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Order: Pepcid 20mg IVPB q12h. The label on the bottle is 4ml vial reads 10mg/ml.

ID: 239673 • Letter: O

Question

Order: Pepcid 20mg IVPB q12h. The label on the bottle is 4ml vial reads 10mg/ml. The manufacturer recommends adding 50ml of D5W and infusing the medication over 60min. Please explain Order: Pepcid 20mg IVPB q12h. The label on the bottle is 4ml vial reads 10mg/ml. The manufacturer recommends adding 50ml of D5W and infusing the medication over 60min. Please explain Order: Pepcid 20mg IVPB q12h. The label on the bottle is 4ml vial reads 10mg/ml. The manufacturer recommends adding 50ml of D5W and infusing the medication over 60min. Please explain

Explanation / Answer

Question: 1

Answer:

Ordered Dose: 20 mg Q 12h

Available dose: 40 mg in 4ml

Step 1: remember the Formula

            Ordered dose

       =               ------------------ X Volume of available dose

            Available dose

20

       =   -------- X 4 ml

            40

       =    2 ml

           

Step: 2

50 ml D5W + 2 ml (20mg) Pepcid = 52 ml

Infuse over 60 mins

Volume (mL)   

   =      ----------------- Y (Flow Rate in mL/hr)

Time (hr)

           

52 (mL)   

   =      ----------------- Y (52 ml/1 hr)

1 (hr)

=       set 52 ml/hr with infusion pump or If require to calculate flow rate please provide drop factor

Repeat the same after 12 hours to complete the order.

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