Escape room
Medication Reconstituion
Start
Complete all missions to complete your medication reconstitution competency
Mission 2
Mission 3
Mission 1
ampicillin
fentanyl
General
Mission 4
Mission 5
Mission 6
vecuronium
adenosine
Mission 1
Question 1/3
Where do you go to find instructions on how to reconstitute medications in the NICU?
Neofax
google scholar
Mission 1 General
Question 2/3
Where is the preferred place to reconstitute your IV medications?
Mission 1 general
Put in the correct order 3/3
How do you "keep it clean" when you reconstitute a medication for IV administration?
A) don clean gloves
B) wash your hands
C)clean the tops of vials with alchohol or CHG wipes and let them dry
D) work in a clean space
Continue
Solution
Complete all missions to complete your competency
Mission 2
Mission 3
Mission 1
ampicillin
Fentanyl
general
Mission 4
Mission 5
Mission 6
adenosine
vecuronium
Lorazepam
Mission 2 Ampicillin
Question 1/4
You are reconstituting Ampicillin to be 100mg/1ml. How much sterile water do you add to a 500mg vial of Ampicillin?
1ml
5ml
2.5ml
Mission 2 Ampicillin
Question 2/4
You are reconstituting Ampicillin to 100mg/1ml. You pull a 250mg vial from the pyxis, how to you reconstitute this IV medication?
Add 5 ml of sterile water for injection to the vial
Add 2.5 ml of sterile water for injection to the vial and mix gently.
Add 2.5ml of sterile water for injection and shake vigorously.
Mission 2 Ampicillin
Question 3/4
You receive an order to administer 350mg of IV Ampicillin to your patient. Your reconstituted Ampicillin is 100mg/ml. How much volume will you administer to your patient?
0.35ml
0.035ml
3.5ml
35ml
Mission 2 Ampicillin
Put in the correct order
You pull 250mg Ampicillin from the pyxis and plan to give 200mg. Place your actions for reconstitution and administration in order.
A) Draw up 2ml of Ampicillin
B) inject the sterile water into the ampicillin vial and mix gently
C) Inject Ampicillin slow IV push over 3-5 minutes
D) pull up 2.5ml of sterile water for injection
Continue
Solution
Complete all missions to complete your competency
Mission 2
Mission 3
Mission 1
ampicillin
Fentanyl
general questions
Mission 4
Mission 5
Mission 6
Adenosine
Vecuronium
Lorazepam
Mission 3 Fentanyl
Question 1/4
You pull Fentanyl from the pyxis. It is labeled as 100mcg/2ml. You need to reconstitute Fentanyl to 10mcg/ml. How is this done?
Add entire contents of the vial to 9ml normal saline.
Add entire contents of the vial to 4 ml of normal saline.
Add 1 ml of Fentanyl to 4 ml of normal saline.
Add 1ml fentanyl to 10 mls normal saline
Mission 3 Fentanyl
Put in the correct order
You have a stat order for 2mcg of Fentanyl. Put your actions in order.
A) Pull up 0.2ml of reconstituted fentanyl
B) Pull up 1 ml of 100mcg/2ml Fentanyl
C) Add the 1 ml of Fentanyl to 4 ml saline
Continue
Solution
Mission 3 Fentanyl
Question 3/4
You have reconstituted your Fentanyl to 10mcg/ml. Your order is for 0.8mcg for your 800 gram patient. What is your volume for adminisitration?
0.8ml
0.08ml
8ml
Mission 3 Fentanyl
Fentanyl Facts- sort to the appropriate column
True Statement
False statement
does not require a witness
If given fast-chest wall rigidity may result in rapid desaturation/bradycardia
administer slow IV push 3 minutes
You must scan, administer, & waste within 30 minutes of pulling from the pyxis
Needs to be reconstituted to 10mcg/ml prior to administration
Continue
Solution
Complete all missions to complete your medication reconsitution competency
Mission 2
Mission 3
Mission 1
ampicillin
fentanyl
general
Mission 4
Mission 5
Mission 6
adenosine
vecuronium
lorazepam
Mission 4 Adenosine
Question 1/4
In order to get Adenosine to the safe concentration for NICU administration, 300mcg/ml, how would you reconstitute the 6mg/2ml vial that you pull from the pyxis?
You can safely administer adenosine at the concentration provided in the pyxis.
Add 1 ml of 6mg/2ml (full strength) adenosine to 4 ml of normal saline.
Add 1 ml of 6mg/2ml (full strength) adenosine to 9 ml of normal saline.
Mission 4 Adenosine
Question 2/4
You have reconstituted your adenosine to be 300mcg/ml. Your order is 50mcg/kg for your 3kg patient. What volume of adenosine will you administer to your patient?
1ml
5ml
0.5ml
0.05ml
Mission 4 Adenosine
Question 3/4
How fast should you give adenosine?
3 minutes
10 seconds
as fast as possible- < 1 second
Mission 4 Adenosine
Put in the correct order
Your patient is in SVT, ice has failed and your provider orders 50mcg/kg IV stat. Your patient is 3.5 kg. Place your actions in the correct order.
A) pull up 0.58ml of reconstituted adenosine
B) pull up 1 ml of full concentration adenosine and add it to 9ml normal saline
C) administer very rapid IV push as close to the heart as possible
D) obtain 6mg/2ml vial of adenosine from the pyxis
Continue
Solution
Complete all missions to complete your competency
Mission 2
Mission 3
Mission 1
ampicillin
Fentanyl
general questions
Mission 4
Mission 5
Mission 6
adenosine
vecuronium
lorazepam
Mission 5 Vecuronium
Question 1/4
You receive an order to administer Vecuronium 0.1mg/kg IV push. Your patient weighs 800 grams. What is your ordered dose?
8mg
0.08mg
0.8mg
Mission 5 vecuronium
Question 2/4
You pull Vecuronium from the pyxis as a 10mg vial of powder for reconstitution. How do you reconstitute this vial for IV administration?
Add 10ml water to a medicine cup, sprinkle the power in the water, mix, then draw up the vec into a syringe for IV administration.
Add 1ml normal saline to the vial and mix gently to make 1mg/1ml solution.
Add 1 ml normal saline to the vial, mix and draw up the solution, then add this solution to a 100ml bag of normal saline to make 1mg/1ml concentraion of vecuronium
Add 10ml of sterile water for injection to the vial for a final concentration of 1mg/ml vecuronium.
Mission 5 Vecuronium
Question 3/4
You have reconstituted your vecuronium to 1mg/1ml concentration. How many times can you pull from this vial throughout your shift before disposing of it?
The solution is no longer good after 24 hours so it must be thrown out at 24 hours.
until you run out or your shift ends, whichever comes first
once, then throw it out
Mission 5 Vecuronium
Question 4/4
You have reconsituted your Vecuronium vial to 1mg/1ml. You have a 4 kg patient. You receive an order for 0.1mg/kg. What volume of vecuronium will you administer to this patient?
4ml
0.4ml
0.04ml
Complete all missions to complete your competency
Mission 2
Mission 3
Mission 1
ampicillin
fentanyl
general
Mission 4
Mission 5
Mission 6
adenosine
vecuronium
Lorazepam
Mission 6 Lorazepam
Question 1/4
You receive an order to give your 3kg patient 0.3mg of lorazepam IV slow push. Is this a safe dose?
NO
Yes
Mission 6 Lorazepam
Question 2/4
You retrieve Lorazepam 2mg/1ml from the pyxis. You want to give 0.3 mg. At this concentration, what volume would you administer?
0.15ml
1.5ml
0.015ml
Mission 6 Lorem ipsum dolor sit amet
Question 3/4
Neofax states "it might be more practical to use concentrations such as 0.2mg/ml or 0.4mg/ml in the NICU setting." How would you create the concentration of 0.2mg/ml if you start with the 2mg/ml concentration of lorazepam?
Add 1 ml of 2mg/1ml lorazepam to 9ml of normal saline.
Add 1ml of 2mg/1ml to 4 ml of normal saline.
Add 2 ml of 2mg/1ml lorazepam to 8ml of normal salie.
Add 1ml of 2mg/1ml lorazepam to a 100ml bag of normal saline
Mission 6
Question 4/4
Because lorazepam is thick and you are administering slow IV push, you decide to reconstitute your lorazepam to 0.2mg/ml. How much volume will you administer of this concentration to give your patient 0.3mg slow IV push.
0.15ml
15ml
1.5ml
0.015ml
Congratulations!! You have completed all missions
Mission 2
Mission 3
Mission 1
ampicillin
fentanyl
general
Mission 4
Mission 5
Mission 6
adenosine
vecuronium
Lorazepam
Completion code
Are you sure you want to go out?
Back
Exit
Remember this completion code
203498
Congratulations on your successful completion of this escape room. Remember this code to complete your exam question that completes this course.
You failed!
Try again
Medication Reconstitution
Candace Hogan
Created on February 1, 2023
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Transcript
Escape room
Medication Reconstituion
Start
Complete all missions to complete your medication reconstitution competency
Mission 2
Mission 3
Mission 1
ampicillin
fentanyl
General
Mission 4
Mission 5
Mission 6
vecuronium
adenosine
Mission 1
Question 1/3
Where do you go to find instructions on how to reconstitute medications in the NICU?
Neofax
google scholar
Mission 1 General
Question 2/3
Where is the preferred place to reconstitute your IV medications?
Mission 1 general
Put in the correct order 3/3
How do you "keep it clean" when you reconstitute a medication for IV administration?
A) don clean gloves
B) wash your hands
C)clean the tops of vials with alchohol or CHG wipes and let them dry
D) work in a clean space
Continue
Solution
Complete all missions to complete your competency
Mission 2
Mission 3
Mission 1
ampicillin
Fentanyl
general
Mission 4
Mission 5
Mission 6
adenosine
vecuronium
Lorazepam
Mission 2 Ampicillin
Question 1/4
You are reconstituting Ampicillin to be 100mg/1ml. How much sterile water do you add to a 500mg vial of Ampicillin?
1ml
5ml
2.5ml
Mission 2 Ampicillin
Question 2/4
You are reconstituting Ampicillin to 100mg/1ml. You pull a 250mg vial from the pyxis, how to you reconstitute this IV medication?
Add 5 ml of sterile water for injection to the vial
Add 2.5 ml of sterile water for injection to the vial and mix gently.
Add 2.5ml of sterile water for injection and shake vigorously.
Mission 2 Ampicillin
Question 3/4
You receive an order to administer 350mg of IV Ampicillin to your patient. Your reconstituted Ampicillin is 100mg/ml. How much volume will you administer to your patient?
0.35ml
0.035ml
3.5ml
35ml
Mission 2 Ampicillin
Put in the correct order
You pull 250mg Ampicillin from the pyxis and plan to give 200mg. Place your actions for reconstitution and administration in order.
A) Draw up 2ml of Ampicillin
B) inject the sterile water into the ampicillin vial and mix gently
C) Inject Ampicillin slow IV push over 3-5 minutes
D) pull up 2.5ml of sterile water for injection
Continue
Solution
Complete all missions to complete your competency
Mission 2
Mission 3
Mission 1
ampicillin
Fentanyl
general questions
Mission 4
Mission 5
Mission 6
Adenosine
Vecuronium
Lorazepam
Mission 3 Fentanyl
Question 1/4
You pull Fentanyl from the pyxis. It is labeled as 100mcg/2ml. You need to reconstitute Fentanyl to 10mcg/ml. How is this done?
Add entire contents of the vial to 9ml normal saline.
Add entire contents of the vial to 4 ml of normal saline.
Add 1 ml of Fentanyl to 4 ml of normal saline.
Add 1ml fentanyl to 10 mls normal saline
Mission 3 Fentanyl
Put in the correct order
You have a stat order for 2mcg of Fentanyl. Put your actions in order.
A) Pull up 0.2ml of reconstituted fentanyl
B) Pull up 1 ml of 100mcg/2ml Fentanyl
C) Add the 1 ml of Fentanyl to 4 ml saline
Continue
Solution
Mission 3 Fentanyl
Question 3/4
You have reconstituted your Fentanyl to 10mcg/ml. Your order is for 0.8mcg for your 800 gram patient. What is your volume for adminisitration?
0.8ml
0.08ml
8ml
Mission 3 Fentanyl
Fentanyl Facts- sort to the appropriate column
True Statement
False statement
does not require a witness
If given fast-chest wall rigidity may result in rapid desaturation/bradycardia
administer slow IV push 3 minutes
You must scan, administer, & waste within 30 minutes of pulling from the pyxis
Needs to be reconstituted to 10mcg/ml prior to administration
Continue
Solution
Complete all missions to complete your medication reconsitution competency
Mission 2
Mission 3
Mission 1
ampicillin
fentanyl
general
Mission 4
Mission 5
Mission 6
adenosine
vecuronium
lorazepam
Mission 4 Adenosine
Question 1/4
In order to get Adenosine to the safe concentration for NICU administration, 300mcg/ml, how would you reconstitute the 6mg/2ml vial that you pull from the pyxis?
You can safely administer adenosine at the concentration provided in the pyxis.
Add 1 ml of 6mg/2ml (full strength) adenosine to 4 ml of normal saline.
Add 1 ml of 6mg/2ml (full strength) adenosine to 9 ml of normal saline.
Mission 4 Adenosine
Question 2/4
You have reconstituted your adenosine to be 300mcg/ml. Your order is 50mcg/kg for your 3kg patient. What volume of adenosine will you administer to your patient?
1ml
5ml
0.5ml
0.05ml
Mission 4 Adenosine
Question 3/4
How fast should you give adenosine?
3 minutes
10 seconds
as fast as possible- < 1 second
Mission 4 Adenosine
Put in the correct order
Your patient is in SVT, ice has failed and your provider orders 50mcg/kg IV stat. Your patient is 3.5 kg. Place your actions in the correct order.
A) pull up 0.58ml of reconstituted adenosine
B) pull up 1 ml of full concentration adenosine and add it to 9ml normal saline
C) administer very rapid IV push as close to the heart as possible
D) obtain 6mg/2ml vial of adenosine from the pyxis
Continue
Solution
Complete all missions to complete your competency
Mission 2
Mission 3
Mission 1
ampicillin
Fentanyl
general questions
Mission 4
Mission 5
Mission 6
adenosine
vecuronium
lorazepam
Mission 5 Vecuronium
Question 1/4
You receive an order to administer Vecuronium 0.1mg/kg IV push. Your patient weighs 800 grams. What is your ordered dose?
8mg
0.08mg
0.8mg
Mission 5 vecuronium
Question 2/4
You pull Vecuronium from the pyxis as a 10mg vial of powder for reconstitution. How do you reconstitute this vial for IV administration?
Add 10ml water to a medicine cup, sprinkle the power in the water, mix, then draw up the vec into a syringe for IV administration.
Add 1ml normal saline to the vial and mix gently to make 1mg/1ml solution.
Add 1 ml normal saline to the vial, mix and draw up the solution, then add this solution to a 100ml bag of normal saline to make 1mg/1ml concentraion of vecuronium
Add 10ml of sterile water for injection to the vial for a final concentration of 1mg/ml vecuronium.
Mission 5 Vecuronium
Question 3/4
You have reconstituted your vecuronium to 1mg/1ml concentration. How many times can you pull from this vial throughout your shift before disposing of it?
The solution is no longer good after 24 hours so it must be thrown out at 24 hours.
until you run out or your shift ends, whichever comes first
once, then throw it out
Mission 5 Vecuronium
Question 4/4
You have reconsituted your Vecuronium vial to 1mg/1ml. You have a 4 kg patient. You receive an order for 0.1mg/kg. What volume of vecuronium will you administer to this patient?
4ml
0.4ml
0.04ml
Complete all missions to complete your competency
Mission 2
Mission 3
Mission 1
ampicillin
fentanyl
general
Mission 4
Mission 5
Mission 6
adenosine
vecuronium
Lorazepam
Mission 6 Lorazepam
Question 1/4
You receive an order to give your 3kg patient 0.3mg of lorazepam IV slow push. Is this a safe dose?
NO
Yes
Mission 6 Lorazepam
Question 2/4
You retrieve Lorazepam 2mg/1ml from the pyxis. You want to give 0.3 mg. At this concentration, what volume would you administer?
0.15ml
1.5ml
0.015ml
Mission 6 Lorem ipsum dolor sit amet
Question 3/4
Neofax states "it might be more practical to use concentrations such as 0.2mg/ml or 0.4mg/ml in the NICU setting." How would you create the concentration of 0.2mg/ml if you start with the 2mg/ml concentration of lorazepam?
Add 1 ml of 2mg/1ml lorazepam to 9ml of normal saline.
Add 1ml of 2mg/1ml to 4 ml of normal saline.
Add 2 ml of 2mg/1ml lorazepam to 8ml of normal salie.
Add 1ml of 2mg/1ml lorazepam to a 100ml bag of normal saline
Mission 6
Question 4/4
Because lorazepam is thick and you are administering slow IV push, you decide to reconstitute your lorazepam to 0.2mg/ml. How much volume will you administer of this concentration to give your patient 0.3mg slow IV push.
0.15ml
15ml
1.5ml
0.015ml
Congratulations!! You have completed all missions
Mission 2
Mission 3
Mission 1
ampicillin
fentanyl
general
Mission 4
Mission 5
Mission 6
adenosine
vecuronium
Lorazepam
Completion code
Are you sure you want to go out?
Back
Exit
Remember this completion code
203498
Congratulations on your successful completion of this escape room. Remember this code to complete your exam question that completes this course.
You failed!
Try again