Tagamet 300 mg IVPB q8hr. The medication has been added to 50 mL DSW to infuse over 30 minutes. How many ml/hr?

A) Nausea and vomiting:
Nausea and vomiting are common gastrointestinal side effects of ibuprofen, which is a nonsteroidal anti-inflammatory drug (NSAID). Ibuprofen can irritate the stomach lining, leading to nausea, vomiting, or even gastritis and peptic ulcers with long-term use. This is a well-known side effect of NSAIDs, and clients are often advised to take the medication with food to reduce the risk.

B) Drowsiness:
While some individuals may experience fatigue or a mild sedative effect, it is not typically associated with ibuprofen. Other pain medications, such as opioids or certain antihistamines, are more likely to cause drowsiness, but this is rare for ibuprofen.

C) Blurred vision:
While serious side effects of NSAIDs can include vision changes (e.g., from elevated blood pressure or kidney dysfunction), blurred vision is not directly related to ibuprofen use. If blurred vision occurs, it is important to investigate other potential causes or conditions.

D) Increased heart rate:
Ibuprofen primarily affects the inflammatory pathways and the gastrointestinal system, and does not typically cause changes in heart rate. However, in rare cases, NSAIDs can lead to cardiovascular issues such as increased blood pressure, which could indirectly affect heart rate, but tachycardia is not a common or expected side effect.

Given:

Volume of fluid: 100 mL

Infusion time: 30 minutes

Drop factor: 60 gtt/mL

Formula:

Flow rate (gtt/min) = (Volume (mL) / Time (min)) x Drop factor (gtt/mL)

Step 1: Calculate the infusion rate in mL/min:

Infusion rate (mL/min) = Volume (mL) / Time (min)

Infusion rate (mL/min) = 100 mL / 30 min

Infusion rate (mL/min) = 3.33 mL/min

Step 2: Calculate the flow rate in gtt/min:

Flow rate (gtt/min) = Infusion rate (mL/min) x Drop factor (gtt/mL)

Flow rate (gtt/min) = 3.33 mL/min x 60 gtt/mL

Flow rate (gtt/min) = 200 gtt/min