Solution Manual for Dosage Calculations: A

Multi-Method Approach : 0132158620

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Solution Manual for Dosage Calculations: A Multi-Method Approach : 0132158620

Chapter

Syringes

Chapter Overview

I
n this chapter the student gains a working knowledge of various

standard types of syringes and learns how to read the scales on each.

Examples include hypodermic syringes ranging in size from the 0.5-mL to the 35-mL ­syringe.

Prefilled cartridge syringes, safety syringes, and insulin syringes are illustrated. A thorough

discussion of insulin is provided for instructors who want to emphasize this topic. The

­student uses USP units in calculations. The technique for mixing two types of insulin in one

syringe is illustrated.

Instructor’s Notes
n Instructors who have syringes and vials of water or normal saline available
can use these for hands-on practice.
n Remember that the Joint Commission mandates the use of the abbrevia-
tion mL instead of cc.
n Concentrate on teaching the students how to read the various scales used
on syringes.
n Emphasize that the syringe reading is taken at the location where the
fluid in the syringe meets the top ring of the plunger.
n Insulin syringes generally have flat plunger tops, whereas hypodermic
syringes have conical plunger tops.
n Some students may have difficulty with reading the tuberculin syringe
scale. For example, students may not understand what volume is halfway
between 0.1 and 0.2. If they think of 0.1 as 0.10, 0.2 as 0.20, it makes it
easier for students to see that 0.15 is halfway between 0.10 and 0.20.
n Explain the use of the dual scale insulin syringe in Figure 7.16 of the
textbook.
n Types of Insulin (Table 7.1) and Mixing Two Types of Insulin (Figure 7.29)
contain material that might have been addressed in a previous course. If that
is the case, this material may be omitted.

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 Answers to Chapter 7 Additional Exercises    27

Key Terms
barrel hub prefilled
bevel hypodermic puncture
blood glucose insulin pen shaft
bottom ring insulin pump sliding scale
calibrations insulin syringe sterile
cartridge intradermal injection syringe tip
cylinder Lo-Dose top ring
dual scale needle tuberculin syringe
gauge needleless syringe U-100
hollow needle plunger USP units

Answers to Chapter 7 Additional Exercises

1. 100-unit insulin syringe

2. 30-unit Lo-Dose insulin syringe

3. 5-mL syringe

4. 3-mL syringe

5. 12-mL syringe

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 28    Chapter 7 Syringes

6. 35-mL syringe

7. 30-unit Lo-Dose insulin syringe

8. 100-unit insulin syringe

9. 0.5-mL syringe

10. 50-unit Lo-Dose insulin syringe

11. 5-mL syringe

12. 30-unit Lo-Dose insulin syringe

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 Answers to Chapter 7 Additional Exercises    29

13. 12-mL syringe

14. 35-mL syringe

15. 0.5-mL syringe

16. 1.3 mL

17. 0.65 mL
0.65 mL

18. 0.25 mL in the syringe

0.25 mL

19. No, it is an underdose

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 30    Chapter 7 Syringes

20.  
0.08 mL 0.2 mL

Chapter 7 Examination Questions

Identify the pictured syringe, and place an arrow at the indicated level of
measurement on the syringe.

1. _________ syringe; 7.4 mL

2. _________ syringe; 2.2 mL

3. _________ syringe; 0.84 mL

4. _________ syringe; 68 units

5. _________ syringe; 1.8 mL

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 Chapter 7 Examination Questions    31

6. _________ syringe; 49 units

7. _________ syringe; 9.8 mL

8. _________ syringe; 82 units

9. _________ syringe; 1.5 mL

10. _________ syringe; 0.46 mL

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 32    Chapter 7 Syringes

11. _________ syringe; 33 units

12. _________ syringe; 29 mL

13. _________ syringe; 4.6 mL

14. _________ syringe; 0.3 mL

15. _________ syringe; 3.6 mL

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 Chapter 7 Examination Questions    33

16. _________ syringe; 19 units

In problems 17 through 20, read the order and use the appropriate label in
d Figure 7.1; calculate the dosage necessary, and place an arrow at the appro-
priate level of measurement on the syringe.

(a)

(b)

(d)

(c)

d Figure 7.1
Drug Labels for Chapter 7 Examination Questions.

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 34    Chapter 7 Syringes

17. Order: Humulin 70

30 insulin 85 units subcut 30 min before dinner

18. Order: quinidine gluconate 200 mg IM q2h

19. Order: Humulin R insulin 13 units subcut stat

20. Order: streptomycin sulfate 600 mg IM stat

Answers to Chapter 7 Examination Questions

1. 12 mL

2. 3 mL

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 Answers to Chapter 7 Examination Questions    35

3. 1 mL

4. 100-unit insulin

5. 3 mL

6. 100-unit insulin

7. 12 mL

8. 100-unit insulin

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 36    Chapter 7 Syringes

9. 3 mL

10. 1 mL

11. 50-unit insulin

12. 35 mL

13. 5 mL

14. 1 mL

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Solution Manual for Dosage Calculations: A Multi-Method Approach : 0132158620

Answers to Chapter 7 Examination Questions    37

15. 5 mL

16. 30-unit insulin

17. Dose: 85 units

18. Dose: 2.5 mL

19. 13 units

20. Dose: 1.5 mL

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