Final answer:
To administer the ordered doses, draw up 0.14 mL of NPH insulin, 0.06 mL of Regular insulin, and 0.5 mL of Dilaudid. Combine the insulins in one syringe and administer subcutaneously, while Dilaudid is given IM separately. Proper dosage calculation and administration technique are crucial for patient safety.
Step-by-step explanation:
When administering medications per physician order, it is important to calculate the correct dosage to ensure patient safety and therapeutic effectiveness. In this scenario, the physician has ordered NPH Insulin 14 units and Regular Insulin 6 units to be given subcutaneously, and Dilaudid 2 mg to be administered intramuscularly.
For the insulin, using the available medication concentration of 100 units/mL, you would draw up 0.14 mL of NPH insulin and 0.06 mL of Regular insulin. Both types of insulin can typically be combined in the same syringe, provided you draw them up in a particular order to prevent contamination. Regular insulin should be drawn up first to ensure the clear solution does not get contaminated by the cloudy NPH insulin.
For Dilaudid, with an available strength of 4 mg/mL, you would need to administer 0.5 mL to deliver the ordered 2 mg dosage. This dose of Dilaudid must be given in a separate syringe and administered intramuscularly, as it is a potent pain reliever belonging to opioids, which includes drugs such as opium, heroin, fentanyl, and oxycodone.