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Richard Steinberg is admitted to the hospital. His medication orders are as follows:

**Demographics/Vitals:**
- Age: 73
- Weight: 185 lbs
- BP: 145/92 mmHg
- HR: 72 BPM

**Medication Orders:**

**2/16:**
- Norvasc 10 mg PO daily
- D5 1/2NS + 20 mEq KCl at 50 ml/hr
- Protonix 40 mg daily
- Lovenox 40 mg daily
- Atenolol 100 mg PO daily

**2/17:**
- D/C IV fluid from 2/16
- Potassium chloride 20 mEq PO BID
- Norvasc 10 mg PO daily
- D5 1/2NS at 50 ml/hr
- Protonix 40 mg daily
- Lovenox 40 mg daily
- Atenolol 100 mg PO daily

**2/18:**
- D/C IV fluid from 2/17
- D/C KCl PO
- NS 1 liter + 7 mEq Ca gluconate at 40 mL/hr
- Norvasc 10 mg PO daily
- Protonix 40 mg daily
- Lovenox 40 mg daily
- Atenolol 100 mg PO daily

**Question:**
The pharmacist has 10% calcium gluconate vials that are labeled to contain 0.465 mEq/mL. How many milliliters of calcium gluconate are required to prepare the fluid ordered on February 18th? (Answer must be numeric; no units or commas; round final answer to the nearest WHOLE number.)

Answer :

Final answer:

Approximately 15 mL of calcium gluconate are required to prepare the fluid ordered on February 18th.

Explanation:

To calculate the amount of calcium gluconate required to prepare the fluid ordered on February 18th, we need to determine the total number of milliequivalents (mEq) needed. The order states that 1 liter of fluid is required, and each liter should contain 7 mEq of calcium gluconate. Since the pharmacist has 10% calcium gluconate vials that are labeled to contain 0.465 mEq/mL, we can calculate the required amount as follows:

Total mEq = 1 liter * 7 mEq/1 liter = 7 mEq

Volume required = Total mEq / concentration = 7 mEq / 0.465 mEq/mL = 15.05 mL

Rounding the final answer to the nearest whole number, we find that approximately 15 mL of calcium gluconate are required.

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