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- Exam 9
- MedicationCalculationPracticeProblems
- Vital Signs
- Practice Dosage Calculation Exam
- Drug Calculations for Nurses a Step by Step Approach
- Basic Life Support
- Medical Dosage Calculations - A Dimen. Anal. Appr. 10th Ed. - J. Olsen, Et. Al., (Pearson, 2012) BBS
- Abbreviation and Drug Formula
- Basic drug Computations Part 1
- PRACTICE MATH FOR NURSING 333
- Drug Calculations
- Requirements for Drug Calculations Under Nursing
- DosageCalculation Review Booklet
- Drug Calculation Tutorial
- QUESTIONS G 1
- Nursing Process
- Nursing Skills Computation Part 1
- Dosage Practice Problem Guide
- Drug Calculations
- Basic Computations 2 IV & IVF
- Exam 2
- Nursing Math
- Calculating Drip Rate
- Drug Calculations Solutions
- Nursing Level I & II Quick Answers
- 100 Dosage Calculation Practice and Answers
- Basic drug Computation Part 3
- Exam 1
- IV Dosage Calculations
- Exam 4
- MEDICAL TERMINOLOGY: Glossary of Combining Forms
- Exam 9 2011
- Hypercalcemia
- مبادئ الاسعاف الأولي )
- Exam 2
- Exam 3
- مراحل تكوين الجنين
- Exam 5
- Glossary of Abbreviations
- Exam 2
- Exam 1
- Exam 1
- Nursing Exam 2
- Hypomagnesemia
- اختبار القدرات العامة
- Hypermagnesemia
- Nursing Process
- Epilepsy
- Hyponatremia
- Hyperkalemia
- Emergency Exam9
- Hypernatremia
- Idiopathic Thrombocytopenic Purpera
- Hypokalemia
- Diabetic Coma
- Cardiovascular Disorders 1
- Communicable Diseases

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Example

Continue

s

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Converting factors

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Common

Abbreviations

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Dosage Forms

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Solution

Measurements

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Miscellaneous Usage

in the

Hospital

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Abbreviations to

Avoid

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Micrograms should be written out, insist on

µg

it!

__

Write out one-half or 1/2 clearly.

ss or ss

**Ordered daily? Write out daily. QD, if legible,
**

OD

should be acceptable.

n or N Nightly? QN? Write out nightly or use hs.

d or D Daily? Write out how many days.

**Ordered at bedtime? Write out bedtime or
**

BT

use the standard hs.

Fishing

for

answers?

Examples

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Example 1 نصف ملغ تعادل حبة

** ملغ0.25 تعادل كم حبة
**

Doctor's order:

0.25 mg of digoxin p.o. 1 X =كم حبة

0.25

0.5

On hand: 0.5 mg tablets

Answer

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Example 1 نصف ملغ تعادل حبة

** ملغ0.25 تعادل كم حبة
**

Doctor's order:

0.25 mg of digoxin p.o. 1 X =كم حبة

0.25

0.5

On hand: 0.5 mg tablets

0.5 tablet

Example

AVAILABLE

المتوفر حاليا

Doctor's order:

Give deltasone 7.5 mg PO now.

Available : deltasone 2.5 mg tablet.

Answer

Example

AVAILABLE

المتوفر حاليا

Doctor's order:

Give deltasone 7.5 mg PO now.

Available : deltasone 2.5 mg tablet.

3 tablet

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Example

Doctor's order:

Give ranitidine 40 mg PO ABT.

Available is ranitidine 20 mg tablet

How many tablet you should give?

Answer

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Solution

ABT عند النوم

40 X 1

20

40

20

2 tablets

Example

Doctor's order:

Give 7500 i.u of heparin injection S/C .

Available:( heparin injection 5000

i.u/ml)

How many ml you should give?

Answer

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Solution

7500 X 1

5000

7500

5000

1.5 ml

Example

Doctor's order:

Give 500 cc D5RL to be infused in 6

hrs.

You should regulate the I.V at:

Answer

المعادلة

Solution (عامل التنقيط xالكمية بالمل (

مقسومة على

(دقيقة X 60عدد الساعات (

**500 cc X دائما يعتبر عامل التنقيط
**

15ال اذا ذكر في السؤال

15

6 hrs X غير ذلك

60 m

7500

360

**21 drop/m
**

Example

Doctor's order:

Give 1500 cc normal saline over 4 hrs.

You should regulate the I.V at:

Answer

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المعادلة

Solution (عامل التنقيط xالكمية بالمل (

مقسومة على

(دقيقة X 60عدد الساعات (

**1500 cc X دائما يعتبر عامل التنقيط
**

15ال اذا ذكر في السؤال

4 hrs

15 X غير ذلك

60 m

22500

240

**94 drop/m
**

Example

Doctor's order:

Give 1000 cc dextrose 5% I.V Q 8 hrs.

You should regulate the I.V at:

Answer

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Solution دائما يعتبر عامل التنقيط

15ال اذا ذكر في

السؤال غير ذلك

1000 cc X

15

8 hrs X

60 m

15000

480

**31 drop/m
**

exit

Example

Doctor's order:

Give 3 L of I.V fluid 5% D/0.45%

normal saline over 24 hrs.(the drop

factor is 60 gtt/ml).

You should regulate the I.V at:

Answer

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Solution دائما يعتبر عامل التنقيط

15ال اذا ذكر في السؤال

غير ذلك

**3000 cc X
**

24

60hrs X

60 m

180000

1440

125

drop/m

Example

Doctor's order:

Give 3000 cc dextrose 5% I.V Q 6 hrs,

drop factor is 20 gtt/m)

How many drops should you give per

minute?

Answer

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Solution دائما يعتبر عامل التنقيط

15ال اذا ذكر في السؤال

غير ذلك

3000 cc X

6 hrs

20 X

60 m

60000

360

166.66

)(167

Example

Doctor's order:

Give penicillin 600.000 u I.M stat

Available: (penicillin 800.000 u/2 cc)

How many ml should you give?

Answer

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Example

Doctor's order:

Give penicillin 600.000 u I.M stat

Available: (penicillin 800.000 u/2 cc)

How many ml should you give?

1.5 ml

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Example

Doctor's order:

Give G/S 2000 cc I.V Q 24 hrs,

The rate will be how many drop per

minute?

Answer

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Example

Doctor's order:

Give G/S 2000 cc I.V Q 24 hrs,

The rate will be how many drop per

minute?

21 drop/m

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Example

• The physician orders IV fluids to

hydrate a client. The order is written

as "D5NS 4 Liters over 24 hours."

Looking at the package indicates the

drip factor of the tubing is 15 gtt/ml.

What is the drip rate?

Answer

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Example

• The physician orders IV fluids to

hydrate a client. The order is written

as "D5NS 4 Liters over 24 hours."

Looking at the package indicates the

drip factor of the tubing is 15 gtt/ml.

What is the drip rate?

42 gtt/m

:Shortcut method when you know the ordered ml/hr

gtt/ml: divide the ml/hr by 4 15

gtt/ml (typically blood products): divide ml/hr by 6 10

gtt/ml: divide ml/hr by 3 20

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43.75

4 / 175 =

gtt/min

29.16

6 / 175 =

gtt/min

58.33

3 / 175 =

gtt/min

Example

The client's K+ is 2.0 mEq/dl and the •

physician orders a potassium bolus

of 40 mEq of KCl in 200 ml of NS to

be delivered at a rate of 10 mEq/hr.

What is the drip rate inmicrodrops?

(.(Ideal, deliver on a pump

Answer

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•This is a two-part problem.

•Calculate the concentration of the KCl

in the NS using ratio and proportion

mEq 40 mEq 10

=

ml 200 x ml

40x = 2000

x = 50

• Now you can use the IV formula.

ml 50 gtt 60

60 min x 1 cc

x 60 50 = 3000

60 / 3000 = 50

**Answer: 50 (microgtts/min)
**

Calculating flow rate

• Flow rate refers to number of ml of

fluid to be infused over one hour

(ml/hr).

**)total # of milliliters )volume
**

total # of hours = X ml/hr

Example

Order:

500 ml NS bolus over 3 hours

Answer

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Example

Order:

500 ml NS bolus over 3 hours

167 ml/h

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Example

• The nurse makes rounds and notes

that the current IV bag contains

approximately 450 ml. The IV flow

rate is 150 ml/hr. How long will it be

before the nurse must hang a new

bag?

Answer

exit

Example

• The nurse makes rounds and notes

that the current IV bag contains

approximately 450 ml. The IV flow

rate is 150 ml/hr. How long will it be

before the nurse must hang a new

bag?

3 hrs

exit

Example

• Order:

Administer 1000 cc at 50 gtt/min.

Answer

exit

Example

• Order:

Administer 1000 cc at 50 gtt/min.

5 hrs

exit

Example

• John is to receive Cleocin 150 mg IV

q 8 hours. The nurse dilutes the

medication to a total volume of 30 ml

and plans to deliver it via an infusion

pump over thirty minutes. What

would be the flow rate?

Answer

exit

Example

• John is to receive Cleocin 150 mg IV

q 8 hours. The nurse dilutes the

medication to a total volume of 30 ml

and plans to deliver it via an infusion

pump over thirty minutes. What

would be the flow rate?

60

exit

Example

• For the client whose weight is 130 lbs

and has dopamine ordered at 8

mcg/kg/min, what rate should the

infusion pump be set for a solution of

400 mg dopamine in 250 ml D5W?

Answer

exit

• Client's weight: 130 lbs

• Dosage: 8 mcg/kg/min

• Solution: 400 (mg) in 250 (ml)

Tip

• Convert wt to kg. 130 / 2.2 =

59.09 kg

• Find concentration of dopamine in

mg 400 x mg

1 cc.

250 ml

=

1 ml

250x = 400

x = 1.6

• 3) Concentration is 1.6 mg /cc.

Convert the mg to micrograms.

• 1.6 (mg) x 1000 (mcg per 1 mg) =

1600 mcg/cc.

Now that you have gathered all

the information, plug it into the

formula

28363.32

=

unit"/kg/min) ") 8 X 59.09 )wt in kg)X 60 )min/hr)

)1600 )"unit" / ml

1600

x = 17.727

**17.727 or 18 ( ml/hr) will dialed on the pump
**

Example

• A client is receiving dopamine at 12

ml/hr. The solution hanging indicates

"D5W 250 ml/200 mg dopamine".

The client weighs 133 lbs. What is

the dosage (mcg/kg/min) the client is

receiving?

Answer

exit

• Flow rate: 12 ml/hr

• Solution: 200 mg dopa / 250 cc D5W

• Client's weight: 133 lbs

Tip

1) Convert wt to kg. 133 / 2.2 =

60.45 kg

2) Find concentration ofx dopamine

mg 200 mg

in 1 cc.

250 ml = 1 ml

250x = 200

x = 0.8

3) Concentration is 0.8 mg/ml.

Convert mg to mcg.

0.8 (mg) X 1000 (mcg per 1 mg) =

800 mcg /ml.

Now that you have gathered all

the information, plug it into the

formula.

**ml/hr) ) 12X 800 ("unit"/ml) 9600
**

(Time) 60 min/hr X( 60.45 (weight in kgs = 3627

X = 2.65

**The dosage the client is receiving is 2.65 mcg/kg/min.
**

Example

• A client is receiving a heparin drip at

22 ml/hr via an infusion pump. The

label on the liter bag of D5W

indicates 40,000 U of heparin. How

many units of heparin does the client

receive per hour?

Answer

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U 40,000 xU

1000 ml = 22 ml

1000x

= 880,000

x

= 880

.The client is receiving 880 U of heparin per hour

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3) Concentration is 0.8 mg/ml.

Convert mg to mcg.

0.8 (mg) X 1000 (mcg per 1 mg) =

800 mcg /ml.

Now that you have gathered all the information,

plug it into the formula.

**ml/hr) ) 12X 800 ("unit"/ml) 9600
**

(Time) 60 min/hr X( 60.45 (weight in kgs = 3627

X = 2.65

**The dosage the client is receiving is 2.65 mcg/kg/min.
**

Example

• The physician becomes concerned

about John’s renal function and orders

the Vancomycin dose (60 mg) to be

infused over 90 minutes instead of the

usual 60 minutes. If the Vancomycin

dosage is diluted into 60 ml of IV fluid,

what will be the flow rate? (Given on an

IV pump for control.)

X ml

ml 60 60 min

=

90 min

x 90 = 3600

x = (ml/hr) 40

exit

Example

• John's primary IV is running at 34 ml/hr while

NPO. When the nurse runs the Vancomycin

(250 mg IV q 8 hr) in over 90 minutes [volume

is 100 ml--(2 50 ml syringes)], the primary IV is

stopped. The ampicillin (395 mg IV q 6 hr) is

given concurrently in 10 ml of fluid over 30

minutes. He received 2 boluses of

aminophylline (20 ml each over 20 minutes).

The IV fluids were stopped while the

aminophylline infused. Since microtubing was

used for the medications, total flush is

negligible (approximately 3 ml). What is John’s

total intake for 24 hours?

exit

Answer

Vancomycin runs for 1.5 hrs x 3 doses .hrs IV is stopped 4.5 =

Primary or maintenance IV

hr) minus 4.5) 24 .hrs 19.5 =

:fluids

**Primary fluid is stopped while
**

min x 2 20 minutes 40 =

:aminophylline is infusing

**hr 30 minutes minus 19 hr 50 minutes )18.84 hrs) 18 =
**

ml 640.5 =

40 minutes x 34 ml

**:Vancomycin cc x 3 100 .ml 300 =
**

:Ampicillin cc x 4 10 .ml 40 =

:Aminophylline cc x 2 20 .ml 40 =

Normal saline

)approximate) 3ml =

:flush

3 + 40 + 40 + 300 + 640.5 = .ml / 24 hrs 1023.5

**.John's daily intake, based on all therapeutic modalities, is 1023.5 ml
**

Example

• Crystal has an IV infusing at KVO (10

ml/hr). She receives an antibiotic in

22.5 ml q 8° concurrently. One ml flush

is given after each antibiotic. She is

given 30 ml of formula q 3°.

• She had diaper weights of 17 ml, 33 ml,

55 ml, 45 ml, 52 ml, 50 ml, 15 ml, and

36 ml.

• Calculate her I & O for the past 24

hours.

Answer

Intake:

IV @ 10 ml/hr x 24 hr = 240 ml

Med of 22.5 ml x 3 )q8°) = 67.5 ml

Flush of 1 ml x3 = 3 ml

Formula of 30 ml x 8 )q 3°) = 240 ml

.Crystal's intake is 550.5 ml for the past 24 hours

Output:

36 + 15 + 50 + 52 + 45 + 55 + 33 + 17 ml 303 =

**.Crystal's output is 303 ml for the past 24 hours
**

Example

• John also has an order for ampicillin

sodium 395 mg IV q 6 hr. The safe

range for his type of infection in the

literature is 100-200 mg /kg /day. Is

this a safe dose?

Answer

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Calculate the recommended range:

•Minimal: 100 mg x 20 kg = 2000 mg

•Maximal: 200 mg x 20 kg = 4000 mg

**Recommended range is 2000 - 4000 mg.
**

Actual dose is: 395 x 4 )q 6 hr) = 1580 mg

/ day

Compare the two values. The actual dose is

less than the recommended dose. Dose is

“safe”, but not necessarily therapeutic.

Example

• The physician stopped John’s

gentamicin and cleocin when the

culture report came back. His new

orders include Vancomycin 250 mg IV q

8°. The literature indicates that the

minimal dilution concentration for

infusion should be 2.5 mg / ml if given

through a peripheral intravenous line

(PIV). How many ml of diluent will the

nurse need to mix the Vancomycin to

meet this safety requirement?

Answer

Example

• The physician stopped John’s

gentamicin and cleocin when the

culture report came back. His new

orders include Vancomycin 250 mg IV q

8°. The literature indicates that the

minimal dilution concentration for

infusion should be 2.5 mg / ml if given

through a peripheral intravenous line

(PIV). How many ml of diluent will the

nurse need to mix the Vancomycin to

meet this safety requirement?

100 ml

Example

• A newborn has an order for 0.15

micrograms of Prostin VR

(alprostadil) per hour to maintain

patency of the ductus arteriosus.

The pharmacy prepared a Prostin

drip with 25 mcg alprostadil in 50 ml

of D5W. What hourly rate is needed

to deliver the dosage of medication

as ordered?

Answer

Example

• A newborn has an order for 0.15

micrograms of Prostin VR

(alprostadil) per hour to maintain

patency of the ductus arteriosus.

The pharmacy prepared a Prostin

drip with 25 mcg alprostadil in 50 ml

of D5W. What hourly rate is needed

to deliver the dosage of medication

as ordered?

0.3exit

ml/h

Example

• John is to be given an Aminophylline

bolus of 30 mg in 20 ml of fluid over

20 minutes. The primary IV is

running at 40 ml/hr. The drip factor

of the tubing (buretrol) is 60 gtts/cc

or minidrip. What is the flow rate

needed to deliver the Aminophylline

bolus as ordered?

Answer

exit

Example

• John is to be given an Aminophylline

bolus of 30 mg in 20 ml of fluid over

20 minutes. The primary IV is

running at 40 ml/hr. The drip factor

of the tubing (buretrol) is 60 gtts/cc

or minidrip. What is the flow rate

needed to deliver the Aminophylline

bolus as ordered?

60 exit

ml/h

Example

• John is a pediatric client in a hospital in

which the policy is to place all children

on IV therapy on a buretrol and to only

fill the buretrol no more than two-three

hours worth of fluid. The nurse fills the

buretrol to 90 ml at 10 a.m. If John’s IV

is running at 34 ml per hour, how long

will it be before the nurse will need to

fill it again?

exit

Answer

90 ml ÷ 34 (ml/hr) = 2.65 hrs

However, 0.65 hrs = ? minutes

hr 1 hr 0.65

=

60 min X min

1x = 39.00

X = 39

**Answer = 39 minutes Add this to the 2
**

hours. 10 a.m. + 2 hr 39 minutes = 12:39

p.m.

**At 12:39 p.m. the buretrol will need
**

more fluid added so that air does not get

into the tubing.

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