Test Bank For Dosage Calculations A Ratio-Proportion Approach, 4th Edition

Name:

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chapter 1

1. Perform the indicated operation and reduce to the lowest terms.

Complete the following.

2. Arrange the following decimals from largest to smallest: 0.33, 0.045, 0.7.

Perform the following computations. If the questions do not have a whole number as the answer, compute to the third decimal place, and round to the second decimal place.

3.

Perform the indicated operations. Reduce fractions in answers to the lowest terms.

4.

5. Convert 0.45 to a fraction in the lowest terms.

6. Perform the indicated operation and reduce to the lowest terms.

7. Perform the indicated operation and round the answer to the nearest tenths place.

123.56 78 8. Find the least common denominator for the following pair of fractions. , 9. Find the least common denominator for the following pair of fractions. , Perform the indicated operations. Reduce fractions in answers to the lowest terms.

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10.

11. Perform the indicated operation.

6.3 100 12. Convert

to a decimal.

Perform the following computations. If the questions do not have a whole number as the answer, compute to the third decimal place, and round to the second decimal place.

13.

Perform the indicated operations. Reduce fractions in answers to the lowest terms.

14.

15.

16. Convert the following decimal to a fraction and reduce to the lowest terms.

0.09 17. Convert

to a decimal and round to the nearest hundredths place.

18. Convert the following fraction to a decimal and round to the nearest tenth.

Perform the following computations. If the questions do not have a whole number as the answer, compute to the third decimal place, and round to the second decimal place.

19.

20. Perform the indicated operation and round the answer to the tenths place.

Perform the following computations. If the questions do not have a whole number as the answer, compute to the third decimal place, and round to the second decimal place.

21.

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Complete the following.

22. Arrange the following fractions from smallest to largest:

,

,

.

23. Perform the indicated operation and reduce to the lowest term.

24. Perform the indicated operation.

25. Perform the indicated operation and reduce to the lowest term.

26. After surgery, a patient drinks 2

fluid ounces of clear liquids every 2 hours. How many fluid ounces will the patient

drink in 8 hours?

27. Perform the indicated operation.

350 0.07 28. Perform the indicated operation and reduce to the lowest terms.

4

2

29. Convert the following fraction to a decimal and convert to the lowest terms.

0.175 30. Convert the following fraction to a decimal and round to the nearest hundredth

Complete the following.

31. Arrange the following decimals from largest to smallest: 1.5, 0.25, 1.025.

32. Arrange the following fractions from smallest to largest:

,

,

.

33. Perform the indicated operation.

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25 0.4 34. Convert 0.125 to a fraction in the lowest terms.

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Answer Key 1.

2. 0.7, 0.33, 0.045

3. or 0.05 (rounded)

4.

5.

6.

7. 123.56 78 = 9,637.68 = 9,637.7 8. LCD = 33 9. LCD = 30

10.

11. 6.3 100 = 630 12. 4 8 = 0.5

13.

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14.

15.

16. 0.09 = 17. 5 8 = 0.625 = 0.63

18.

19.

or 75.58 (rounded) 20.

21.

22.

,

,

23.

24.

25.

26. 8 hours divided by every 2 hours = 4 doses Copyright Cengage Learning. Powered by Cognero.

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2

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4=

=

Date:

= 10 fluid ounces

27. 350 0.07 = 5,000

28. 4

2

1

29. 0.175 =

30.

31. 1.5, 1.025, 0.25

32.

,

,

33. 25 0.4 = 62.5 34.

1.

Decimal 0.05

Fraction

Percent

Ratio

2.

3.

4.

45%

1. Complete row 2 in the table above.

2. Determine what % one number is of another number.

30 is what percent of 100?

Compute the answers for the following word problems.

3. In order to pass a unit test, a student must answer 80% or more of the questions correctly. If a unit test has 75 questions, what is the largest number of questions that the student could answer incorrectly, but still pass the unit test?

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4. Change the following ratio to a percent. Round to the hundredths place.

0.7 : 2.8 5. Convert the following % to a decimal.

66% 6. Determine what % one number is of another number.

1 is what % of 100?

7. Find the value of x in the following equation.

8. Upon admission to the hospital, a child weighed 62 lb. One week later, upon discharge, the child weighed

lb.

How much weight did the child lose?

9. A client is to receive 1,800 mL of fluid during a 24-hour period. The client is to receive

of the fluid between 7 AM

and 10 PM. Calculate how many mL the client will drink during that time.

1.

Decimal 0.05

Fraction

Percent

Ratio

2.

3.

4.

45%

10. Complete row 4 in the table above.

11. There are 240 children in the entire fifth-grade class at Jefferson Avenue School. If

are girls, calculate the number

of boys at the school.

1.

Decimal 0.05

Fraction

Percent

Ratio

2.

3.

4.

45%

12. Complete row 3 in the table above.

13. Determine the percentage of a given number.

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14. Determine the percentage of a given number.

25% of 40 Solve for x. Round answers to two decimal places.

15.

16. Convert the following % to a decimal.

5.25% 17. Convert the following decimal to a percent.

0.04 Decimal 0.05

1.

Fraction

Percent

Ratio

2.

3.

4.

45%

18. Complete row 1 in the table above.

19. Convert as indicated. written as a ratio.

Compute the answers for the following word problems.

20. A class of students consists of 9 men and 51 women. Write a proper fraction to represent the part of the total class that is women. Reduce the fraction. Change the fraction to a percent.

Reduced fraction: _____

Percent: _____

21. Solve the following problem for x.

22. Change the following ratio to a fraction. Reduce to lowest terms.

3:6 23. Change the following ratio to a decimal. Round to the hundredths place.

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3:7 24. The RN must administer 3 tablets each labeled 0.25 mg. What number of total milligrams will the RN administer?

Compute the answers for the following word problems.

25. In order to pass a chapter test, a student must answer 80% or more of the questions correctly. If a chapter test has 25 questions, what is the smallest number of questions that the student must answer correctly in order to pass the test?

26. Change the following ratio to a fraction. Reduce to the lowest term.

5 : 35 27. Change the following ratio to a percent. Round to the hundredths place.

3:6 28. Determine what % one number is of another number.

5 is what percent of 1,500?

29. Determine the percentage of a given number.

40% of 80 30. Convert the following decimal to a percent.

0.99 31. Convert the following decimal to a percent.

0.0016 32. Change the following ratio to a decimal. Reduce to the hundredths place.

0.26 : 0.92 Compute the answers for the following word problems.

33. A student received a score of 48 points on a test that was worth 60 points. Write a fraction to represent the portion of the test the student had answered correctly. Reduce the fraction. Change the fraction to a percent.

Reduced fraction: _____

Percent: _____

Solve for x. Round answers to two decimal places.

34.

35. Change the following ratio to a decimal. Round to the hundredths place.

1.4 : 2.8 Copyright Cengage Learning. Powered by Cognero.

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36. Convert as indicated. written as a ratio.

37. Find the value of x in the following equation.

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Answer Key 1. 0.125, 12.5%, 1:8

2.

3. At least 80% of 75 questions must be answered correctly.

At least 60 questions must be answered correctly The largest number of questions that the student could answer incorrectly, but still pass the test, is 15 questions.

4. 0.7 : 2.8 =

= 0.25 = 25%

5. 66% =

6.

0.01 = 1%

7. 750 = 500x

8. x = 4.5 lb

9.

10. 0.3,

, 30%

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11.

12. 0.45,

, 9:20

13. 0.75 50 = 37.5 14. 0.25 40 = 10 15.

Rounded to two decimal places, x = 6.67

16.

17. 0.04 100 = 4%

18.

, 5%, 1:20

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19. 3 : 4 20. There are 51 women in the class of 60 students.

21.

22. 3 : 6 =

=

23. 3 : 7 =

= 0.428 = 0.43

24. 0.25 mg 3 = 0.75 mg 25. At least 80% of 25 questions must be answered correctly.

The student must answer at least 20 questions correctly.

26. 5 : 35 =

27. 3 : 6 =

=

= 0.5 = 0.50 = 50%

28.

29. 0.40 80 = 32 30. 0.99 100 = 99% 31. 0.0016 100 = 0.16% 32. 0.26 : 0.92 =

= 0.282 = 0.28

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33.

34.

Rounded to two decimal places, x = 0.63 35. 1.4 : 2.8 =

= 0.5

36. 7 : 8

37.

24x = 12 x = 0.5

Interpret the given notations.

1. 12 mg 2. 30 mEq Express in proper metric, household, or other unit notation.

3. three-tenths of a gram 4. two quarts 5. 5 liters 6. one-half teaspoon Interpret the given notations.

7. 0.04 g 8. 1,000 mcg Copyright Cengage Learning. Powered by Cognero.

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Express in proper metric, household, or other unit notation.

9. three tablespoons Interpret the given notations.

10. 2 T Express in proper metric, household, or other unit notation.

11. two hundred milliliters Interpret the given notations.

12. 50 mcg Express in proper metric, household, or other unit notation.

13. 25 milliequivalents 14. one and one-half fluid ounces 15. 15 milliliters Interpret the given notations.

16.

Express in proper metric, household, or other unit notation.

17. two fluid ounces Interpret the given notations.

18. 700 mL 19. 12.5 mL 20. 6 fl oz Express in proper metric, household, or other unit notation.

21. ten milligrams Interpret the given notations.

22. 0.25 mg 23. 3.5 mg Express in proper metric, household, or other unit notation.

24. five pounds 25. five-tenths of a milligram Copyright Cengage Learning. Powered by Cognero.

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Interpret the given notations.

26. 22 oz Express in proper metric, household, or other unit notation.

27. two and one-half liters 28. 0.4 L Express in proper metric, household, or other unit notation.

29. one teaspoon

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Answer Key 1. twelve milligrams 2. thirty milliequivalents 3. 0.3 g 4. 2 qt 5. 5 L 6.

7. four-hundredths of a gram 8. one thousand micrograms 9. 3 T 10. two tablespoons 11. 200 mL 12. fifty micrograms 13. 25 mEq

14. 1

fl oz

15. 15 mL 16. one-half teaspoon 17. 2 fl oz 18. seven hundred milliliters 19. twelve and one-half milliliters 20. six fluid ounces 21. 10 mg 22. twenty-five hundredths of a milligram 23. three and one-half milligrams 24. 5 lb Copyright Cengage Learning. Powered by Cognero.

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25. 0.5 mg 26. twenty-two ounces 27. 2.5 L 28. four-tenths of a liter 29. 1 t

Enter the appropriate word(s) to complete the statement.

Convert each of the given quantities to the equivalent unit indicated. Your answers must be in the proper form for the metric or household system measurement requested in the question.

1. 1.5 g = __________ mg 2. 25 mg = __________ g 3. 125 mg = __________ g 4. 2 pt = __________ mL 5. 0.4 g = __________ mg 6. 0.75 g__________ mg 7. 30 kg = __________ lb 8. 2 L = __________ mL 9. 10 in = __________ cm 10. 32 mcg = __________ mg 11. 250 mcg = __________ mg 12. At an annual physical, a patient weighs 198 pounds, which is the equivalent of _________ kilograms.

13. The patient is to receive 5 mL of a drug, which is the equivalent of __________ teaspoon(s).

Convert each of the given quantities to the equivalent unit indicated. Your answers must be in the proper form for the metric or household system measurement requested in the question.

14. 1.5 L = __________ qt 15. A newborn infant is 22 inches long. His length is __________ cm.

Convert each of the given quantities to the equivalent unit indicated. Your answers must be in the proper form for the metric or household system measurement requested in the question.

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16. 24 in = __________ cm 17. 5.27 kg = __________ g 18. 3,500 g = __________ kg 19. 0.56 mcg = __________ mg 20. 50 inches = __________ cm 21. 15 t = __________ mL 22. 5 kg = __________ g 23. A newborn infant is 50 cm long. Her length is __________ inches.

Convert each of the given quantities to the equivalent unit indicated. Your answers must be in the proper form for the metric or household system measurement requested in the question.

24. 1.5 mg = __________ mcg Solve the following problems using conversions as needed.

25. A patient’s lunch consisted of the following fluids: 6 fluid ounces of soup 8 fluid ounces of milk 6 fluid ounces of gelatin 4 fluid ounces of pudding Calculate the patient’s total fluid intake in ounces. Convert to mL and to L. __________ oz __________ mL, __________ L Convert each of the given quantities to the equivalent unit indicated. Your answers must be in the proper form for the metric or household system measurement requested in the question.

26. 15 cm = __________ in 27. 150 mL = __________ fl oz 28. 400 mg = __________ g 29. The total fluid intake of the below is __________ mL. 1 fluid ounce = 30 mL coffee ginger ale water broth

3 fluid ounces 10 fluid ounces 6 fluid ounces 4 fluid ounces

Convert each of the given quantities to the equivalent unit indicated. Your answers must be in the proper form for the metric or household system measurement requested in the question.

30. 220 lb = __________ kg Copyright Cengage Learning. Powered by Cognero.

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Answer Key 1. 1,500 2. 0.025 3. 0.125 4. 1,000 5. 400 6. 750 7. 66 8. 2,000 9. 25 10. 0.032 11. 0.25 12. 90 13. 1 14. 1.5 15. 55 16. 60 17. 5,270 18. 3.5 19. 0.00056 20. 125 21. 75 22. 5,000 23. 20 24. 1,500 25. 24, 720, 0.72 26. 6 Copyright Cengage Learning. Powered by Cognero.

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27. 5 28. 0.4 g 29. 690 30. 100

Convert between international and traditional time, or between Fahrenheit and Celsius temperatures as requested.

1. A mother called the pediatrician’s office, reporting that her infant son had a temperature of 102.6 F. The nurse is to record the information as a Celsius temperature. What should the nurse document as the temperature reported by the mother?

2. Convert between Fahrenheit and Celsius temperatures as requested.

Complete the following questions by converting between traditional time and international time.

3. Convert 12:25 AM to international time.

Convert between international and traditional time, or between Fahrenheit and Celsius temperatures as requested.

4. A patient’s outpatient surgery is scheduled to begin at 1500. The patient is to be instructed to register at the outpatient surgery desk two hours before the scheduled time for the surgery. Using traditional time, state the time at which the patient should arrive for registration.

5. Convert 8:25 PM to international time.

Complete the following questions by converting between traditional time and international time.

6. Convert 1525 to traditional time.

7. Convert 11:20 AM to international time.

Convert between international and traditional time, or between Fahrenheit and Celsius temperatures as requested.

8. A patient arrived in the emergency room with a fever of 38.5 C, which was reduced to 37.8 C by the time she was admitted to a hospital room. Convert the temperatures to Fahrenheit.

Complete the following questions by converting between traditional time and international time.

9. Convert 2220 to traditional time.

10. Convert 1945 to traditional time.

11. Convert 1:16 PM to international time.

Complete the following questions by converting between traditional time and international time.

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12. Convert 1000 to traditional time.

13. Convert 0915 to traditional time.

Complete the following questions by converting between traditional time and international time.

14. Convert 4:50 PM to international time.

15. Convert 2:30 PM to international time.

16. Convert 1219 to traditional time.

17. Convert 7:45 AM to international time.

Complete the following questions by converting between traditional time and international time.

18. Convert 8:00 AM to international time.

19. Convert 12:15 PM to international time.

20. Convert 2320 to traditional time.

21. Convert between Fahrenheit and Celsius temperatures as requested.

100 F 22. Convert between Fahrenheit and Celsius temperatures as requested.

Complete the following questions by converting between traditional time and international time.

23. Convert 0450 to traditional time.

Convert between international and traditional time, or between Fahrenheit and Celsius temperatures as requested.

24. The emergency room nurse administered a medication to a patient at 3:25 AM. He is supposed to record the time using international time. What should he record as the time of administration?

Complete the following questions by converting between traditional time and international time.

25. Convert 10:45 AM to international time.

26. Convert between Fahrenheit and Celsius as requested.

27. Convert 1152 to traditional time.

Convert between international and traditional time, or between Fahrenheit and Celsius temperatures as requested.

28. A nurse who was assisting with the delivery of a baby noticed that the child was delivered at 12:10 PM. How should she note that time in the medical records if she is supposed to report the time using international time?

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29. A patient’s outpatient surgery is scheduled to begin at 1500. The physician estimates that the patient will be in the surgery room for an hour and a half, and then in the recovery room for an hour. After that, the family may visit with the patient. At what time would the family members expect to be able to visit with the patient? Answer using traditional time.

Complete the following questions by converting between traditional time and international time.

30. Convert 1825 to traditional time.

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Answer Key 1.

2.

3. 0025 4. 1500 = 3:00 PM 5. 2025 6. 3:25 PM 7. 1120

8.

9. 10:20 PM 10. 7:45 PM 11. 1316 12. 10:00 AM 13. 9:15 AM 14. 1650 15. 1430 16. 12:19 PM 17. 0745 18. 0800 19. 1215 20. 11:20 PM

21. 100 F =

= 37.8 C

22.

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23. 4:50 AM 24. 3:25 AM = 0325 25. 1045 26.

or 98.8°F

27. 11:52 AM 28. 12:10 PM = 1210 29. 1 hr 30 min in surgery + 1 hr in recovery room = 2 hours, 30 minutes.

1500 = 3:00 PM 3:00 PM + 2 hours, 30 minutes = 5:30 PM 30. 6:25 PM

Enter the appropriate word(s) to complete the statement.

1. The medicine cup calibrations indicate that 1 teaspoon is approximately __________ mL. 2. The medicine cup calibrations indicate that 1 tablespoon (1 T) is approximately __________ mL.

Draw an arrow to point to the volume that corresponds to the dose to be administered with the given equipment.

3. Administer 2 t.

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4. Administer 15 units.

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5. How would you measure 2.44 mL in a 3 mL syringe?

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Draw an arrow to point to the volume that corresponds to the dose to be administered with the given equipment.

6. Administer 4.6 mL.

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7. What are some examples for use of a 1 mL (tuberculin) syringe?

Draw an arrow to point to the volume that corresponds to the dose to be administered with the given equipment.

8. Administer 0.08 mL.

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9. Administer 0.75 mL.

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10. Administer 15 mL.

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11. Administer 5.6 mL.

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12. Administer 3.8 mL. Copyright Cengage Learning. Powered by Cognero.

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© Cengage Learning ®.

13. Administer 1.6 mL.

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14. Administer 36 units.

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15. Can you measure insulin in a 1 mL syringe?

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16. Can the single-dose, prefilled syringe cartridge be used more than once?

Draw an arrow to point to the volume that corresponds to the dose to be administered with the given equipment.

17. Administer 2.9 mL.

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18. Is it considered safe practice to exchange packaged droppers?

Draw an arrow to point to the volume that corresponds to the dose to be administered with the given equipment.

19. Administer 0.36 mL.

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20. Can insulin syringes be used to measure any medication for parenteral use?

21. In which syringe should 0.32 mL of a medication solution be measured?

Draw an arrow to point to the volume that corresponds to the dose to be administered with the given equipment.

22. Administer 80 units of insulin.

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23. Administer

fl oz.

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24. Administer 17 mL.

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25. Administer 68 units.

© Cengage Learning ®.

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26. Administer 12 units of insulin.

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27. Administer 4.2 mL.

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28. Will using a medicine cup to measure a liquid medication always give you an accurate amount of medication?

Draw an arrow to point to the volume that corresponds to the dose to be administered with the given equipment.

29. Administer 1.2 mL.

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30. Can you measure 1.45 mL in a single tuberculin syringe? Explain.

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Answer Key 1. 5 mL 5 2. 15 mL 15

3.

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4.

© Cengage Learning ®.

5. Round to 2.4 mL and measure 2.4 mL on the syringe.

6. © Cengage Learning ®.

7. The 1 mL syringe can be used to measure and administer allergen extract, vaccines, and medication for children.

8. © Cengage Learning ®.

9. © Cengage Learning ®.

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10.

© Cengage Learning ®.

11.

© Cengage Learning ®.

12.

© Cengage Learning ®.

13.

© Cengage Learning ®.

14. © Cengage Learning ®.

15. No. 16. No.

17. © Cengage Learning ®.

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18. No.

19.

© Cengage Learning ®.

20. No. 21. The medication can be measured and administered with a 1 mL (tuberculin) syringe.

22.

© Cengage Learning ®.

23.

© Cengage Learning ®.

24. © Cengage Learning ®.

25.

© Cengage Learning ®.

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26.

© Cengage Learning ®.

27.

© Cengage Learning ®.

28. No.

29. © Cengage Learning ®.

30. No.

Answer the following questions by supplying either the medical abbreviation or the interpretation of the medical abbreviation.

1. q Interpret the following drug orders or write drug orders using correct medical abbreviations based on the supplied information.

The drug orders are presented for practice only, and actual prescribed dosages will vary according to a patient’s age, condition, reaction, additional medications, and other factors.

2. Codeine 20 mg p.o. q.4h p.r.n., pain.

Answer the following questions by supplying either the medical abbreviation or the interpretation of the medical abbreviation.

3. SL 4. intramuscular 5. p.c.

Interpret the following drug orders or write drug orders using correct medical abbreviations based on the supplied information.

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The drug orders are presented for practice only, and actual prescribed dosages will vary according to a patient’s age, condition, reaction, additional medications, and other factors.

6. Tylenol suppository 325 mg p.r., q.6h p.r.n., for temperature of 101°F or higher.

Answer the following questions by supplying either the medical abbreviation or the interpretation of the medical abbreviation.

7. when necessary Interpret the following drug orders or write drug orders using correct medical abbreviations based on the supplied information.

The drug orders are presented for practice only, and actual prescribed dosages will vary according to a patient’s age, condition, reaction, additional medications, and other factors.

8. Give prednisone 25 milligrams orally once daily.

Answer the following questions by supplying either the medical abbreviation or the interpretation of the medical abbreviation.

9. tablet 10. p.o.

Interpret the following drug orders or write drug orders using correct medical abbreviations based on the supplied information.

The drug orders are presented for practice only, and actual prescribed dosages will vary according to a patient’s age, condition, reaction, additional medications, and other factors.

11. Morphine sulfate 2 mg IV q.2h p.r.n., pain.

Answer the following questions by supplying either the medical abbreviation or the interpretation of the medical abbreviation.

12. nothing by mouth 13.

14. gtt Interpret the following drug orders or write drug orders using correct medical abbreviations based on the supplied information.

The drug orders are presented for practice only, and actual prescribed dosages will vary according to a patient’s age, condition, reaction, additional medications, and other factors.

15. Potassium chloride 40 mEq p.o. b.i.d. in 4 fl oz juice.

16. Give Lasix 20 mg orally twice a day.

Answer the following questions by supplying either the medical abbreviation or the interpretation of the medical abbreviation.

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17. intradermal 18. et 19. q.h Interpret the following drug orders or write drug orders using correct medical abbreviations based on the supplied information.

The drug orders are presented for practice only, and actual prescribed dosages will vary according to a patient’s age, condition, reaction, additional medications, and other factors.

20. Phenergan 25 mg IM q.6h p.r.n., nausea.

Answer the following questions by supplying either the medical abbreviation or the interpretation of the medical abbreviation.

21. NG 22. q.i.d.

23. t.i.d.

24. capsule Interpret the following drug orders or write drug orders using correct medical abbreviations based on the supplied information.

The drug orders are presented for practice only, and actual prescribed dosages will vary according to a patient’s age, condition, reaction, additional medications, and other factors.

25. Atropine sulfate 0.5 mg subcut stat.

26. Demerol 25 mg IM q.6h p.r.n., pain.

Answer the following questions by supplying either the medical abbreviation or the interpretation of the medical abbreviation.

27. GT 28. q.4h 29. noct 30. min.

31. before 32. b.i.d.

33. q.12h 34. aq Copyright Cengage Learning. Powered by Cognero.

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Interpret the following drug orders or write drug orders using correct medical abbreviations based on the supplied information.

The drug orders are presented for practice only, and actual prescribed dosages will vary according to a patient’s age, condition, reaction, additional medications, and other factors.

35. Amoxicillin 500 mg p.o. t.i.d.

Answer the following questions by supplying either the medical abbreviation or the interpretation of the medical abbreviation.

36. IV PB 37. immediately 38. per rectum 39. qs 40. h

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Answer Key 1. every 2. Give 20 milligrams of codeine orally every four hours as needed for pain.

3. sublingual, under the tongue 4. IM 5. after meals 6. Give Tylenol 325 milligram suppository per rectum every 6 hours as needed for a temperature of 101°F or higher.

7. p.r.n.

8. Prednisone 25 mg p.o. daily.

9. tab 10. by mouth, orally 11. Give morphine sulfate 2 mg intravenously every 2 hours as needed for pain.

12. NPO 13. with 14. drop 15. Give 40 milliequivalents of potassium chloride orally, twice per day, in four (fluid) ounces of juice.

16. Lasix 20 mg p.o. b.i.d.

17. ID 18. and 19. every hour 20. Give Phenergan 25 mg intramuscularly every 6 hours as necessary for nausea.

21. nasogastric tube 22. four times a day 23. three times a day 24. cap 25. Give 0.5 mg atropine sulfate subcutaneously, immediately.

26. Give 25 mg of Demerol intramuscularly every 6 hours as needed for pain.

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27. gastrostomy tube 28. every four hours 29. night 30. minute 31.

32. twice a day 33. every twelve hours 34. water 35. Give 500 mg amoxicillin orally three times per day.

36. intravenous piggyback 37. stat 38. p.r.

39. quantity sufficient 40. hour

Enter the appropriate word(s) to complete the statement.

A nurse is reviewing a medication label with the following information: Calan® SR verapamil hydrochloride 240 mg 500 caplets sustained release Distributed by G.D. Searle, LLC Store at 15°–25°C Identify the following: 1. The brand name of the drug is __________________.

The nurse is preparing a medication with the following information on its label: Terbutaline Sulfate Tablets, USP 5 mg Rx Only 100 Tablets Manufactured by Lannett Company Copyright Cengage Learning. Powered by Cognero.

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Dispense in a tight, light-resistant container with a child-resistant closure.

Store at 20°–25°C. Identify the following: 2. The route of administration is ____________________.

3. The dosage strength is ____________________.

A nurse is reviewing a medication label with the following information: Calan® SR verapamil hydrochloride 240 mg 500 caplets sustained release Distributed by G.D. Searle, LLC Store at 15°–25°C Identify the following: 4. The name of the manufacturer is ______________________________.

A nurse is reviewing the following label in preparation for administering a medication: Nitroglycerin Extended-release Capsules 6.5 mg Rx Only 60 Capsules NDC 58177-005-03 Manufactured by Ethex Corporation Store at controlled room temperature Identify the following: 5. Form: ____________________ 6. Label alert: _________________________ 7. National Drug Code number: _________________________ 8. Generic name: ____________________ A medication label contains the following information: Lidocaine HCl Injection, USP 2% 20 mg/mL 30 mL multiple dose vial Use this information to find the following: 9. The supply dosage is __________ g per __________ mL. Copyright Cengage Learning. Powered by Cognero.

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A nurse is reviewing the following label in preparation for administering a medication: Nitroglycerin Extended-release Capsules 6.5 mg Rx Only 60 Capsules NDC 58177-005-03 Manufactured by Ethex Corporation Store at controlled room temperature Identify the following: 10. Dosage strength: _________________________ 11. Total number of capsules: _________________________ A medication label contains the following information: Nubain® Nalbuphine HCl 20 mg/mL injection 10 mL multiple dose vial For IM, SC, or IV use.

Protect from excessive light.

Identify the following: 12. Dosage strength: _________________________ 13. Administration route: _________________________ A nurse is reviewing the following label in preparation for administering a medication: Nitroglycerin Extended-release Capsules 6.5 mg Rx Only 60 Capsules NDC 58177-005-03 Manufactured by Ethex Corporation Store at controlled room temperature Identify the following: 14. Manufacturer: ____________________ A medication label contains the following information: Lidocaine HCl Injection, USP 2% 20 mg/mL 30 mL multiple dose vial Use this information to find the following: Copyright Cengage Learning. Powered by Cognero.

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15. The supply dosage is __________ mg per mL. A nurse is reviewing the following label in preparation for administering a medication: Nitroglycerin Extended-release Capsules 6.5 mg Rx Only 60 Capsules NDC 58177-005-03 Manufactured by Ethex Corporation Store at controlled room temperature Identify the following: 16. Brand name: _________________________ The nurse is preparing a medication with the following information on its label: Terbutaline Sulfate Tablets, USP 5 mg Rx Only 100 Tablets Manufactured by Lannett Company Dispense in a tight, light-resistant container with a child-resistant closure.

Store at 20°–25°C. Identify the following: 17. The label alerts include ______________________________.

A nurse is reviewing the following label in preparation for administering a medication: Nitroglycerin Extended-release Capsules 6.5 mg Rx Only 60 Capsules NDC 58177-005-03 Manufactured by Ethex Corporation Store at controlled room temperature Identify the following: 18. Administration route: _________________________

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Answer Key 1. Calan SR 2. oral 3. 5 mg per tablet 4. G.D. Searle, LLC 5. capsules 6. Store at controlled room temperature 7. NDC 58177-005-03 8. nitroglycerin 9. 2% = 2 g per 100 mL 10. 6.5 mg per capsule 11. 60 capsules 12. 20 mg/mL 13. IM, SC, or IV 14. Ethex Corporation 15. 20

16. none, generic drug 17. Dispense in a tight, light-resistant container with a child-resistant closure. Store at 20–25°C. 18. oral

1. What list was first written in an attempt to avoid transcription errors?

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2. Correct the medical notation of the following order.

Lasix 40.0 mg IV q.d.

3. Which step in the administration of medications often leads to overmedication of the patient?

4. What reference should a nurse use when validating the safety of the medication as ordered and transcribed?

5. Identify the six rights of medication administration.

6. Correct the medical notation of the following order.

Heparin 1,000 u SC q.d.

7. Do Registered Nurses have the legal authority to write patient orders and prescriptions?

8. When should documentation of medication administration occur?

9. Correct the medical notation of the following order.

Valium 2.0 mg p.o., daily, p.r.n., anxiety.

10. When receiving a verbal order, the Registered Nurse should perform which three tasks to ensure its accuracy?

11. How many ways does the Joint Commission require a patient to be uniquely identified to ensure the safe administration of medications?

12. According to the Joint Commission’s Official “Do Not Use” List of Medical Abbreviations, how should the abbreviation IU now be written?

13. Identify how the “right drug” is maintained by the nurse.

14. Who is legally responsible for patient safety and any medications errors that may occur?

15. What is one of the “main causes” of medication errors?

16. The nurse should check the medication label how many times before administering the drug?

Complete the following based upon the directions.

The problems and drug orders are presented for practice only, and actual prescribed dosages will vary according to a patient’s age, condition, reaction, additional medications, and other factors.

17. Correct the medical notation of the following order.

Lanoxin .125 mg q.o.d.

18. Correct the medical notation of the following order.

NPH Insulin 45.0 u SC every AM. 19. According to the Joint Commission’s Official “Do Not Use” List of Medical Abbreviations, how should the commonly used abbreviation Q.D. now be written?

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Complete the following based upon the directions.

The problems and drug orders are presented for practice only, and actual prescribed dosages will vary according to a patient’s age, condition, reaction, additional medications, and other factors.

20. Correct the medical notation of the following order.

Demerol 75.00 mg IM as needed for pain.

21. Correct the medical notation of the following order.

MS 4 mg IV. 22. According to the Joint Commission’s Official “Do Not Use” List of Medical Abbreviations, why should the Registered Nurse not write a trailing zero on a medication dose?

Complete the following based upon the directions.

The problems and drug orders are presented for practice only, and actual prescribed dosages will vary according to a patient’s age, condition, reaction, additional medications, and other factors.

23. Correct the medical notation of the following order.

Regular insulin 7.0 u every AM. 24. Identify the error in the following medical order.

Dilacor XR 240 mg daily per nasogastric tube.

25. Correct the medical notation of the following order.

Fosamax 70 mg q.d.

Complete the following based upon the directions.

The problems and drug orders are presented for practice only, and actual prescribed dosages will vary according to a patient’s age, condition, reaction, additional medications, and other factors.

26. Correct the medical notation of the following order.

Heparin 1,400 u/h.

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Answer Key 1. The Joint Commission’s Official “Do Not Use” List of Medical Abbreviations.

2. Lasix 40 mg IV daily.

3. The last step in the procedure for medication administration is documentation. Often fatigue and time constraints are factors that may contribute to failure to document that a medication has been given.

4. The nurse should refer to a reputable drug reference resource to validate the safety of ordered and transcribed medications.

5. Right patient Right drug Right amount Right route Right time Right documentation 6. Heparin 1,000 units subcut daily.

7. No, only those licensed health care providers who have the authority by their states to write prescriptions and orders are permitted to do so. Examples include a medical doctor (MD), nurse practitioner (ARNP), physician’s assistant (PA), dentist (DDS), osteopathic doctor (DO), and podiatrist (DPM).

8. Documentation should occur after the medication has been administered.

9. Valium 2 mg p.o., daily, p.r.n, anxiety.

10. When receiving a verbal order, the nurse should: 1. write it down 2. read it back 3. get confirmation from the prescriber 11. The Joint Commission requires that patients be identified with at least two unique identifiers such as name and date of birth, or name and patient ID number. It may not be the room number.

12. Write “International Unit.”

13. The “right drug” is maintained by checking the medication label: 1. on first contact with the drug 2. prior to measuring the drug 3. after obtaining the drug, just prior to administration 14. The person administering the medication is legally responsible for patient safety and any medication errors that may occur.

15. Incorrect transcription of the original prescriber’s order.

16. three 17. Lanoxin 0.125 mg every other day.

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18. NPH Insulin 45 units subcut every AM. 19. Write “daily.”

20. Demerol 75 mg IM p.r.n. pain.

21. morphine sulfate 4 mg IV. 22. The decimal point may be missed.

23. Regular insulin 7 units every AM. 24. This is an extended release medication and should not be crushed or dissolved to be delivered via tube.

25. Fosamax 70 mg daily.

26. heparin 1,400 units/h.

Compute the amount of medication you will give to administer one dose of the following orders. Assume all tablets are scored, when necessary.

The problems and drug orders are presented for practice only, and actual prescribed dosages will vary according to a patient’s age, condition, reaction, additional medications, and other factors.

1.

Order: Supply: Give:

hydrochlorothiazide 50 mg p.o. b.i.d. hydrochlorothiazide 100 mg tablets __________ tab(s)

2.

Order: Supply: Give:

Prozac 40 mg p.o. b.i.d., morning and noon Prozac 20 mg per tablet __________ tablet(s)

3.

Order: Supply: Give:

Synthroid 12.5 mcg p.o. daily Bottle containing 100 scored tablets of Synthroid, 25 mcg per tablet __________ tablet(s)

4.

Order: Supply: Give:

cefaclor 0.3 g p.o. q.8h Ceclor (cefaclor) reconstituted oral suspension, 375 mg per 5 mL __________ mL

5.

Order: Supply: Give:

Axid 0.15 g p.o. b.i.d.

Bottle containing 60 capsules of Axid, 150 mg per capsule __________ capsule(s)

6.

Order:

Klonopin 500 mcg p.o. t.i.d.

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Supply: Give:

Bottle of 100 tablets of Klonopin, 0.5 mg per tablet __________ tablet(s)

7.

Order: Supply: Give:

Amoxil suspension 375 mg p.o. q.6h Amoxil suspension 250 mg per 5 mL __________ mL

8.

Order: Supply: Give:

erythromycin ethylsuccinate 800 mg p.o. q.12h E.E.S. 400 (erythromycin ethylsuccinate) 400 mg per tablet __________ tablet(s)

Date:

9. Decide which supply you would select and enter the number of tablets you would give.

Order: codeine 15 mg p.o. q.4h p.r.n., pain Supply: 15 mg, 30 mg, and 60 mg tablets Give: Select __________ mg tablets, and give ___________ tablet(s).

10. Decide which supply you would select and enter the number of tablets you would give.

Order: codeine 30 mg p.o. q.4h p.r.n., pain Supply: 15 mg, 30 mg, and 60 mg tablets Give: Select __________ mg tablets, and give __________ tablet(s).

11.

Order:

Give:

potassium chloride 30 mEq p.o. b.i.d Package containing 15 mL of potassium chloride oral solution 10%, 20 mEq per 15 mL. __________ mL

12.

Order: Supply: Give:

Mycostatin 400,000 units p.o. swish and swallow t.i.d.

Bottle containing 473 mL Mycostatin oral suspension, 100,000 units per mL __________ mL

13.

Order: Supply: Give:

allopurinol 0.2 g p.o. daily Bottle containing 200 tablets Zyloprim (allopurinol) 100 mg per tablet __________ tablet(s)

14.

Order: Label: Give:

Demerol syrup 100 mg p.o. q.6h p.r.n. pain Demerol syrup 50 mg per 5 mL __________ mL

Supply:

15.

Order: Supply: Give:

Keflex 0.375 g p.o. b.i.d.

Reconstituted Keflex oral suspension, 250 mg per 5 mL __________ teaspoons

16.

Order: Supply: Give:

furosemide 80 mg p.o. b.i.d.

Bottle containing 50 tablets of Lasix (furosemide), 80 mg per tablet __________ tablet(s)

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Order: Supply: Give:

Class:

Date:

Tylenol 325 mg p.o. q.6h p.r.n. for temperature of 101°F or above Bottle containing 50 tablets of Tylenol 325 mg per tablet __________ tablet(s)

18.

Order: Supply: Give:

Depakene 375 mg p.o. b.i.d.

Depakene 250 mg per 5 mL __________ mL or __________ teaspoons

19.

Order: Supply: Give:

Biaxin 100 mg p.o. q.12h 100 mL of reconstituted Biaxin, 125 mg per 5 mL __________ mL

20.

Order: Supply: Give:

Augmentin 0.5 g p.o. q.8h 75 mL bottle of reconstituted Augmentin, 250 mg per 5 mL __________ mL or __________ teaspoons

21.

Order: Supply: Give:

Keflex 0.5 g p.o. b.i.d for 7 days Bottle containing Keflex 500 mg per capsule, 14 capsules __________ capsule(s)

22.

Order: Supply: Give:

Lasix 80 mg p.o. daily Lasix 40 mg tablets __________ tablet(s)

23.

Order: Supply: Give:

tamoxifen 0.02 g p.o. b.i.d., morning and evening Nolvadex (tamoxifen) 20 mg per tablet __________ tablet(s)

24.

Order: Supply: Give:

Amoxil 0.375 g p.o. q.8h 80 mL bottle of reconstituted Amoxil oral suspension, 125 mg per 5 mL __________ mL or __________ tablespoon

25. Is there enough medication in a 15 mL container of potassium chloride oral solution 10%, 20 mEq per 15 mL, to fulfill an order of 22.5 mL? Explain.

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Answer Key 1. 0.5 or 1/2 2. 2 3. 0.5 or 1/2 4. 4 5. 1 6. 1 7. 7.5 8. 2 9. Select a 15 mg tablet, and give one tablet.

10. Select a 30 mg tablet, and give one tablet.

11. 22.5 12. 4 13. 2 14. 10 15. 1.5 or 1 1/2 16. 1 17. 1 18. 7.5 mL, 1.5 or 1 1/2 tsp 19. 4 20. 10 mL or 2 teaspoons 21. 1 22. 2 23. 1 24. 15 mL or 1 tablespoon 25. No, there is not enough medication in one container.

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Compute the amount of medication that will be given to administer one dose of the following medication orders. Round all parenteral administration orders that are over 1 mL to one decimal place. Round all parenteral administration orders under 1 mL to two decimal places. Do not include zeros at the end of decimal numbers.

The problems and drug orders are presented for practice only, and actual prescribed dosages will vary according to a patient’s age, condition, reaction, additional medications, and other factors.

1.

Order: Supply: Give:

diazepam 5 mg IM q.4h p.r.n., anxiety Valium (diazepam) 10 mg per 2 mL __________ mL

2. How many doses of vistaril 25 mg IM are available in a 10 mL multidose vial of vistaril 50 mg/mL? Compute the amount of medication that will be given to administer one dose of the following medication orders. Round all parenteral administration orders that are over 1 mL to one decimal place. Round all parenteral administration orders under 1 mL to two decimal places. Do not include zeros at the end of decimal numbers.

The problems and drug orders are presented for practice only, and actual prescribed dosages will vary according to a patient’s age, condition, reaction, additional medications, and other factors.

3.

Order: Supply: Give:

Terramycin 0.1 g IM daily Terramycin 100 mg/mL __________ mL

4.

Order: Supply: Give:

diphenhydramine 15 mg IM stat Benadryl (diphenhydramine) 10 mg/mL __________ mL

5.

Order: Supply: Give:

Librium 30 mg IM q.6h p.r.n., anxiety Librium 100 mg per 2 mL __________ mL

6.

Order: Supply: Give:

Valium 3 mg IM q.6h p.r.n., pain Valium 10 mg per 2 mL __________ mL

7.

Ordered: Supply: Give:

Demerol 75 mg IM q.6h p.r.n, pain Meperidine HCl injection 100 mg/mL __________ mL

8.

Order: Supply: Give:

Vistaril 50 mg IM stat Multidose vial labeled Vistaril 50 mg per mL __________ mL

9.

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Ordered: Supply: Give:

Heparin 5,000 units subcut b.i.d Multidose vial of 4 mL of heparin sodium injection 10,000 units/mL __________ mL

10.

Order: Supply: Give:

Cleocin 0.3 g IM q.i.d.

Cleocin 300 mg per 2 mL __________ mL

11.

Order: Supply: Give:

penicillin G potassium 400,000 units IM q.i.d. penicillin G potassium 500,000 units per 2 mL __________ mL

12.

Ordered: Supply: Give:

Morphine 30 mg IM q.6h p.r.n., pain Morphine 15 mg /mL __________ mL

13.

Order: Supply: Give:

Prostigmin 250 mcg subcut q.6h Prostigmin 0.25 mg/mL __________ mL

14.

Order: Supply: Give:

morphine sulfate 6 mg IM q.4h p.r.n., pain morphine sulfate 10 mg/mL __________ mL

Date:

15. How many doses of heparin 5,000 units are available in a multidose vial of 4 mL heparin sodium injection 10,000 units/mL? Compute the amount of medication that will be given to administer one dose of the following medication orders. Round all parenteral administration orders that are over 1 mL to one decimal place. Round all parenteral administration orders under 1 mL to two decimal places. Do not include zeros at the end of decimal numbers.

The problems and drug orders are presented for practice only, and actual prescribed dosages will vary according to a patient’s age, condition, reaction, additional medications, and other factors.

16.

Order: Supply: Give: 17.

Ordered: Supply: Give: 18.

Ordered: Supply: Give:

penicillin G procaine 1,200,000 units IM penicillin G procaine 600,000 units per mL __________ mL

Vistaril 25 mg IM q.4h p.r.n, nausea Vistaril 50 mg/mL, multidose vial of 10 mL __________ mL

Dexamethasone 2 mg IM q.12h Dexamethasone sodium phosphate 4 mg/mL __________ mL

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19.

Order: Supply: Give:

Demerol 75 mg IM q.4h p.r.n., pain Demerol 50 mg/mL __________ mL

20.

Order: Supply: Give:

Tigan 0.1 g IM q.6h p.r.n., nausea Tigan 100 mg per 2 mL __________ mL

21.

Order: Supply: Give:

meperidine hydrochloride 25 mg IM q.4h p.r.n., pain Demerol (meperidine hydrochloride) 50 mg/mL __________ mL

22.

Ordered: Supply: Give:

Depo-Provera 400 mg IM every 3 months Depo-Provera injection 400 mg/mL __________ mL

23.

Ordered: Supply: Give:

Dilantin 500 mg IM stat Dilantin 250 mg per 5 mL __________ mL

24.

Order: Supply: Give:

atropine sulfate 0.2 mg subcut stat atropine sulfate 0.4 mg/mL __________ mL

25.

Order: Supply: Give:

heparin 3,000 units subcut b.i.d. heparin 20,000 units/mL __________ mL

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Date:

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Answer Key 1. 1 2. 20 doses are available 3. 1 4. 1.5 5. 0.6 6. 0.6 7. 0.75 8. 1 9. 0.5 10. 2 11. 1.6 12. 2 13. 1 14. 0.6 15. 8 doses 16. 2 17. 0.5 18. 0.5 19. 1.5 20. 2 21. 0.5 22. 1 23. 10 24. 0.5 25. 0.15 Copyright Cengage Learning. Powered by Cognero.

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Compute the amount of medication that will be given to administer one dose of the following medication orders by using a proportion to obtain your answers.Round all parenteral administration orders that are over 1 mL to one decimal place.

Round all parenteral administration orders under 1 mL to two decimal places. Do not include zeros at the end of decimal numbers.

The problems and drug orders are presented for practice only, and actual prescribed dosages will vary according to a patient’s age, condition, reaction, additional medications, and other factors.

1.

Order: Supply: Give: 2.

Order: Supply: Directions: Give: 3.

Order: Supply:

Acyclovir 0.3 g IV q.8h 1 g vial reconstituted to a concentration of 50 mg/mL __________ mL

Protamine sulfate 25 mg Protamine sulfate 50 mg reconstituted with 5 mL to obtain 10 mg/mL Reconstitute with 5 mL of sterile water to obtain 10 mg/mL __________ mL

Acyclovir 0.3 g IV q.8h 1 g vial reconstituted to a concentration of 50 mg/mL

How many full doses are available in this vial?

4.

Order:

Give:

500,000 units of an antibiotic IM stat 4 mL diluent used to reconstitute to a concentration of 250,000 units/mL __________ mL

5.

Order: Supply: Directions: Give:

Zithromax 500 mg 2 hours prior to dental procedure Zithromax 500 mg vial Reconstitute with 10 mL sterile water to yield 250 mg per 5 mL __________ mL

6.

Order: Supply: Directions: Give:

Ceftazidime 1.5 g IV q.12h for 5 days Ceftazidime 2 g vial Reconstitute with 2 mL NS to yield 1 g/mL __________ mL

Supply:

7.

Order: Supply: Directions: Give:

Solu-Medrol 75 mg IM b.i.d.

Multidose vial of Solu-Medrol 500 mg Reconstitute with 8 mL of bacteriostatic water to yield 125 mg per 2 mL ___________ mL

8.

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Order: Oxacillin 500 mg IV q.6h Supply: Oxacillin 2 g multidose vials Directions: Reconstitute with 8 mL diluent to yield 250 mg/mL How many total doses are available for patient use?

9.

Order: Supply: Directions: Give:

Rocephin 500 mg IM Rocephin 1 gram Reconstitute with 2.1 mL of sterile water to yield 350 mg/mL __________ mL

10.

Order: Supply: Directions: Give:

Methotrexate 15 mg daily Methotrexate 1 gram vial Reconstitute with 2 mL of normal saline to yield 2.5 mg/mL __________ mL

11.

Order: Supply: Directions: Give:

Ancef 250 mg IV q.8h Ancef 1 g Reconstitute with 5 mL NS to yield 125 mg/mL _________ mL

12.

Order:

8 fl oz

Supply: Prepare:

16 fl oz hydrogen peroxide and 16 fl oz saline ____________ fl oz hydrogen peroxide (solute)

strength hydrogen peroxide

13.

Order:

8 fl oz

Supply: Prepare:

2 fl oz hydrogen peroxide and 16 fl oz saline __________ mL of saline (solvent)

14.

Order: Supply: Directions: Give:

Librium 50 mg IM 3 hours prior to surgery Librium 100 mg ampule Reconstitute with 1 mL NS to yield 100 mg per 2 mL __________ mL

15.

Order: Supply: Give:

Omnicef 300 mg Omnicef reconstituted to yield 125 mg/mL __________ mL

16.

Order: Supply: Directions: Give:

Rifampin 600 mg daily IV Rifampin 600 mg Dilute with 10 mL of sterile water to yield 60 mg/mL __________ mL

fl oz hydrogen peroxide

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17.

Order: Supply: Directions: Give:

Zefazone 1,000 mg Zefazone 1 gram Reconstitute with 3.7 mL of normal saline to yield 250 mg/mL __________ mL

18.

Order: Supply: Directions: Give:

Oxacillin 500 mg IV q.6h Oxacillin 2 g multidose vial Reconstitute with 8 mL diluent to yield 250 mg/mL _________ mL

Date:

19.

Order: Oxacillin 500 mg IV q.6h Supply: Oxacillin 2 g multidose vial Directions: Reconstitute with 8 mL diluent to yield 250 mg/mL Using the order as written, there will be sufficient oxacillin for how many days?

20.

Order: Supply: Directions: Give:

Piperacillin 2 g IV 30 minutes prior to surgery Piperacillin 4 g vial Reconstitute with 2 mL of normal saline to yield 2 g/mL __________ mL

21. A medication label for an antibiotic has the following instructions for reconstitution: Amount of Diluent 20 mL 10 mL 4 mL 1.8 mL

Concentration 50,000 units per mL of solution 100,000 units per mL of solution 250,000 units per mL of solution 500,000 units per mL of solution

Order: 500,000 units IM stat Reconstitute with _________ diluent for a concentration of __________ per mL.

22.

Order: Supply: Directions: Give:

Monocid 500 mg Monocid 1,000 mg Reconstitute with 2.5 mL of sterile water to yield 325 mg/mL __________ mL

23.

Order: Supply: Directions: Give:

Claforan 2,000 mg Claforan 2 grams Dilute with 10 mL of normal saline to yield 180 mg/mL __________ mL

24. The physician orders 150,000 units of penicillin. You have a 10 mL vial of powder labeled penicillin 500,000 units.

Instructions indicate to add 4.8 mL sterile saline or sterile water to give 100,000 units per mL. How many mL will be administered?

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Answer Key 1. 6 2. 2.5 3. The vial has enough for three full doses.

4. 2 5. 10 6. 1.5 7. 1.2 8. 4 doses 9. 1.4 10. 6 11. 2 12. 2 13. 180 14. 1 15. 2.4 16. 10 17. 4 18. 2 19. 1 day 20. 1 21. 4 mL; 250,000 units/mL 22. 1.5 23. 11.1 24. 1.5

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Compute the requested information. Round all parenteral administration orders that are over 1 mL to one decimal place.

Round all parenteral administration orders under 1 mL to two decimal places. Do not include zeros at the end of decimal numbers.

The problems and drug orders are presented for practice only, and actual prescribed dosages will vary according to a patient’s age, condition, reaction, additional medications, and other factors.

A pediatrician has ordered ampicillin 50 mg/kg/day p.o. divided q.6h for a child who weighs 44 lb.

1. How many kilograms does the child weigh? __________ kg A child who weighs 15 kilograms is to be given amoxicillin. The recommended dosage of amoxicillin for children is 20 to 40 mg/kg/day p.o. in equally divided doses administered q.8h.

2. What is the recommended range of milligrams of medication for this child per day? minimum: __________ mg

maximum: __________ mg

A pediatrician ordered Augmentin 30 mg/kg/day divided into q.8h doses for a child who weighs 66 lbs.

3. How many milligrams should the child receive per dose?

The recommended dosage of Rocephin is 50 to 100 mg/kg/day divided into two equal doses. The physician has ordered Rocephin 200 mg IM b.i.d. for a child who weighs 5,000 g. The Rocephin vial contains 1 g of medication that must be reconstituted with 3.6 mL of diluent to yield 1 g per 4 mL. 4. Compute the recommended minimum and maximum amount of milligrams that the child should receive per dose. minimum: __________ mg

maximum: __________ mg

Compute the requested information. Round all parenteral administration orders that are over 1 mL to one decimal place.

Round all parenteral administration orders under 1 mL to two decimal places. Do not include zeros at the end of decimal numbers.

The problems and drug orders are presented for practice only, and actual prescribed dosages will vary according to a patient’s age, condition, reaction, additional medications, and other factors.

A pediatrician has ordered ampicillin 50 mg/kg/day p.o. divided q.6h for a child who weighs 44 lb.

5. The pharmacy has supplied reconstituted ampicillin, with a supply dosage of 500 mg per 5 mL. How many milliliters should be given per q.6h dose? __________ mL The pediatrician orders dicloxacillin 62.5 mg p.o. q.6h for a child with a staph infection. The child weighs 77 lbs. The drug reference recommends a dose of 12.5–50 mg/kg in divided doses of q.6h for a child 40 kg, with a maximum of 4 g per day.

6. Calculate the minimum recommended dosage.

A pediatrician ordered Demerol 1 mg/kg/day p.o., divided q.4h p.r.n. for a child who weighs 33 lbs.

7. How many milligrams of Demerol should this child receive per day?

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8. How many milligrams of Demerol should the child receive per dose?

Compute the requested information. Round all parenteral administration orders that are over 1 mL to one decimal place.

Round all parenteral administration orders under 1 mL to two decimal places. Do not include zeros at the end of decimal numbers.

The problems and drug orders are presented for practice only, and actual prescribed dosages will vary according to a patient’s age, condition, reaction, additional medications, and other factors.

A pediatrician has ordered ampicillin 50 mg/kg/day p.o. divided q.6h for a child who weighs 44 lb.

9. How many milligrams should the child receive per day? __________ mg 10. A 6-year-old child weighing 25 kg has a staph infection and the provider has ordered penicillin. The recommended dose of penicillin for children is 25 to 50 mg/kg/day p.o. in equally divided doses administered q.6h.

What is the recommended range of milligrams of medication for this child per day? minimum ____________ mg maximum ________________mg A child who weighs 15 kilograms is to be given amoxicillin. The recommended dosage of amoxicillin for children is 20 to 40 mg/kg/day p.o. in equally divided doses administered q.8h.

11. How many teaspoonfuls of amoxicillin should be given per q.8h administration? __________ t The following order was written for a child weighing 66 lbs.

Order: Morphine 0.2 mg/kg p.o. q.6h p.r.n, pain.

12. How many kilograms does this child weigh?

13. How many milligrams should the child receive per day?

14. The recommended dose of this medication for this child is 0.2 mg–5 mg/kg per q.4–6h. Is the dose mentioned above within the recommended range and therefore safe to administer?

Compute the requested information. Round all parenteral administration orders that are over 1 mL to one decimal place.

Round all parenteral administration orders under 1 mL to two decimal places. Do not include zeros at the end of decimal numbers.

The problems and drug orders are presented for practice only, and actual prescribed dosages will vary according to a patient’s age, condition, reaction, additional medications, and other factors.

A pediatrician has ordered ampicillin 50 mg/kg/day p.o. divided q.6h for a child who weighs 44 lb.

15. How many milligrams should the child receive per dose? __________ mg The following order was written for a child weighing 66 lbs.

Order: Morphine 0.2 mg/kg p.o. q.6h p.r.n, pain.

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16. How many milligrams should the child receive per dose?

Compute the requested information. Round all parenteral administration orders that are over 1 mL to one decimal place.

Round all parenteral administration orders under 1 mL to two decimal places. Do not include zeros at the end of decimal numbers.

The problems and drug orders are presented for practice only, and actual prescribed dosages will vary according to a patient’s age, condition, reaction, additional medications, and other factors.

A pediatrician has ordered ampicillin 50 mg/kg/day p.o. divided q.6h for a child who weighs 44 lb.

17. How many teaspoons should the child’s parent administer per dose? __________ t A child who weighs 15 kilograms is to be given amoxicillin. The recommended dosage of amoxicillin for children is 20 to 40 mg/kg/day p.o. in equally divided doses administered q.8h.

18. The pediatrician has ordered amoxicillin 125 mg p.o. q.8h.

The available supply of amoxicillin is 125 mg per 5 mL. Is the order within the recommended range for this _________ medication? (yes/no) If so, how many mL of amoxicillin should be given per q.8h _________ mL administration?

The pediatrician orders dicloxacillin 62.5 mg p.o. q.6h for a child with a staph infection. The child weighs 77 lbs. The drug reference recommends a dose of 12.5–50 mg/kg in divided doses of q.6h for a child 40 kg, with a maximum of 4 g per day.

19. Calculate the maximum recommended dose.

The recommended dosage of Rocephin is 50 to 100 mg/kg/day divided into two equal doses. The physician has ordered Rocephin 200 mg IM b.i.d. for a child who weighs 5,000 g. The Rocephin vial contains 1 g of medication that must be reconstituted with 3.6 mL of diluent to yield 1 g per 4 mL. 20. Compute the recommended minimum and maximum amount of milligrams that the child should receive per day. minimum: __________ mg

maximum: __________ mg

The pediatrician orders dicloxacillin 62.5 mg p.o. q.6h for a child with a staph infection. The child weighs 77 lbs. The drug reference recommends a dose of 12.5–50 mg/kg in divided doses of q.6h for a child 40 kg, with a maximum of 4 g per day.

21. How many kilograms does this child weigh?

A child who weighs 15 kilograms is to be given amoxicillin. The recommended dosage of amoxicillin for children is 20 to 40 mg/kg/day p.o. in equally divided doses administered q.8h.

22. What is the recommended range of milligrams of medication for this child per q.8h dose? minimum: __________ mg maximum: __________ mg The pediatrician orders dicloxacillin 62.5 mg p.o. q.6h for a child with a staph infection. The child weighs 77 lbs. The drug reference recommends a dose of 12.5–50 mg/kg in divided doses of q.6h for a child 40 kg, with a maximum of 4 g per day.

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23. Is this order within the recommended range for this child?

A pediatrician ordered Demerol 1 mg/kg/day p.o., divided q.4h p.r.n. for a child who weighs 33 lbs.

24. How many kilograms does this child weigh?

The pediatrician orders dicloxacillin 62.5 mg p.o. q.6h for a child with a staph infection. The child weighs 77 lbs. The drug reference recommends a dose of 12.5–50 mg/kg in divided doses of q.6h for a child 40 kg, with a maximum of 4 g per day.

25. What action should be taken by the nurse if a drug order is unsafe?

The recommended dosage of Rocephin is 50 to 100 mg/kg/day divided into two equal doses. The physician has ordered Rocephin 200 mg IM b.i.d. for a child who weighs 5,000 g. The Rocephin vial contains 1 g of medication that must be reconstituted with 3.6 mL of diluent to yield 1 g per 4 mL. 26. Is the order within the recommended range? (yes/no) __________ If so, compute the number of milliliters of Rocephin that should be administered per dose. __________ mL. A pediatrician ordered Augmentin 30 mg/kg/day divided into q.8h doses for a child who weighs 66 lbs.

27. How many kilograms does the child weigh?

28. How many milligrams should the child receive per day?

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Answer Key 1. 20 2. 20 mg/kg/day × 15 kg = 300 mg/day minimum 40 mg/kg/day × 15 kg = 600 mg/day maximum

3. 300 mg/dose 4. b.i.d. = twice daily 250 mg ÷ 2 doses = 125 mg/dose minimum 500 mg ÷ 2 doses = 250 mg/dose maximum 5. 2.5 6. 12.5 mg/kg/day × 35 kg = 437.5 mg/day 437.5 mg ÷ 4 doses = 109.4 mg/dose minimum 7. 15 mg/day 8. 2.5 mg/dose 9. 1,000 10. 25 mg/kg/day × 25 kg = 625 mg/day minimum 50 mg/kg/day × 25 kg = 1,250 mg/day maximum 11. 5 mL 1 teaspoon 12. 30 kg 13. 6 mg/day 14. Yes, the ordered amount of 1.5 mg per dose q.6h is within the recommended range and is therefore safe to administer.

15. 250 16. 1.5 mg/dose 17. 0.5 or 1/2 18. Yes, 125 mg per dose is within the 100 mg to 200 mg per 5 mL dose range.

19. 50 mg/kg/day × 35 kg = 1,750 mg/day maximum 1,750 mg ÷ 4 doses = 437.5 mg/dose maximum Copyright Cengage Learning. Powered by Cognero.

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20. 250 mg/day minimum; 500 mg/day maximum 21. 35 kg 22. q.8h every 8 hours, which is given 3 times per day 300 mg ÷ 3 doses = 100 mg/dose minimum 600 mg ÷ 3 doses = 200 mg/dose maximum 23. No, the order of 62.5 mg q.6h is not within the recommended range of 109.4 mg/dose to 437.5 mg/dose.

24. 15 25. The nurse should contact the prescriber to discuss the order.

26. Yes, the ordered amount of 200 mg per dose, b.i.d. is within the recommended range of 125 mg to 250 mg per dose, given twice per day.

27. 30 kg 28. 900 mg/day

Compute the amount of medication that will be given to administer one dose of the following orders, using the formula method to obtain your answers. Assume all tablets are scored, when necessary. Round all parenteral administration orders that are over 1 mL to one decimal place. Round all parenteral administration orders under 1 mL to two decimal places. Do not include zeros at the end of decimal numbers.

The problems and drug orders are presented for practice only, and actual prescribed dosages will vary according to a patient’s age, condition, reaction, additional medications, and other factors.

1.

Order: Supply: Give:

phenobarbital 30 mg p.o. b.i.d. phenobarbital elixir 15 mg per 5 mL __________ mL

2.

Order: Supply: Give:

prednisolone acetate 35 mg IM daily 10 mL multiple dose vial of prednisolone acetate with a supply dosage of 50 mg/mL __________ mL

3.

Order: Supply: Give:

Klonopin 500 mcg p.o. t.i.d.

Bottle of 100 tablets of Klonopin, 0.5 mg per tablet __________ tablet(s)

Compute the amount of medication that will be given to administer one dose of the following orders using the dimensional analysis method to obtain your answers. Assume all tablets are scored, when necessary. Round all parenteral administration orders that are over 1 mL to one decimal place. Round all parenteral administration orders under 1 mL to two decimal places. Do not include zeros at the end of decimal numbers.

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The problems and drug orders are presented for practice only, and actual prescribed dosages will vary according to a patient’s age, condition, reaction, additional medications, and other factors.

4.

Order: codeine 60 mg p.o. q.6h p.r.n., pain Supply: codeine sulfate 30 mg tablets Give: __________ tablets Compute the amount of medication that will be given to administer one dose of the following orders, using the formula method to obtain your answers. Assume all tablets are scored, when necessary. Round all parenteral administration orders that are over 1 mL to one decimal place. Round all parenteral administration orders under 1 mL to two decimal places. Do not include zeros at the end of decimal numbers.

The problems and drug orders are presented for practice only, and actual prescribed dosages will vary according to a patient’s age, condition, reaction, additional medications, and other factors.

5.

Order: Supply: Give: 6.

Order: Supply: Directions: Give:

Biaxin 500 mg p.o. q.12h Biaxin oral suspension, reconstituted to 250 mg per 5 mL __________ mL or ___________ teaspoons

Amoxil 125 mg p.o. q.8h Bottle of Amoxil (powdered medication) Add 12 mL of water to obtain a pediatric oral suspension of 50 mg/mL __________ mL

Compute the amount of medication that will be given to administer one dose of the following orders using the dimensional analysis method to obtain your answers. Assume all tablets are scored, when necessary. Round all parenteral administration orders that are over 1 mL to one decimal place. Round all parenteral administration orders under 1 mL to two decimal places. Do not include zeros at the end of decimal numbers.

The problems and drug orders are presented for practice only, and actual prescribed dosages will vary according to a patient’s age, condition, reaction, additional medications, and other factors.

7.

Order: Supply: Give:

Pepcid 20 mg p.o. q.hs famotidine 10 mg chewable tablets __________tablets

8.

Order: Supply: Give:

phenobarbital 45 mg p.o. t.i.d. phenobarbital 15 mg tablets __________ tablets

Compute the amount of medication that will be given to administer one dose of the following orders, using the formula method to obtain your answers. Assume all tablets are scored, when necessary. Round all parenteral administration orders that are over 1 mL to one decimal place. Round all parenteral administration orders under 1 mL to two decimal places. Do not include zeros at the end of decimal numbers.

The problems and drug orders are presented for practice only, and actual prescribed dosages will vary according to a patient’s age, condition, reaction, additional medications, and other factors.

9.

Order:

heparin 7,500 units subcut q.8h

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heparin 10,000 units/mL __________ mL

Compute the amount of medication that will be given to administer one dose of the following orders using the dimensional analysis method to obtain your answers. Assume all tablets are scored, when necessary. Round all parenteral administration orders that are over 1 mL to one decimal place. Round all parenteral administration orders under 1 mL to two decimal places. Do not include zeros at the end of decimal numbers.

The problems and drug orders are presented for practice only, and actual prescribed dosages will vary according to a patient’s age, condition, reaction, additional medications, and other factors.

10.

Order: Supply: Give:

Synthroid 50 mcg p.o. daily levothyroxine 0.025 mg tablets __________ tablets

11.

Order: Supply: Give:

Augmentin 875 mg p.o. q.12h Augmentin oral suspension 400 mg per 5 mL, 20 mL bottle __________mL

Compute the amount of medication that will be given to administer one dose of the following orders, using the formula method to obtain your answers. Assume all tablets are scored, when necessary. Round all parenteral administration orders that are over 1 mL to one decimal place. Round all parenteral administration orders under 1 mL to two decimal places. Do not include zeros at the end of decimal numbers.

The problems and drug orders are presented for practice only, and actual prescribed dosages will vary according to a patient’s age, condition, reaction, additional medications, and other factors.

12.

Order: Supply: Give:

thiamine HCl 20 mg IM t.i.d.

10 mL multiple dose vial of vitamin B1 (thiamine HCl) 100 mg/mL __________ mL

13.

Order: Supply: Give:

Ceclor 300 mg p.o. q.8h Ceclor reconstituted oral suspension, 375 mg per 5 mL ___________ mL

Compute the amount of medication that will be given to administer one dose of the following orders using the dimensional analysis method to obtain your answers. Assume all tablets are scored, when necessary. Round all parenteral administration orders that are over 1 mL to one decimal place. Round all parenteral administration orders under 1 mL to two decimal places. Do not include zeros at the end of decimal numbers.

The problems and drug orders are presented for practice only, and actual prescribed dosages will vary according to a patient’s age, condition, reaction, additional medications, and other factors.

14.

Order: Supply: Give:

Haldol 3 mg IM q.8h Haldol 5 mg/mL injectable; 20 mL multidose vial __________ mL

Compute the amount of medication that will be given to administer one dose of the following orders, using the formula method to obtain your answers. Assume all tablets are scored, when necessary. Round all parenteral administration orders Copyright Cengage Learning. Powered by Cognero.

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that are over 1 mL to one decimal place. Round all parenteral administration orders under 1 mL to two decimal places. Do not include zeros at the end of decimal numbers.

The problems and drug orders are presented for practice only, and actual prescribed dosages will vary according to a patient’s age, condition, reaction, additional medications, and other factors.

15.

Order: Supply: Give:

vitamin B12 100,000 units IM daily for 3 days 2 mL vial of vitamin B12 with 50,000 units/mL __________ mL

Compute the amount of medication that will be given to administer one dose of the following orders using the dimensional analysis method to obtain your answers. Assume all tablets are scored, when necessary. Round all parenteral administration orders that are over 1 mL to one decimal place. Round all parenteral administration orders under 1 mL to two decimal places. Do not include zeros at the end of decimal numbers.

The problems and drug orders are presented for practice only, and actual prescribed dosages will vary according to a patient’s age, condition, reaction, additional medications, and other factors.

16.

Order: acyclovir 0.8 g p.o. q.4h Supply: acyclovir 400 mg tablets Give: __________ tablets 17.

Order: Supply: Give:

Vistaril 0.1 g p.o. t.i.d Vistaril oral suspension 25 mg per 5 mL __________ mL

Compute the amount of medication that will be given to administer one dose of the following orders, using the formula method to obtain your answers. Assume all tablets are scored, when necessary. Round all parenteral administration orders that are over 1 mL to one decimal place. Round all parenteral administration orders under 1 mL to two decimal places. Do not include zeros at the end of decimal numbers.

The problems and drug orders are presented for practice only, and actual prescribed dosages will vary according to a patient’s age, condition, reaction, additional medications, and other factors.

18.

Order: Supply: Give:

methylprednisolone acetate 100 mg IM once per week methylprednisolone acetate suspension, 80 mg/mL ___________ mL

19.

Order: Supply: Give:

Dilantin 25 mg p.o. t.i.d.

Dilantin chewable 50 mg tablets __________ tablet(s)

20.

Order: Supply: Give:

Amoxil 0.25 g p.o. q.8h 80 mL bottle of reconstituted Amoxil oral suspension, 125 mg per 5 mL __________ mL or __________ teaspoons

Compute the amount of medication that will be given to administer one dose of the following orders using the Copyright Cengage Learning. Powered by Cognero.

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dimensional analysis method to obtain your answers. Assume all tablets are scored, when necessary. Round all parenteral administration orders that are over 1 mL to one decimal place. Round all parenteral administration orders under 1 mL to two decimal places. Do not include zeros at the end of decimal numbers.

The problems and drug orders are presented for practice only, and actual prescribed dosages will vary according to a patient’s age, condition, reaction, additional medications, and other factors.

21.

Order: Supply: Give:

Ceclor 0.375 g po. q.8h Ceclor oral suspension 125 mg per 5 mL __________mL

Compute the amount of medication that will be given to administer one dose of the following orders, using the formula method to obtain your answers. Assume all tablets are scored, when necessary. Round all parenteral administration orders that are over 1 mL to one decimal place. Round all parenteral administration orders under 1 mL to two decimal places. Do not include zeros at the end of decimal numbers.

The problems and drug orders are presented for practice only, and actual prescribed dosages will vary according to a patient’s age, condition, reaction, additional medications, and other factors.

22.

Order: ascorbic acid 150 mg IM daily Supply: 2 mL ampule of vitamin C (ascorbic acid) 250 mg/mL Give: ___________ mL 23.

Order: Supply: Give:

Augmentin 375 mg p.o. q.8h 75 mL bottle of reconstituted Augmentin, 250 mg per 5 mL __________ mL

24.

Order: Supply: Give:

nitroglycerin 0.6 mg SL stat 0.4 mg and 0.6 mg tablets __________ tablet, give __________ tablet(s)

25.

Order: Supply: Give:

Axid 0.3 g p.o. at h.s.

Axid 150 mg capsules __________ capsules

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Answer Key 1. 10 2. 0.7 3. 1 4. 2 5. 10 mL or 2 t 6. 2.5 7. 2 8. 3 9. 0.75 10. 2 11. 10.9 12. 0.2 13. 4 14. 0.6 15. 2 16. 2 17. 20 18. 1.3 19. 0.5 or 1/2 20. 10 mL or 2 t 21. 15 22. 0.6 23. 7.5 24. 0.6 mg tablet, give 1 tablet 25. 2

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Indicate the answer choice that best completes the statement or answers the question.

1. A patient’s order for IV fluid states the D5W is to be infused. Which of the following IV fluids should be given? a. 5% dextrose with normal saline b. 5% dextrose with Lactated Ringer’s Solution c. 5% dextrose with 0.45% sodium chloride d. 5% dextrose 2. What is the ratio of the weight of sodium chloride to the volume of IV fluid in NS? a. 0.9 grams of sodium chloride to 100 mL of IV fluid b. 0.009 grams of sodium chloride to 1 milliliter of IV fluid c. 0.9 grams of sodium chloride to 1 liter of IV fluid d. 0.9 milligrams of sodium chloride to 100 mL of IV fluid 3. A patient’s order for IV fluid states that NS is to be infused. Which of the following IV fluids should be given? a. 0.9% sodium chloride b. 0.45% sodium chloride c. 0.225% sodium chloride d. 5% dextrose 4. A patient’s order for IV fluid states that D5

NS with 20 KCl is to be infused. Which of the following IV fluids should

be given to the patient? a. 0.9% sodium chloride b. 5% dextrose and 0.45% sodium chloride with 20 mEq of KCl/L c. 5% dextrose with 0.225% sodium chloride with 20 mEq KCl/L d. 5% dextrose 5. A patient’s order for IV fluid states that LR is to be infused. Which of the following IV fluids should be given? a. Lactated Ringer’s Solution b. 5% dextrose with Lactated Ringer’s Solution c. 0.9% sodium Chloride d. 5% dextrose 6. A patient’s order for IV fluid states that D5NS is to be infused. Which of the following IV fluids should be given? a. 5% dextrose b. 0.9% sodium chloride c. 5% dextrose with 0.9% sodium chloride d. Lactated Ringer’s Solution 7. What is the ratio of the weight of dextrose to the volume of IV fluid in D5W? a. 5 grams of dextrose to 1 liter of IV fluid b. 5 milligrams of dextrose to 1 milliliter of IV fluid c. 5 milligrams of dextrose to 1 liter of IV fluid d. 5 grams of dextrose to 100 mL of IV fluid 8. A patient’s order for IV fluid states that D5LR is to be infused. Which of the following IV fluids should be given?

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a. 5% dextrose with Lactated Ringer’s Solution b. 5% dextrose and 0.45% sodium chloride with 20 mEq KCl/L c. 5% dextrose with 0.225% sodium chloride d. 0.45% sodium chloride

The following IV orders will be regulated by electronic infusion devices. Calculate the flow rates of the IV fluids in mL/h.

The problems and drug orders are presented for practice only, and actual prescribed dosages will vary according to a patient’s age, condition, reaction, additional medications, and other factors.

9. Calculate the IV flow rate for 50 mL NS to infuse by infusion pump over 20 minutes. Flow rate: ___________mL/h 10. 2 L D5W IV to infuse in 24 hours by infusion pump. Flow rate: __________ mL/h 11. 1,200 mL D10W IV to infuse in 10 hours by infusion pump. Flow rate: ___________ mL/h Calculate the weight of solutes in the following IV solutions, and identify the solutes.

12. 500 mL of D5

NS contains _______________ of ________________. (weight)

(solute)

13.

1 liter of NS contains __________ of __________. (weight) (solute) The following IV orders will be regulated by electronic infusion devices. Calculate the flow rates of the IV fluids in mL/h.

The problems and drug orders are presented for practice only, and actual prescribed dosages will vary according to a patient’s age, condition, reaction, additional medications, and other factors.

14. Calculate the IV flow rate for 250 mL to infuse by infusion pump over two hours. Flow rate: ______________ mL/h The following IV orders will be regulated manually. Calculate the flow rate of the IV fluid in gtt/min.

15. 1 L LR IV to infuse in 5 hours.

The drop factor is 10 gtt/mL. Flow rate: __________ gtt/min Calculate the weight of solutes in the following IV solutions, and identify the solutes.

16.

1 liter of D5W contains __________ of __________. (weight) (solute) The following IV orders will be regulated manually. Calculate the flow rate of the IV fluid in gtt/min.

17. 1,000 mL D5W IV to infuse in 8 hours.

The drop factor is 20 gtt/mL. Flow rate: __________ gtt/min A patient’s IV flow needs to be checked frequently so that any adjustments in rate will be small. The allowable percent of change varies according to the institution’s policy, patient’s condition, and other factors. For this problem set only, assume that the patient’s flow rate may be reset if the maximum variation from the physician’s order is not more than Copyright Cengage Learning. Powered by Cognero.

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25%. Compute the percent of variation before resetting IV flow rates, and indicate either the new flow rate you will set or the appropriate action you will take.

The following IV order will be regulated manually: 1,000 mL D5W IV to infuse in 8 hours.

The drop factor is 15 gtt/mL. 18. 1,000 mL D5W IV to infuse at 250 mL/h.

Total infusion time: __________ hours 19. After 6 hours, 200 mL of IV fluid remains. If necessary and if allowable, reset the IV so that it is completed on time.

What would the adjusted rate have to be? Adjusted rate, if allowable: __________ gtt/min The following IV orders will be regulated manually. Calculate the flow rate of the IV fluid in gtt/min.

20. 50 mL NS with antibiotic IV to infuse in 20 minutes.

The drop factor is 20 gtt/mL. Flow rate: __________ gtt/min The following IV orders will be regulated by electronic infusion devices. Calculate the flow rates of the IV fluids in mL/h.

The problems and drug orders are presented for practice only, and actual prescribed dosages will vary according to a patient’s age, condition, reaction, additional medications, and other factors.

21. 30 mL D5W with antibiotic IV to infuse in 20 minutes by infusion pump. Flow rate: __________ mL/h 22. 1.5 L D5

NS IV to infuse over 20 hours by infusion pump. Flow rate: __________ mL/h

The following IV orders will be regulated manually. Calculate the flow rate of the IV fluid in gtt/min.

23. Calculate the IV flow rate for 500 mL D5

NS to infuse over 4 hours. The IV is to be manually regulated. The drop

factor is 15 gtt/min.

Flow rate: __________ gtt/min 24. Calculate the IV flow rate for 100 mL NS with an antibiotic added to infuse in 30 minutes.

The IV will be manually regulated. The drop factor is 20 gtt/min.

Flow rate: __________ gtt/min A patient’s IV flow needs to be checked frequently so that any adjustments in rate will be small. The allowable percent of change varies according to the institution’s policy, patient’s condition, and other factors. For this problem set only, assume that the patient’s flow rate may be reset if the maximum variation from the physician’s order is not more than 25%. Compute the percent of variation before resetting IV flow rates, and indicate either the new flow rate you will set or the appropriate action you will take.

The following IV order will be regulated manually: 1,000 mL D5W IV to infuse in 8 hours.

The drop factor is 15 gtt/mL. 25.

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Compute the percent of change in the flow rate.

According to guidelines given, is the new rate allowable? (yes/no)

Date:

__________% __________

26. Calculate the flow rate of the IV fluid in gtt/min. Flow rate: __________ gtt/min The following IV orders will be regulated manually. Calculate the flow rate of the IV fluid in gtt/min.

27. Calculate the IV flow rate for 1,000 mL D5NS to infuse over 6 hours. The IV is to be manually regulated. The drop factor is 10 gtt/min.

Flow rate: __________ gtt/min 28. Calculate the IV flow rate for 1 L LR to infuse over 8 hours. The IV is to be manually regulated. The drop factor is 10 gtt/min.

Flow rate: __________ gtt/min 29. 1 L NS IV to infuse in 10 hours.

The drop factor is 10 gtt/mL. Flow rate: __________ gtt/min

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Answer Key 1. d 2. a 3. a 4. b 5. a 6. c 7. d 8. a 9. 150 10. 83 11. 120 12. 500 mL of D5

NS contains 25 g of dextrose

13. 1 liter of NS contains 9 g of sodium chloride.

14. 125 15. 33 16. 1 liter of D5W contains 50 g of dextrose.

17. 42 18. 4 19. 25 20. 50 21. 90 22. 75 23. 31 24. 67 25. 19.6%; yes Copyright Cengage Learning. Powered by Cognero.

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26. 31 27. 28 28. 21 29. 17

A child whose BSA is 1.25 m is to receive acyclovir 600 mg p.o. q.i.d. The drug reference guide recommends 500 mg/m q.8h. The supply dosage available is 800 mg per 2 mL. 1. How many milligrams of acyclovir should the patient receive per administration? ______________ mg The following problems and drug orders are presented for practice only, and actual prescribed dosages will vary according to a patient’s age, condition, reaction, additional medication, and other factors.

Determine the body surface area (BSA) for each of the following children using the BSA nomogram. Include two decimal places with your answers.

2

2. A normal proportioned child, weighing 20 kg. BSA = __________ m 2

The dose of Rocephin for an adult with a BSA of 1.7 m is 0.5 g per dose, administered b.i.d. The child is to be given the 2 medication based on the BSA and the usual adult dose. The child’s BSA is 0.51 m .

3. How many milligrams of Rocephin should she receive per dose? __________ mg Compute the daily amount of pediatric maintenance fluids for the following patients, using these guidelines: 100 mL/kg/day for the first 10 kg of body weight 50 mL/kg/day for the next 10 kg of body weight 20 mL/kg/day for each kg above 20 kg of body weight 4. A child who weighs 13 kg. __________ mL/day An adult with leukemia measures 165 cm tall and weighs 56.8 kg. The physician ordered tretinoin 50 mg b.i.d. The drug reference recommends 45 mg/m b.i.d.

5. Calculate the BSA for this adult.

A 5-year-old child with herpes simplex measures 42 inches tall and weighs 43 lb. The pediatrician prescribes ritonavir 200 mg p.o. b.i.d. The drug reference recommends the dose of 250 mg/m b.i.d for a child.

6. Calculate the recommended dose. __________ mg Compute the daily amount of pediatric maintenance fluids for the following patients, using these guidelines: 100 mL/kg/day for the first 10 kg of body weight 50 mL/kg/day for the next 10 kg of body weight 20 mL/kg/day for each kg above 20 kg of body weight Copyright Cengage Learning. Powered by Cognero.

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7. A child who weighs 24 kg. __________ mL/day A 5-year-old child with herpes simplex measures 42 inches tall and weighs 43 lb. The pediatrician prescribes ritonavir 200 mg p.o. b.i.d. The drug reference recommends the dose of 250 mg/m b.i.d for a child.

8. What is the child’s BSA? 2

The dose of Rocephin for an adult with a BSA of 1.7 m is 0.5 g per dose, administered b.i.d. The child is to be given the 2 medication based on the BSA and the usual adult dose. The child’s BSA is 0.51 m .

9. The supply of Rocephin is reconstituted to 250 mg/mL. How many milliliters of Rocephin should she receive per administration? __________ mL A child whose BSA is 1.25 m is to receive acyclovir 600 mg p.o. q.i.d. The drug reference guide recommends 500 mg/m q.8h. The supply dosage available is 800 mg per 2 mL. 10. Is this considered a safe dose? If not, what should the nurse do?

The following problems and drug orders are presented for practice only, and actual prescribed dosages will vary according to a patient’s age, condition, reaction, additional medication, and other factors.

Determine the body surface area (BSA) for each of the following children using the BSA nomogram. Include two decimal places with your answers.

2

11. A child who weighs 9 kg and is 50 inches tall. BSA = __________ m 2

2

A child whose BSA is 0.45 m is to receive Oncovin 2 mg/m once per week. The supply dosage available is 5 mg/mL. 12. How many milligrams of Oncovin should he receive per administration? __________ mg An adult with leukemia measures 165 cm tall and weighs 56.8 kg. The physician ordered tretinoin 50 mg b.i.d. The drug reference recommends 45 mg/m b.i.d.

13. Calculate the dose.

Determine the BSA for each of the following children using the BSA computation formulas given in the textbook. Include two decimal places with your answers.

2

14. A child who is 35 inches tall and weighs 40 lb. BSA = __________ m

The following problems and drug orders are presented for practice only, and actual prescribed dosages will vary according to a patient’s age, condition, reaction, additional medication, and other factors.

Determine the body surface area (BSA) for each of the following children using the BSA nomogram. Include two decimal places with your answers.

2

15. A child who is 80 cm tall and weighs 20 kg. BSA = __________ m

Determine the BSA for each of the following children using the BSA computation formulas given in the textbook. Include two decimal places with your answers.

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16. A child who weighs 15 kg and is 90 cm tall. BSA = __________ m

The recommended oral dosage for succimer is 350 mg/m q.8h. This has been ordered for a child measuring 54 inches tall and 73 lb.

17. Calculate the safe dosage for this child.

2

18. A child who measures 177.5 cm tall and weighs 81.8 kg. BSA = __________ m

A child whose BSA is 1.25 m is to receive acyclovir 600 mg p.o. q.i.d. The drug reference guide recommends 500 mg/m q.8h. The supply dosage available is 800 mg per 2 mL. 19. How many milliliters should be administered per dose?

Compute the daily amount of pediatric maintenance fluids for the following patients, using these guidelines: 100 mL/kg/day for the first 10 kg of body weight 50 mL/kg/day for the next 10 kg of body weight 20 mL/kg/day for each kg above 20 kg of body weight 20. A child who weighs 40 lb. __________ mL/day The recommended oral dosage for succimer is 350 mg/m q.8h. This has been ordered for a child measuring 54 inches tall and 73 lb.

21. What is the child’s BSA? Compute the daily amount of pediatric maintenance fluids for the following patients, using these guidelines: 100 mL/kg/day for the first 10 kg of body weight 50 mL/kg/day for the next 10 kg of body weight 20 mL/kg/day for each kg above 20 kg of body weight 22. A child who weighs 11 kg. __________ mL/day An adult with leukemia measures 165 cm tall and weighs 56.8 kg. The physician ordered tretinoin 50 mg b.i.d. The drug reference recommends 45 mg/m b.i.d.

23. Is this a safe dose? If not, what should the nurse do?

A 5-year-old child with herpes simplex measures 42 inches tall and weighs 43 lb. The pediatrician prescribes ritonavir 200 mg p.o. b.i.d. The drug reference recommends the dose of 250 mg/m b.i.d for a child.

24. Is this a safe dose? If not, what should the nurse do?

Determine the BSA for each of the following children using the BSA computation formulas given in the textbook. Include two decimal places with your answers.

2

25. A child who measures 61 inches tall and weighs 84 pounds. BSA = __________ m 2

2

A child whose BSA is 0.45 m is to receive Oncovin 2 mg/m once per week. The supply dosage available is 5 mg/mL. Copyright Cengage Learning. Powered by Cognero.

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26. How many milliliters should be administered per dose? __________ mL Determine the BSA for each of the following children using the BSA computation formulas given in the textbook. Include two decimal places with your answers.

2

27. A child who measures 56 inches tall and weighs 68 lb. BSA = __________ m

The recommended oral dosage for succimer is 350 mg/m q.8h. This has been ordered for a child measuring 54 inches tall and 73 lb.

28. Is this considered a safe dose? If not, what should the nurse do?

Compute the daily amount of pediatric maintenance fluids for the following patients, using these guidelines: 100 mL/kg/day for the first 10 kg of body weight 50 mL/kg/day for the next 10 kg of body weight 20 mL/kg/day for each kg above 20 kg of body weight 29. What is the hourly rate for an IV of 1,050 mL to be run over 24 hours?

The following problems and drug orders are presented for practice only, and actual prescribed dosages will vary according to a patient’s age, condition, reaction, additional medication, and other factors.

Determine the body surface area (BSA) for each of the following children using the BSA nomogram. Include two decimal places with your answers.

2

30. A normal proportioned child, weighing 7.5 pounds. BSA = __________ m

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Answer Key 1. 625 2. 0.80 3. 150 4. 1,150 2

5. 1.6 m

6. 250 mg/m

0.76 m = 190 mg

7. 1.580 2

8. 0.76 m 9. 0.6

10. No. The ordered dosage of 600 mg q.i.d is too low. The nurse should contact and confer with the prescriber.

2

11. 0.54 m 12. 0.9

13. 45 mg/m

1.6 mg = 72 mg

14. 0.67 2

15. 0.70 m 16. 0.61

17. 350 mg/m

1.12 m = 392 mg

18. 2.01 19. 1.6 mL 20. 1,410 2

21. 1.12 m 22. 1,050

23. No, this is not a safe dose. The ordered dose of 50 mg is too low. The nurse should call the prescriber and confer about the medication.

24. No, this is not a safe dose. The ordered dose of 200 mg is slightly high. The nurse should call the prescriber and confer Copyright Cengage Learning. Powered by Cognero.

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about the order.

25. 1.28 26. 0.18 27. 1.10 28. No, this is not a safe dose. It is more than the recommended dose and the nurse should confer with the prescriber.

29. 44 mL/h 2

30. 0.23 m

The following questions refer to your patient who is on IV heparin therapy according to the “Standard Weight-Based Heparin Protocol” noted below. The patient weighs 144 pounds. On admission, the patient’s APTT is 30 seconds. You initiate IV heparin therapy at 1130 on 06/06/XX. Record your answers in the spaces below unless provided with the “Standard Weight Based Heparin Protocol Worksheet” by your instructor.

Standard Weight-Based Heparin Protocol For all patients on heparin drips: 1. Weight in KILOGRAMS required for order to be processed: ______ kg.

2. Heparin 25,000 units in 250 mL of 1/2 NS. Boluses to be given as 1,000 units/mL. 3. APTT q.6h or 6 hours after rate change; daily after two consecutive therapeutic APTTs. 4. CBC initially and repeat every ____ day(s).

5. Obtain APTT and PT/INR on day one prior to initiation of therapy.

6. Guaiac stool initially, then every __ day(s) until heparin discontinued. Notify if positive.

7. Neuro checks every ____ hours while on heparin. Notify physician of any changes.

8. D/C APTT and CBC once heparin drip is discontinued unless otherwise ordered.

9. Notify physician of any bleeding problems.

10. Bolus with 80 units/kg. Start drip at 18 units/kg/h.

Rebolus with 80 units/kg and increase rate by 4 11. If APTT is < 35 secs: units/kg/h.

Rebolus with 40 units/kg and increase rate by 2 12. If APTT is 36–44 secs: units/kg/h.

13. If APTT is 45–75 secs: Continue current rate.

14. If APTT is 76–90 secs: Decrease rate by 2 units/kg/h.

Hold heparin for 1 hour and decrease rate by 3 15. If APTT is > 90 secs: units/kg/h.

1. What is the patient’s weight as measured in kilograms? (Round to the nearest 10 kg.) __________ kg What does the protocol/sample orders indicate for the standard bolus dosage of heparin for this patient? __________ units/kg A patient’s IV order for lidocaine states that he should receive an IV bolus of 100 mg over 2 minutes using a supply of 2% Copyright Cengage Learning. Powered by Cognero.

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lidocaine.

2. What is the supply dosage of the lidocaine in mg/mL? __________ mg/mL Complete the following advanced IV calculations.

The problems and drug orders are presented for practice only, and actual prescribed dosages will vary according to a patient’s age, condition, reaction, additional medications, and other factors.

3. 1 L D5W with 10,000 units heparin to infuse at 1,000 units/h.

What is the flow rate in mL/h?

_______________mL/h

Complete the following advanced IV calculations. The problems and drug orders are presented for practice only, and actual prescribed dosages will vary according to a patient’s age, condition, reaction, additional medications, and other factors.

4. What is the supply dosage of the lidocaine in mg/mL? __________ mg/mL Compute the answers to the following questions based on this information.

A patient’s IV fluids are to be limited. His continuous IV order is for 2,000 mL of NS every 24 hours. He is to receive an IV PB of 150 mg of Netromycin in 100 mL NS infused in 2 hours, every 8 hours. His IV flow rate is controlled by an infusion pump.

Answer the following questions about his IV PB. 5. Answer the following questions about his continuous IV. How many milliliters per day will he receive with his regular IV? How many hours will his continuous IV flow per 24 hours?

What will his regular IV flow rate be, in mL/hour?

__________ mL/day __________ hours/day __________ mL/h

Complete the following advanced IV calculations. The problems and drug orders are presented for practice only, and actual prescribed dosages will vary according to a patient’s age, condition, reaction, additional medications, and other factors.

6. A patient’s order for Pepcid states that she should receive an IV bolus of 20 mg Pepcid diluted in NS to a total volume of 10 mL, which is to be injected over 2 minutes. The supply is Pepcid 10 mg/mL. Compute the volume of Pepcid and the volume of NS. Pepcid: __________ mL

NS: __________ mL

The following questions refer to your patient who is on IV heparin therapy according to the “Standard Weight-Based Heparin Protocol” noted below. The patient weighs 144 pounds. On admission, the patient’s APTT is 30 seconds. You initiate IV heparin therapy at 1130 on 06/06/XX. Record your answers in the spaces below unless provided with the “Standard Weight Based Heparin Protocol Worksheet” by your instructor.

Standard Weight-Based Heparin Protocol For all patients on heparin drips: 1. Weight in KILOGRAMS required for order to be processed: ______ kg.

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2. Heparin 25,000 units in 250 mL of 1/2 NS. Boluses to be given as 1,000 units/mL. 3. APTT q.6h or 6 hours after rate change; daily after two consecutive therapeutic APTTs. 4. CBC initially and repeat every ____ day(s).

5. Obtain APTT and PT/INR on day one prior to initiation of therapy.

6. Guaiac stool initially, then every __ day(s) until heparin discontinued. Notify if positive.

7. Neuro checks every ____ hours while on heparin. Notify physician of any changes.

8. D/C APTT and CBC once heparin drip is discontinued unless otherwise ordered.

9. Notify physician of any bleeding problems.

10. Bolus with 80 units/kg. Start drip at 18 units/kg/h.

Rebolus with 80 units/kg and increase rate by 4 11. If APTT is < 35 secs: units/kg/h.

Rebolus with 40 units/kg and increase rate by 2 12. If APTT is 36–44 secs: units/kg/h.

13. If APTT is 45–75 secs: Continue current rate.

14. If APTT is 76–90 secs: Decrease rate by 2 units/kg/h.

Hold heparin for 1 hour and decrease rate by 3 15. If APTT is > 90 secs: units/kg/h.

7. At 0600, on 06/07/XX, the patient’s APTT is 50 seconds. What should you do now?

When should the APTT be checked again?

__________ (hours) on __________ (date)

Compute the answers to the following questions based on this information.

A patient’s IV fluids are to be limited. His continuous IV order is for 2,000 mL of NS every 24 hours. He is to receive an IV PB of 150 mg of Netromycin in 100 mL NS infused in 2 hours, every 8 hours. His IV flow rate is controlled by an infusion pump.

Answer the following questions about his IV PB. 8. How many hours per day does his IV PB flow?

9. Order: 500 mL D5W with heparin 5,000 units IV to infuse at 1,000 units/h.

Calculate the flow rate. Flow rate: __________ mL/h An ICU patient weighing 70 kg has an order for dobutamine 5 mcg/kg/min to be administered IV and regulated by infusion pump. The supply of dobutamine is 500 mg in 500 mL D5W. 10. Compute the number of micrograms and the number of milligrams that the patient will receive. mcg/min __________ mg/min __________ Complete the following advanced IV calculations. The problems and drug orders are presented for practice only, and actual prescribed dosages will vary according to a patient’s age, condition, reaction, additional medications, and other factors.

11.

Order: Supply:

Pepcid 20 mg added to 100 mL D5W IV in 30 min. q.12h.

An infusion pump will be used.

Pepcid 10 mg/mL

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Compute the volume of Pepcid to be added to the 100 mL D5W. Compute the flow rate.

Pepcid: __________ mL Flow rate: __________ mL/h An ICU patient weighing 70 kg has an order for dobutamine 5 mcg/kg/min to be administered IV and regulated by infusion pump. The supply of dobutamine is 500 mg in 500 mL D5W. 12. Compute the flow rate in ml/h. Flow rate __________ mL/h The following questions refer to your patient who is on IV heparin therapy according to the “Standard Weight-Based Heparin Protocol” noted below. The patient weighs 144 pounds. On admission, the patient’s APTT is 30 seconds. You initiate IV heparin therapy at 1130 on 06/06/XX. Record your answers in the spaces below unless provided with the “Standard Weight Based Heparin Protocol Worksheet” by your instructor.

Standard Weight-Based Heparin Protocol For all patients on heparin drips: 1. Weight in KILOGRAMS required for order to be processed: ______ kg.

2. Heparin 25,000 units in 250 mL of 1/2 NS. Boluses to be given as 1,000 units/mL. 3. APTT q.6h or 6 hours after rate change; daily after two consecutive therapeutic APTTs. 4. CBC initially and repeat every ____ day(s).

5. Obtain APTT and PT/INR on day one prior to initiation of therapy.

6. Guaiac stool initially, then every __ day(s) until heparin discontinued. Notify if positive.

7. Neuro checks every ____ hours while on heparin. Notify physician of any changes.

8. D/C APTT and CBC once heparin drip is discontinued unless otherwise ordered.

9. Notify physician of any bleeding problems.

10. Bolus with 80 units/kg. Start drip at 18 units/kg/h.

Rebolus with 80 units/kg and increase rate by 4 11. If APTT is < 35 secs: units/kg/h.

Rebolus with 40 units/kg and increase rate by 2 12. If APTT is 36–44 secs: units/kg/h.

13. If APTT is 45–75 secs: Continue current rate.

14. If APTT is 76–90 secs: Decrease rate by 2 units/kg/h.

Hold heparin for 1 hour and decrease rate by 3 15. If APTT is > 90 secs: units/kg/h.

13. What does the protocol/sample orders indicate for the initial infusion rate for this patient? __________ units/kg/h Calculate the dosage of heparin this patient should receive each hour. __________ units/h What does the protocol/sample orders indicate as the required solution concentration (supply dosage) of heparin to use for the initial infusion? __________ units/mL Calculate the heparin solution volume this patient should receive each hour to provide correct infusion for the patient’s weight. __________ mL/h Copyright Cengage Learning. Powered by Cognero.

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14. Order: 1,000 mL D5W with heparin 20,000 units IV is to infuse at a rate of 750 units/h.

Calculate the flow rate. Flow rate: __________ mL/h Compute the answers to the following questions based on this information.

A patient’s IV fluids are to be limited. His continuous IV order is for 2,000 mL of NS every 24 hours. He is to receive an IV PB of 150 mg of Netromycin in 100 mL NS infused in 2 hours, every 8 hours. His IV flow rate is controlled by an infusion pump.

Answer the following questions about his IV PB. 15. What is the flow rate of his IV PB? __________ mL/h A patient’s IV order for lidocaine states that he should receive an IV bolus of 100 mg over 2 minutes using a supply of 2% lidocaine.

16. How many milliliters will you administer for this order using the available supply? __________ mL Compute the answers to the following questions based on this information.

A patient’s IV fluids are to be limited. His continuous IV order is for 2,000 mL of NS every 24 hours. He is to receive an IV PB of 150 mg of Netromycin in 100 mL NS infused in 2 hours, every 8 hours. His IV flow rate is controlled by an infusion pump.

Answer the following questions about his IV PB. 17. How many milliliters per day flow for his IV PB? __________ mL/day 18. One of your patients has an IV infusing at a rate of 40 mL/h. The IV bag contains a solution of 500 mL NS with 20,000 units of heparin.

How many units is the patient receiving in 24 hours?

__________ units/24 h

19. Order: Nitroglycerin 100 mg IV in 500 mL D5W to infuse at a rate of 30 mcg/min.

Calculate the flow rate. Flow rate: ___________ mL/h An ICU patient weighing 70 kg has an order for dobutamine 5 mcg/kg/min to be administered IV and regulated by infusion pump. The supply of dobutamine is 500 mg in 500 mL D5W. 20. Based on an order for 350 mcg/min or 0.35 mg/min, compute the volume of mL infused per minute.

21. Order: 0.45% NS 500 mL IV with heparin 10,000 units to infuse at 500 units/h.

Calculate the flow rate. Flow rate: __________ mL/h The following questions refer to your patient who is on IV heparin therapy according to the “Standard Weight-Based Heparin Protocol” noted below. The patient weighs 144 pounds. On admission, the patient’s APTT is 30 seconds. You initiate IV heparin therapy at 1130 on 06/06/XX. Record your answers in the spaces below unless provided with the “Standard Weight Based Heparin Protocol Worksheet” by your instructor.

Standard Weight-Based Heparin Protocol For all patients on heparin drips: 1. Weight in KILOGRAMS required for order to be processed: ______ kg.

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2. Heparin 25,000 units in 250 mL of 1/2 NS. Boluses to be given as 1,000 units/mL. 3. APTT q.6h or 6 hours after rate change; daily after two consecutive therapeutic APTTs. 4. CBC initially and repeat every ____ day(s).

5. Obtain APTT and PT/INR on day one prior to initiation of therapy.

6. Guaiac stool initially, then every __ day(s) until heparin discontinued. Notify if positive.

7. Neuro checks every ____ hours while on heparin. Notify physician of any changes.

8. D/C APTT and CBC once heparin drip is discontinued unless otherwise ordered.

9. Notify physician of any bleeding problems.

10. Bolus with 80 units/kg. Start drip at 18 units/kg/h.

Rebolus with 80 units/kg and increase rate by 4 11. If APTT is < 35 secs: units/kg/h.

Rebolus with 40 units/kg and increase rate by 2 12. If APTT is 36–44 secs: units/kg/h.

13. If APTT is 45–75 secs: Continue current rate.

14. If APTT is 76–90 secs: Decrease rate by 2 units/kg/h.

Hold heparin for 1 hour and decrease rate by 3 15. If APTT is > 90 secs: units/kg/h.

22. Calculate the dosage of heparin that should be administered for the bolus for this patient. __________ units What does the protocol indicate as the required solution concentration (supply dosage) of heparin to use for the bolus? __________ units/mL Calculate the dose volume of heparin that should be administered for the bolus for this patient. __________ mL Complete the following advanced IV calculations. The problems and drug orders are presented for practice only, and actual prescribed dosages will vary according to a patient’s age, condition, reaction, additional medications, and other factors.

23. How many milliliters will you administer for this order, using the available supply? _________ mL 24. Order: 1 L D5

NS with KCl 20 mEq to infuse at a rate of 1 mEq/h.

Calculate the flow rate. Flow rate: __________ mL/h 25. Order: Lidocaine 2 g IV in 1,000 mL D5W to infuse at a rate of 3 mg/min by infusion pump. Calculate the flow rate.

Flow rate: ___________ mL/h Compute the answers to the following questions based on this information.

A critical care patient who weighs 80 kg has an order for 10 mcg/kg/min of dobutamine to be administered IV and regulated by an electronic pump. The supply of dobutamine is 500 mg in 250 mL of D5W. 26. Compute the volume of milliliters infused per minute. __________ mL/min Copyright Cengage Learning. Powered by Cognero.

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27. Compute the flow rate in mL/h. __________ mL/h The following questions refer to your patient who is on IV heparin therapy according to the “Standard Weight-Based Heparin Protocol” noted below. The patient weighs 144 pounds. On admission, the patient’s APTT is 30 seconds. You initiate IV heparin therapy at 1130 on 06/06/XX. Record your answers in the spaces below unless provided with the “Standard Weight Based Heparin Protocol Worksheet” by your instructor.

Standard Weight-Based Heparin Protocol For all patients on heparin drips: 1. Weight in KILOGRAMS required for order to be processed: ______ kg.

2. Heparin 25,000 units in 250 mL of 1/2 NS. Boluses to be given as 1,000 units/mL. 3. APTT q.6h or 6 hours after rate change; daily after two consecutive therapeutic APTTs. 4. CBC initially and repeat every ____ day(s).

5. Obtain APTT and PT/INR on day one prior to initiation of therapy.

6. Guaiac stool initially, then every __ day(s) until heparin discontinued. Notify if positive.

7. Neuro checks every ____ hours while on heparin. Notify physician of any changes.

8. D/C APTT and CBC once heparin drip is discontinued unless otherwise ordered.

9. Notify physician of any bleeding problems.

10. Bolus with 80 units/kg. Start drip at 18 units/kg/h.

Rebolus with 80 units/kg and increase rate by 4 11. If APTT is < 35 secs: units/kg/h.

Rebolus with 40 units/kg and increase rate by 2 12. If APTT is 36–44 secs: units/kg/h.

13. If APTT is 45–75 secs: Continue current rate.

14. If APTT is 76–90 secs: Decrease rate by 2 units/kg/h.

Hold heparin for 1 hour and decrease rate by 3 15. If APTT is > 90 secs: units/kg/h.

28. At 2345, the patient’s APTT is 46 seconds. What should you do now?

29. According to the protocol/sample orders, how often should the patient’s APTT be checked? q. __________h At 1730, the patient’s APTT is 38 seconds. Rebolus with heparin. __________ units (__________ mL) How much should you change the infusion rate? __________ increase or __________ decrease heparin __________ units/h and __________ ml/h.

The new infusion rate will be heparin __________ mL/h.

Compute the answers to the following questions based on this information.

A critical care patient who weighs 80 kg has an order for 10 mcg/kg/min of dobutamine to be administered IV and regulated by an electronic pump. The supply of dobutamine is 500 mg in 250 mL of D5W. 30. Compute the number of micrograms and the number of milligrams per minute that the patient will receive. micrograms per minute: __________ Copyright Cengage Learning. Powered by Cognero.

milligrams per minute: __________ Page 87

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Complete the following advanced IV calculations.

The problems and drug orders are presented for practice only, and actual prescribed dosages will vary according to a patient’s age, condition, reaction, additional medications, and other factors.

31. 1,000 mL

NS with 10,000 units heparin to infuse at 750 units/h.

What is the flow rate in mL/h?

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_______________mL/h

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Answer Key 1. 70 kg; 80 units/kg 2. 20 3. 100 4. 10 5.

6. 2 mL; 8 mL 7. Maintain the rate at 14 mL/h Recheck APTT at 0600 on 06/08/XX 8.

9. 100 10. 350 mcg/min; 0.35 mg/min 11. 2 mL; 200 mL/h 12. 21 13. 18 units/kg/h; 1,260 units/h; 100 units/mL; 13 mL/h 14. 38 15. 50 16. 5 17. 300 18. 38,400 19. 9 20. 0.35 mL/min 21. 25 22. 5,600 units; 1,000 units/mL; 5.6 mL Copyright Cengage Learning. Powered by Cognero.

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23.

24. 50 25. 90 26. 0.4 27. 24 28. Maintain the rate at 14 mL/h.

29. q.6h

1,000 units/mL

Increase rate by 2 units/kg/h

30. 800 mcg/min; 0.8 mg/min 31. 75

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