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Order: Octreotide continuous infusion via pump at 50 mcg/hour Available: Octreotide 0.5 mg in 100 mL of fluid Infuse at 
Answer and Explanation

The Correct Answer is ["50"]

Available: Octreotide 0.5 mg in 100 mL of fluid

 

Calculation:

Convert the available dose to mcg:

  • 0.5 mg = 500 mcg

Determine the concentration:

  • 500 mcg in 100 mL = 5 mcg/mL

Calculate the infusion rate:

  • Desired rate: 50 mcg/hour
  • Infusion rate (mL/hour) = Desired dose (mcg/hour)÷ Concentration (mcg/mL)

= 50 mcg/hour ÷ 5 mcg/Ml

= 10 mL/hour

The infusion rate of 10 mL/hour will deliver 50 mcg/hour of Octreotide, as prescribed.


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Related Questions

Correct Answer is C

Explanation

A. Monitoring of results of liver function testing: While important, monitoring liver function tests is a routine assessment rather than a prioritized one compared to assessing for complications like ascites.

B. Assessment for signs and symptoms of jaundice: Jaundice is a common finding in cirrhosis but does not necessarily indicate an acute complication.

C. Measurement of abdominal girth and body weight: In advanced cirrhosis, monitoring for ascites and fluid retention is critical as these indicate worsening disease and potential complications.

D. Assessment for variceal bleeding: Incorrect. While important, the priority in routine assessment is monitoring for ascites and fluid overload, which can be managed more readily.

Correct Answer is C

Explanation

A. Near-drowning: This is a direct cause of ARDS. Inhalation of water can lead to pulmonary edema, which triggers ARDS.

B. Aspiration: Aspiration of gastric contents can directly injure the lungs and is a well-known cause of ARDS.

C. Pancreatitis: Pancreatitis is associated with ARDS, but it is an indirect cause, not a direct one. The inflammatory response from pancreatitis can lead to ARDS, but it is not due to direct lung injury.

D. Toxic inhalation: Inhaling toxic substances can cause direct damage to the alveoli and lead to ARDS.

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