation:
Famotidine and Metoclopramide would need to be adjusted for poor renal function. Since his CrCl is less than
50, famotidine would need to be adjusted by decreasing the dose by 50% or increasing the interval to every 36 to 48 hours. Metoclopramide would also need to be adjusted by 50% of the normal dose since his CrCl is less than 40. ACEInhibitors and ARBs should be held if serum K is greater than 5.6 or there is a rise in serum creatinine greater than 30% after initiation.
NEW QUESTION # 40
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