MEDICATION CALCULATION TEST REVIEW Makeba Felton, RN, MSN, FNPC, WHNP Academic Counselor Fall, 2006.
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Transcript of MEDICATION CALCULATION TEST REVIEW Makeba Felton, RN, MSN, FNPC, WHNP Academic Counselor Fall, 2006.
MEDICATION MEDICATION CALCULATION CALCULATION TEST REVIEWTEST REVIEW
Makeba Felton, RN, MSN, FNPC, Makeba Felton, RN, MSN, FNPC, WHNPWHNP
Academic CounselorAcademic CounselorFall, 2006Fall, 2006
WHY IS THIS WHY IS THIS IMPORTANT??IMPORTANT??
PATIENT SAFETYPATIENT SAFETY COMPETENCY AS A NURSING COMPETENCY AS A NURSING
STUDENT/ NURSESTUDENT/ NURSE SMALL MISTAKES= BIG SMALL MISTAKES= BIG
PROBLEMSPROBLEMS
What to Review??What to Review??
Handout Handout Abbreviations (front cover of book)Abbreviations (front cover of book) ConversionsConversions Medication dosagesMedication dosages IV flow ratesIV flow rates Heparin infusionsHeparin infusions IV drip ratesIV drip rates
ABBREVIATIONSABBREVIATIONS
acac pcpc hshs ouou odod qq sqsq
STATSTAT tidtid bidbid qidqid mcgmcg gttgtt IMIM
CONVERSIONSCONVERSIONS
1g= 1000 mg1g= 1000 mg 1mg= _____ mcg1mg= _____ mcg 1 L= 1000 mL1 L= 1000 mL 1tsp=5 mL1tsp=5 mL 1T= _____ mL1T= _____ mL
1mL= ____cc1mL= ____cc 1 c = ____mL1 c = ____mL 1gr= _____mg1gr= _____mg 1oz= 30mL1oz= 30mL
MEDICATION DOSAGESMEDICATION DOSAGES
RATIO AND PROPORTION….RATIO AND PROPORTION….
DOSAGE DESIRED DOSAGE DOSAGE DESIRED DOSAGE VOLUMEVOLUME
________________________________ XX _______________ _______________
STOCK WEIGHTSTOCK WEIGHT STOCK VOLUMESTOCK VOLUME
(available)(available)
MEDICATION DOSAGESMEDICATION DOSAGES
1. Order: 35 mg drug for your 1. Order: 35 mg drug for your patientpatient
Available: 40 mg per 2.5mlAvailable: 40 mg per 2.5ml
What amount do you give…..What amount do you give…..
Answer:____________Answer:____________
MEDICATION DOSAGESMEDICATION DOSAGES
2.2. Order: 0.45mg for your patientOrder: 0.45mg for your patient
Available: Tablets labeled 0.3mgAvailable: Tablets labeled 0.3mg
What amount do you give…..What amount do you give…..
Answer:____________Answer:____________
MEDICATION DOSAGESMEDICATION DOSAGES
3.3. Order: 50mg IM of a drugOrder: 50mg IM of a drug
Available: 80 mg per mLAvailable: 80 mg per mL
What amount do you give…..What amount do you give…..
Answer:____________Answer:____________
MEDICATION DOSAGESMEDICATION DOSAGES
4.4. Theophylline elixir 120 mg po Theophylline elixir 120 mg po bid.bid.
You have Theophylline elixir in You have Theophylline elixir in
80 mg/15 mL solution 80 mg/15 mL solution available. How much will you available. How much will you give??give??
________________________________
IV FLOW RATESIV FLOW RATES
FORMULA….for drops per minuteFORMULA….for drops per minute
x gttx gtt = = amount of solution x drop amount of solution x drop factorfactor
1min1min time in min time in min
IV FLOW RATESIV FLOW RATES
Formula… volume in minutesFormula… volume in minutes
x gttx gtt = = Amount of solution x drop Amount of solution x drop factorfactor
1 min1 min time in minutes time in minutes
IV FLOW RATESIV FLOW RATES
Formula for volume per hour Formula for volume per hour infusion…infusion…
x mLx mL = = amount of solution (mL)amount of solution (mL)
1 hour1 hour time in hours time in hours
IV FLOW RATESIV FLOW RATES
5.5. You need to administer D5W at You need to administer D5W at 100mL/hr. The tubing drop factor 100mL/hr. The tubing drop factor is is
10 gtt/ min. At what rate in gtt/min 10 gtt/ min. At what rate in gtt/min should the fluid be regulated at??should the fluid be regulated at??
____________________________________
IV FLOW RATESIV FLOW RATES
6. You need to administer 500 mL of 6. You need to administer 500 mL of D5W over 4 hours. Your drop factor D5W over 4 hours. Your drop factor is 15 gtt/min. Calculate the IV flow is 15 gtt/min. Calculate the IV flow rate in gtt/min.rate in gtt/min.
________________________
IV FLOW RATESIV FLOW RATES
7. How long will it take for 150 mL of 7. How long will it take for 150 mL of solution to infuse at 25 mL/ hr??solution to infuse at 25 mL/ hr??
____________________________
IV FLOW RATESIV FLOW RATES
8. A client is receiving 1000mL of 8. A client is receiving 1000mL of D5LR at 100mL/ hr. How many D5LR at 100mL/ hr. How many hours will it take for the IV to hours will it take for the IV to infuse??infuse??
__________________________________
HEPARIN INJECTIONSHEPARIN INJECTIONS
Formula…Formula…
Units availableUnits available = = Units orderedUnits ordered
in 1 mLin 1 mL x amountx amount
HEPARIN INJECTIONSHEPARIN INJECTIONS
9. You are to administer 2500 units of 9. You are to administer 2500 units of heparin. What you have available is heparin. What you have available is 10,000 units/ mL. How much 10,000 units/ mL. How much heparin do you administer??heparin do you administer??
____________________________________
HEPARIN INFUSIONSHEPARIN INFUSIONS
Formula…Formula…
Units of heparin in sol’nUnits of heparin in sol’n = = x unitsx units
amount of sol’n hep amount of sol’n hep rate of rate of infusioninfusion
is inis in
HEPARIN INFUSIONHEPARIN INFUSION
10.10. You are to infuse 1200 units of You are to infuse 1200 units of heparin per hour of NS containing heparin per hour of NS containing 20,000 units of heparin. What is 20,000 units of heparin. What is the rate of infusion??the rate of infusion??
____________________________