Week 10│Dosage Calculations, Review 1

1) ∙ Solve the scenario relating to single-strength reconstitution.

∙ Express your answer in mL.

a) What is the total dosage strength of Gemcitabine in this vial?

b) How much diluent is added to the vial to prepare the medication for IV use?

c) What is the final dosage strength of the prepared solution for IV administration?

d) 100 mg IV is ordered for day one of treatment. How many milliliters will you give?

e) Shade the dosage in on the syringe provided.

1
Week 10│Dosage Calculations, Review 1

2) ∙ Solve the scenario relating to single-strength reconstitution.

∙ Express your answer in mL.

Quick Tip: Solve using ratio and proportion

a) What is the total dosage strength of Leucovorin calcium in this vial?

b) How much diluent is added to the vial to reconstitute the medication?

c) What is the dosage strength (concentration) of the reconstituted solution?

d) 15 mg IM q6h is ordered. How many milliliters will you give?

e) Shade the dosage in on the syringe provided.

2
Week 10│Dosage Calculations, Review 1

3) ∙ Solve the scenarios relating to multiple-strength reconstitution.

∙ Express your answer in mL.

Quick Tip: Solve using ratio and proportion

a) If you add 33 mL of diluent to the vial, what dosage strength (concentration) will you print on the label?

b) If 2,000,000 units IV is ordered, which dosage strength (concentration) would be appropriate to use?

c) How many milliliters will you administer if 2,000,000 units are ordered?

d) Order: 0.3 g of medication IV q6h

Available: 500 mg of the medication in powdered form that states, “Add 8 mL of diluent to yield a solution 200 mg per 8 mL.”

e) Order: Streptomycin 0.75 g IM daily for 1 week. Directions: Dilute with 1.8 mL of sterile water for injection.
Available:

∙ Find how many milliliters IM you will administer.

∙ Round your answer to the nearest tenth.

∙ Shade the dosage you will administer IM on the syringe provided.

3
Week 10│Dosage Calculations, Review 1

4) Perform the calculations to prepare the following strength solutions.

∙ Remember to convert units to the same system (as necessary) before solving.
∙ Express answers in mL.

2
a) -strength Sustacal 300 mL p.o. q.i.d.
3

3
b) -strength Ensure 16 oz by nasogastric (NG) tube over 8 hr.
4

1
c) -strength Ensure 20 oz by gastrostomy tube (GT) over 5 hr.
2

For each of the following, determine the rate in milliliters per hour for the following continuous feedings. Round answers to the nearest whole number.
mL ordered
Use the formula: = rate in mL/hr.
hr
d) Ensure 480 mL by NG tube over 8 hr. Follow with 100 mL of water after each feeding.

4
Week 10│Dosage Calculations, Review 1

e) Perative 1,600 mL over 24 hr. by gastrostomy. Follow with 250 mL of water

5) ∙ Use the syringes and labels provided to indicate the dosage you would prepare.
∙ Shade the dosage on the syringe.
∙ All insulin available is U-100 unless stated otherwise.

1
a) Order: Humulin N 56 units subcut daily every a.m. hour before breakfast.
2

b) Order: Humulin R 18 units subcut and Humulin N 40 units subcut daily at 7:30 a.m.
Indicate the total insulin dosage.

c) Order: Humulin R 16 units subcut and Humulin N 24 units subcut at a.c. 7:30 a.m.
Indicate the total insulin dosage.

5
Week 10│Dosage Calculations, Review 1

d) Order: Novolin R 21 units subcut and Novolin N 35 units subcut daily at 7:30 a.m.
Indicate the total insulin dosage.

e) At 6:00 p.m. a client’s blood sugar is 354 mg/dL. Shade the syringe to indicate the dosage that should be administered.

Finger Stick 210-250 mg/dL 4 units subcut

Blood sugar 251-300 mg/dL 6 units subcut
(mg/dL)
301-350 mg/dL 8 units subcut

351-400 mg/dL 10 units subcut call MD

Greater than 400 mg/dL

6) Calculate the amount of dextrose and/or sodium chloride in each of the IV solutions.
Quick tip: Solve using ratio and proportion. Remember % = g per 100 mL

a) 750 mL D5 NS dextrose:____________ NaCL____________

b) 250 mL D10W dextrose:____________ NaCL____________

c) 1,000 mL D5 0.33%NS dextrose:____________ NaCL____________

6
Week 10│Dosage Calculations, Review 1

1
d) 500 mL D5 NS dextrose:____________ NaCL____________
2

e) How many grams of dextrose does 500 mL D10W contain?