This assignment involves the case of Mrs.

This assignment involves the case of Mrs. Velma Douglas, a 75 year old female patient admitted to the hospital for repair of a broken hip. She is 5’2″, 140 lbs with no known allergies. She has returned to the unit from the operating room with the following medication orders: Heparin 5,000 units subcut BID Furosemide 0.5 mg/kg prn for weight gain of 2 lbs or greater overnight 2000 mL of 0.9% normal saline solution IV to infuse over 24 hours (via IV pump, rate should be in whole number), then decrease to 50 mL/hr (via gravity in gtt/min in whole number). Morphine sulfate 2 mg IV q1hr for moderate pain; may give 4 mg q1hr IV for severe pain Penicillin G 5 million units IV piggyback x1 now (this is the first dose), then 2.5 million units (per dose) q6 hr for a total of 48 hours Lispro insulin subcut before meals and at bedtime based on the following sliding scale: Blood glucose to 150: No coverage Blood glucose 151-200: 2 units Blood glucose 201-250: 4 units Blood glucose 251-300: 6 units Blood glucose greater than 300: Call provider

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