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Clinical Case Study, Chapter 5, Liquids for Injection
Dorothy Richardson, age 77, following a fall at home, was admitted to the hospital with fractured right hip. Ms. R. had a large open wound on her forehead, which was sutured prior to surgery. Surgery was completed successfully, total hip replacement secondary to client's history of rheumatoid arthritis. Ms. R. also has a history of pernicious anemia and mild CHF (congestive heart failure). (Topics covered: solving injection from liquid problems)
Allergies: PCN (penicillin), sulfa, meperidine, hydromorphone
Medication orders:
Calculate the doses: Do not round.
Critical Error:
The heparin order was transcribed: Heparin 10000 units subcutaneous. Available is 5000 units in 0.5 mL. The nurse calculated the dose as 0.1 mL. What error could happen?
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