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The physician orders 20 milliliters of a 5 percent albumin and lactated Ringer's solution to be administered immediately to a pediatric patient. A 25 percent solution of albumin product is available. What amount of 25 percent albumin and what amount of lactated Ringer's solution should the nurse prepare? 1\. The physician's order cannot be fulfilled using the 25 percent albumin product. 2\. The nurse should ask the pharmacy for a 5 percent solution. 3\. The nurse will use 4 milliliters of albumin product and 16 milliliters of lactated Ringer's solution. 4\. The nurse will administer 20 milliliters of the albumin product and follow it will 20 milliliters of lactated Ringer's solution.

Short Answer

Expert verified
Prepare 4 mL of 25% albumin and 16 mL of lactated Ringer's solution.

Step by step solution

01

Identify the Desired Concentration

The physician wants a 5% albumin solution to be prepared. This means that in a 20 mL solution, 5% of it should be albumin.
02

Calculate the Amount of Albumin Needed

To calculate how much albumin is needed, multiply the total volume of the solution by the percent concentration. Thus, 20 mL * 0.05 = 1 mL of albumin is required.
03

Determine the Available Concentration

The available albumin concentration is 25%. This means that 1 mL of the available solution contains 0.25 mL of albumin.
04

Calculate Volume of 25% Albumin Solution Needed

To obtain the necessary 1 mL of albumin, use the equation: Volume of 25% solution * 0.25 = 1 mL. Solving this gives Volume = 4 mL.
05

Calculate Amount of Lactated Ringer's Solution Needed

The remaining volume should be lactated Ringer's. Since the total desired volume is 20 mL and 4 mL is albumin solution, 20 mL - 4 mL = 16 mL of lactated Ringer's solution is needed.

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Key Concepts

These are the key concepts you need to understand to accurately answer the question.

Dilution and Concentration
Dilution and concentration are essential concepts in pharmacology calculations, especially when preparing solutions for administration. They help in making sure that the correct amount of a substance is present in a given volume. Here, we were tasked with creating a 5% albumin solution, which means that 5% of the total solution volume should be composed of albumin. Understanding the principle of concentration, we find that a higher concentration solution (25% in this case) can be diluted to achieve the desired lower concentration (5%). This involves calculating the exact amount of concentrated solution required to mix with a solvent, in this case, lactated Ringer's solution. By using simple multiplication, we determine the current volume of the concentrated solution that meets our needs: one milliliter of albumin in total. Through this exercise, we learn the practical skills required for real-world medication preparation. Knowing how to manipulate concentrations by using available strengths is a vital skill in pharmacological math.
Intravenous Fluid Therapy
Intravenous (IV) fluid therapy plays a critical role in healthcare settings, offering a method to deliver fluids and medications quickly and directly into the bloodstream for rapid effect. In the provided exercise, an IV solution containing albumin and lactated Ringer's needs to be quickly prepared for a pediatric patient. Albumin is commonly used to expand blood volume or treat low blood albumin levels, particularly in critical care. Lactated Ringer’s solution, an isotonic fluid, aids in electrolyte balance and hydration. When combining these two, the fluid's composition must be precisely calculated to ensure therapeutic efficiency and patient safety. The step-by-step method outlined ensures that the nurse administers the correct components according to the physician's order. This accuracy is essential because errors in IV therapy can lead to complications such as fluid overload or imbalances in electrolytes. Understanding the properties of IV fluids and their interactions is key for successful therapy.
Nursing Math Skills
Mastering nursing math skills is foundational for healthcare professionals, especially in medication administration and IV preparation. This math encompasses conversions, proportions, and dosage calculations, which are crucial for accurate patient care. The ability to swiftly perform these calculations is an essential skill for nurses, reducing risk and ensuring patient safety. In our case, calculating the exact milliliters of a highly concentrated solution to yield the desired lower concentration illustrates how vital these skills can be. Nurses must be capable of converting percentages into their equivalent volumes and vice versa. They should also recognize when to pull different components from available supplies to achieve the right dosage and mixture, as shown in the exercise. Moreover, proficiency in math skills builds confidence in the clinical setting, allowing nurses to focus on patient care rather than mathematical precision. Ensuring nurses are well-versed in these calculations contributes significantly to delivering effective and safe healthcare.

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