5 Different Types of Insulin Available in Australia - Rapid Acting - Nursing Assignment Help

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Question 1
There are 5 different types of insulin available in Australia ranging from Rapid acting to Long acting. 
a)   Name one SHORT acting insulin type (NOT rapid acting)
b)   When is its peak onset?
c)   How long does it last?

Question 2
You are required to give 15 units insulin. In your stock vial there is 100 units per 1 mL. How much do you require?

Question 3
You are caring for a patient with urosepsis in the ICU. The patient’s blood pressure has dropped and the mean arterial pressure (MAP) is 50. The ICU consultant has now charted a noradrenaline infusion. In this ICU single strength noradrenaline is made by adding 4mg of noradrenaline to 50mls of a compatible fluid.
a. Calculate the concentration of a single strength noradrenaline infusion in mcg/ml 

b. Calculate the starting rate in ml/hr if the starting dose is to be 400mcg/hr 

Question 5
Your patient is ordered 4 mg/hr morphine through the volumetric pump. You have made up an intravenous bag containing 50 mg morphine in 500 mL normal saline. How many mL/hr will you dial up on the volumetric pump?

Question 6
Your patient is a Type 1 Diabetic. Long acting Insulin is used to provide basal or background insulin and therefore must be implemented with rapid or short acting insulin at meal times,
  
Question 7
Peter West is a 61 year old in ICU following general surgery. He is still sedated but seems to be waking. The intensivist orders a Propofol bolus of 100mg stat. Peter has a propofol infusion running currently through a volumetric pump that allows boluses to be given. The concentration of this infusion is 10mg/ml.  What volume in ml will you set your pump to give as a bolus to deliver the 100mg dose?

Question 8
You are required to give 12.5mg of morphine intravenously. In your ward stock your ampoules come in 10mg per 1ml.  How much of the ampoule do you need?  Reconstituted, this 1g must be mixed with 20mls of water then further diluted with at least 100ml Normal Saline and run over 100 minutes via intravenous infusion.You will be required to reconstitute two separate vials of 1 gram and then discard some to achieve your required dose of 1.2g Vancomycin.
a)   How many mls of reconstituted powder in water for injection is required?
b)   Once reconstituted your 1.2g of Vancomycin will be added to 100ml of Normal Saline. What will your final volume for infusion be?

Question 9
Fill in the blank
A blood product must be initiated within ---------- minutes of arrival on the ward.

Question 10
A 3-month-old 4kg baby is ordered oral amoxicillin 50mg/kg/dose to be given TDS. Amoxicillin comes in a strength of 250mg/5ml.
a) How much is each dose in mg?
b) How many mls do you give?
 

Question 11
Your patient’s blood pressure does not respond to the single strength infusion and the ICU consultant orders quad strength noradrenaline to run at 10mls/hr. In this ICU quad strength noradrenaline is made by adding 16mg of noradrenaline to 50mls of a compatible fluid.
a)   What is the concentration of quad strength adrenaline in mcg/ml? 
b)   How many mg/hr will the patient be receiving? 

Question 12
Your patient requires Fentanyl via syringe driver. You have Fentanyl 50 micrograms/5ml vials in stock. How much sodium chloride 0.9% solution will be required to achieve the correct concentration (50mcg/50ml)?

Question 13
At 1000hrs during rounds, the Surgeon orders the Hartmann’s 1000ml maintenance fluids on Mrs Thomas to be decreased from 120ml/hr to 80mls hour. They have been running since 0800hrs. calculate the following:
a)   What is the new volume to be infused (VTBI)?
b)   How many hours will this infusion now run over?

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