How Supplied: Rocephin 500 mg bottle. Instructions are as follows: Reconstitute with 1.0 mL Sterile Water for Injection. Each 1mL of solution contains approximately 350 mg equivalent of ceftriaxone. Give: ______________ mL
2. Order: Acetaminophen 15 mg per kg PO. Patient weight is 45 lbs.
There are 2.2 pounds in a kg. How Supplied: Acetaminophen 160mg per 5 mL Give: ______________ mL
How Supplied: Rocephin 250 mg bottle. Instructions are as follows: Reconstitute with 0.9 ml Sterile Water for Injection. Each 1mL of solution contains approximately 250 mg equivalent of ceftriaxone. Give: ______________ mL
4. Order: Diphenhydramine 5 mg per kg/day PO. Patient weight is 55 lbs.
How Supplied: Diphenhydramine 12.5 mg per 5 mL Give: ______________ mL
How Supplied: Gentamicin 80 mg per 2 mL Give: ______________ mL
How Supplied: Ketorolac 30mg per 1 mL Give: ______________ mL
How Supplied: Zithromax 250 mg tablets Give: ______________ tablets
How Supplied: Flagyl 500 mg tablets Give: ______________ tablets
How Supplied: Ibuprofen 200 mg tablets Give: ______________ tablets
How Supplied: Acetaminophen 160mg per 5 mL Give: ______________ mL
How Supplied: Rocephin 500 mg bottle. Instructions are as follows: Reconstitute with 1.0 mL Sterile Water for Injection. Each 1mL of solution contains approximately 350 mg equivalent of ceftriaxone. Give: ______________ mL
How Supplied: Rocephin 250 mg bottle. Instructions are as follows: Reconstitute with 0.9 ml Sterile Water for Injection. Each 1mL of solution contains approximately 250 mg equivalent of ceftriaxone. Give: ______________ mL
13. Order: Bicillin L-A 400,000 Units IM
How Supplied: Bicillin L-A 1,200,000 Units per 2 mL Give: ______________ mL
How Supplied: Diphenhydramine 50 mg per 1 mL Give: ______________ mL
How Supplied: Gentamicin 80 mg per 2 mL Give: ______________ mL
How Supplied: Ketorolac 30mg per 1 mL Give: ______________ mL
How Supplied: Zithromax 250 mg tablets Give: ______________ tablets
How Supplied: Flagyl 500 mg tablets Give: ______________ tablets
How Supplied: Ibuprofen 200 mg tablets Give: ______________ tablets
How Supplied: Acetaminophen 160mg per 5 mL Give: ______________ mL
How Supplied: Rocephin 500 mg bottle. Instructions are as follows: Reconstitute with 1.0 mL Sterile Water for Injection. Each 1mL of solution contains approximately 350 mg equivalent of ceftriaxone. Give: ______________ mL
How Supplied: Rocephin 250 mg bottle. Instructions are as follows: Reconstitute with 0.9 ml Sterile Water for Injection. Each 1mL of solution contains approximately 250 mg equivalent of ceftriaxone. Give: ______________ mL
23. Order: Bicillin L-A 900,000 Units IM
How Supplied: Bicillin L-A 1.2 Million Units per 2 mL Give: ______________ mL
How Supplied: Diphenhydramine 50 mg per 1 mL Give: ______________ mL
How Supplied: Gentamicin 80 mg per 2 mL Give: ______________ mL
How Supplied: Ketorolac 30mg per 1 mL Give: ______________ mL
How Supplied: Clonidine 0.1mg tablets Give: ______________ tablets
How Supplied: Flagyl 500 mg tablets Give: ______________ tablets
How Supplied: Ibuprofen 200 mg tablets Give: ______________ tablets
How Supplied: Acetaminophen 160mg per 5 mL Give: ______________ mL
How Supplied: Rocephin 500 mg bottle. Instructions are as follows: Reconstitute with 1.0 mL Sterile Water for Injection. Each 1mL of solution contains approximately 350 mg equivalent of ceftriaxone. Give: ______________ mL
How Supplied: Rocephin 250 mg bottle. Instructions are as follows: Reconstitute with 0.9 ml Sterile Water for Injection. Each 1mL of solution contains approximately 250 mg equivalent of ceftriaxone. Give: ______________ mL
33. Order: Bicillin L-A 300,000 Units IM
How Supplied: Bicillin L-A 1,200,000 Units per 2 mL Give: ______________ mL
How Supplied: Diphenhydramine 50 mg per 1 mL Give: ______________ mL
How Supplied: Gentamicin 80 mg per 2 mL Give: ______________ mL
How Supplied: Ketorolac 30mg per 1 mL Give: ______________ mL
How Supplied: Zithromax 250 mg tablets Give: ______________ tablets
How Supplied: Flagyl 500 mg tablets Give: ______________ tablets
How Supplied: Ibuprofen 200 mg tablets Give: ______________ tablets
How Supplied: Acetaminophen 160mg per 5 mL Give: ______________ mL
Claims Administrator: UMR, Inc. (800) 826-9781 (www.umr.com) Patient Choice (877) 390-7632 (www.patientchoicehealthcare.com) • Sanford (Sioux Valley Hospital) (800) 601-5086 • Avera Tri State (McKennan Hospital) (605) 322-6300 Innoviant (877) 559-2955 (www.innoviant.com) 1Based on Full-time schedule. Part-time staff premiums are proportionally adjusted based on work schedule. Premiums for