Professional Documents
Culture Documents
PROBLEM
Compute the amount of medication you will give to administer one dose of the following medication
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: furosemide 80 mg p.o. b.i.d.
Supply: Bottle containing 50 tablets of Lasix (furosemide), 80 mg per tablet
Give: __________ tablet(s)
ANS:
2.
Order: tamoxifen 0.02 g p.o. b.i.d., morning and evening
Supply: Nolvadex (tamoxifen) 20 mg per tablet
Give: __________ tablet(s)
ANS:
1 g = 1,000 mg
3.
Order: Depakene 375 mg p.o. b.i.d.
Supply: Depakene 250 mg/5 mL
Give: __________ mL or __________ teaspoons
ANS:
PTS: 1 DIF: Application REF: Three-Step Approach to Dosage Calculations
4.
Order: Amoxil 0.375 g p.o. q.8h
Supply: 80 mL bottle of reconstituted Amoxil oral suspension, 125 mg/5 mL
Give: __________ mL or __________ tablespoon
ANS:
1,000 mg = 1 g
5.
Order: cefalcor 0.3 g p.o. q.8h
Supply: Celcor (cefalcor) reconstituted oral suspension, 375 mg per 5 mL
Give: __________ mL
ANS:
6.
Order: erythromycin ethylsuccinate 800 mg p.o. q.12h
Supply: E.E.S. 400 (erythromycin ethylsuccinate) 400 mg per tablet
Give: __________ tablet(s)
ANS:
7.
Order: Augmentin 0.5 g p.o. q.8h
Supply: 75 mL bottle or reconstituted Augmentin, 250 mg/5 mL
Give: __________ mL or __________ teaspoons
ANS:
1 g = 1,000 mg
PTS: 1 DIF: Application REF: Three-Step Approach to Dosage Calculations
8.
Order: Klonopin 500 mcg p.o. t.i.d.
Supply: Bottle of 100 tablets of Klonopin, 0.5 mg per tablet
Give: __________ tablet(s)
ANS:
9.
Order: pediatric dose: Biaxin 100 mg p.o. q.12h
Supply: 100 mL of reconstituted Biaxin, 125 mg per 5 mL
Give: __________ mL
ANS:
PTS: 1 DIF: Application REF: Three-Step Approach to Dosage Calculations
10.
Order: Axid 0.15 g p.o. b.i.d.
Supply: Bottle containing 60 capsules of Axid, 150 mg per capsule
Give: __________ capsule(s)
ANS:
11.
Order: Prozac 40 mg p.o. b.i.d., morning and noon
Supply: Prozac 20 mg per tablet
Give: __________ tablet(s)
ANS:
12.
Order: hydrochlorothiazide 50 mg p.o. b.i.d.
Supply: hydrochlorothiazide 100 mg tablets
Give: __________ tab(s)
ANS:
PTS: 1 DIF: Application REF: Three-Step Approach to Dosage Calculations
13. Decide which supply you would select and enter the number of tablets you would give.
Order: codeine gr 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).
ANS:
.
14.
Order: Amoxil suspension 375 mg p.o. q.6h
Supply: Amoxil suspension 250 mg/5mL
Give: __________ mL
ANS:
15.
Order: Keflex 0.375 g p.o. b.i.d.
Supply: Reconstituted Keflex oral suspension, 250 mg/5mL
Give: __________ teaspoons
ANS:
PTS: 1 DIF: Application REF: Three-Step Approach to Dosage Calculations
16.
Order: Allopurinol 0.2 g p.o. daily
Supply: Bottle containing 200 tablets Zyloprim (Allopurinol) 100 mg per tablet
Give: __________ tablet(s)
ANS:
1 g = 1,000 mg
X = 200
X = 2 tablets
17.
Order: Mycostatin 400,000 units p.o. swish and swallow q.6h t.i.d.
Supply: Bottle containing 473 mL Mycostatin oral suspension, 100,000 units per mL
Give: __________ mL
ANS:
X = 4 mL
18.
Order: Keflex 0.5 g p.o. b.i.d for 7 days
Supply: Bottle containing Keflex 500 mg per capsule, 14 capsules
Give: __________ capsule(s)
ANS:
1 g = 1,000 mg
X = 500 mg
X = 1 capsule
19.
Order: Tylenol 325 mg p.o. q.6h p.r.n.for temperature of 101°F or above
Supply: Bottle containing 50 tablets of Tylenol 325 mg per tablet
Give: __________ tablet(s)
ANS:
X = 1 tablet
20.
Order: Synthroid 12.5 mcg p.o. daily
Supply: Bottle containing 100 scored tablets of Synthroid, 25 mcg per tablet
Give: __________ tablet(s)
ANS:
X = 0.5 tablet
21.
Order: Potassium Chloride 30 mEq p.o. b.i.d
Supply: Package containing 15 mL of Potassium Chloride Oral Solution 10%, 20 mEq
per 15 mL.
Give: __________ mL
ANS:
X = 20 mL
22.
Order: Demerol syrup 100 mg p.o. q.6h p.r.n. pain
Label: Demerol syrup 50 mg per 5 mL
Give: __________ mL
ANS:
X = 10 mL
23.
Order: Lasix 80 mg p.o. daily
Supply: Lasix 40 mg tablets
Give: __________ tablet(s)
ANS:
X=2
24. Is there enough medication in a 15 mL package of Potassium Chloride Oral Solution 10%, 20 mEq per
15 mL, to fulfill an order of 20 mL? Explain.
ANS:
No, there is not enough medication in one package. The nurse would need to use some medication
from another package too.
PTS: 1 DIF: Application REF: Oral Liquids
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Apollo
One of the favorite Greek stories has been that of Orpheus, who
went down to Hades to bring his dead wife whom he adored, back to
earth, and about whom Peri, Gluck, and others wrote operas. He was
son of Apollo and of Calliope, the Muse of Epic Poetry, and became
such a fine performer on all instruments, that he charmed all things
animate and inanimate. He tamed wild birds and beasts, and even
the trees and rocks followed him as he played, the winds and the
waves obeyed him, and he soothed and made the Dragon, who
guarded the Golden Fleece, gentle and harmless.
On the cruise of the Argo in search of the Golden Fleece, Orpheus
not only succeeded in launching the boat when the strength of the
heroes had failed in the task, but when they were passing the islands
of the Sirens, he sang so loudly and so sweetly that the Sirens’ songs
could not be heard and the crew were saved.
Music in Their Daily Life
When a people have legends about music you may know that they
love it. Such was the case with the Greeks. They did not call their
schools high schools and colleges but Music schools, and everything
that we call learning they included under the name of music. Every
morning the little Greek boy was sent to the Music school where he
was taught the things that were considered necessary for a citizen to
know. Here he learned gymnastics, poetry, and music. At home too,
music was quite as important as in school, and we know that they
had folk songs which had to do with the deeds of ordinary life, such
as farming and winemaking and grape-picking, and the effect and
beauty of the seasons of the year. (See Chap. IX.) They can well be
divided into songs of joy and songs of sorrow, and seem to have
existed even before Homer the Blind Bard. If you ever have tried to
dance or do your daily dozen without music, you will understand at
once how much help music always has been to people as they
worked.
Harvest Songs
All harvest songs in Greece had the name of Lytiersis. Lytiersis was
the son of King Midas, known as the richest king in the world.
Lytiersis was a king himself but also a mighty reaper, and according
to Countess Martinengo-Cesaresco who has written a book called
Essays in the Study of Folk-Songs it was his “habit to indulge in
trials of strength with his companions and with strangers who were
passing by. He tied the vanquished up in sheaves and beat them. One
day he defied an unknown stranger, who proved too strong for him
and by whom he was slain.” The first harvest song was composed to
console King Midas for the death of his son. We can make a fable
from this story which means that Nature and Man are always
struggling against each other.
The harvest festivals founded in Greece led to others in Brittany,
France, North Germany and England. So does the deed of one race
affect other races.
The Liturgies
Among the taxes, or five special liturgies, that the Greeks had to
pay, was the obligation for certain rich citizens to supply the Greek
tragedies with the chorus. Every Greek play had its chorus and every
chorus had to have its structures; a choregic monument to celebrate
it; one or more flute players, costumes, crowns, decorations, teachers
for the chorus and everything else to make it succeed. This cost,
which would equal many thousands of dollars, was undertaken as a
duty quite as easily as our men of wealth pay their income taxes. You
can see a greatly enlarged copy of a choregic monument, the Soldiers’
and Sailors’ monument at 89th Street and Riverside Drive, in New
York City, and also one at the Metropolitan Museum.
In old Greece the musicians were also poets. Homer, Hesiod,
Pindar, Æschylus, Sophocles, Sappho, Euripides, Plato, not only
wrote their dramas but knew what music should be played with
them. In fact no play was complete without its chorus and its music
and its flute-player. You have heard of the Greek chorus. Don’t for a
moment think it was like our chorus. It consisted of a group of
masked actors (all actors in those days wore masks), who appeared
between the acts and intoned (chanted) the meaning of the play and
subsequent events. In fact the chorus took the place of a libretto,
—“words and music of the opera,” for it explained to the audience
what it should expect. It spoke and sang some of the most important
lines of the play and danced in appropriate rhythms. So it brought
together word, action and music, and was a remote ancestor of
opera, oratorio and ballet.
Festivals
Besides the occupational songs and those for the drama festivals,
the Greeks had the great game festivals where in some, not only
competitions in sports took place but also flute playing and singing.
The oldest of these festivals was the Olympic games, first held in 776
B.C. and every four years thereafter. These games played so important
a part in the lives of the Greeks that their calendar was divided into
Olympiads instead of years. While music was evident in the Olympic
games, music and poetry were never among the competitions.
The Pythian games were chiefly musical and poetic contests and
were started in Delphi, 586 B.C., where they were held every nine
years in honor of the Delphian Apollo whose shrine was at Delphi.
The Isthmian and Nemean games were also based on poetic and
musical contests. Warriors, statesmen, philosophers, artists and
writers went to these games and took part in them. Maybe some time
we will realize the power of music as did the Greeks nearly one
thousand years before the birth of Jesus.
The Greek Scales
When the second tetrachord began on the tone above the fourth
tone of the first tetrachord, he calls it the breaking method, thus:
By using the join and the break with each of the three modes,
Dorian, Phrygian and Lydian, you can see to what a great variety of
scales and names this would lead. The Greeks spoke of their scales
from the top note down, instead of from the lowest note up, as we do.
The first kithara was supposed to have been an instrument of four
strings that could be tuned in any of these different ways, with the
half-step either between the first and second strings, or between the
second and third, or between the third and fourth. Two instruments
tuned differently formed the complete scale, but it did not take long
to add strings to their lyres and kitharas so that they could play an
entire scale on one instrument.
The little Greek boy was taught in school to tune the scale
according to the fourth string of his lyre, which was the home tone or
what we should call tonic. Our tonic falls on the first degree of the
scale, but in the primary modes of the Greeks, the tonic fell on the
fourth degree, and was called the final. When the final was on pitch
all the other strings had to be tuned to it.
These tetrachords are supposed to have been perfected by
Terpander, in the six hundreds before Christ. His melodies were
called nomes and were supposed to have had a fine moral effect on
the Spartan youth in giving him spirit and courage. The Greeks
thought that all music and that every one of their modes had a
special effect on conduct and character.
After the Messenian war, Sparta was in such a state of upheaval
that the Delphian oracle was consulted. The answer was:
“When Terpander’s Cithar shall sound
Contention in Sparta shall cease.”
The Greeks were the first to write down their music, or to make a
musical notation whereby the singers and players knew what tones to
use. Their system was their alphabet with certain alterations. They
had names describing each tone not unlike our use of the word tonic
for the first degree of the scale, and dominant for the fifth and so on.
Of course they did not have the staff and treble and bass clefs as
we have, but they were groping for some way of recording music in
those far away days.
Pythagoras as far back as 584–504 B.C., not only influenced the
music in the classical Greek period (400 B.C.), but down to and
throughout the Middle Ages to the Renaissance (1500s). To this day
music is based on his mathematical discovery. He worked out a
theory of numbers based on the idea that all nature was governed by
the law of numbers and modern scientists have proven that he was
correct in many of his ideas. In fact our orchestras and pianos are
tuned in accordance with his theories.
He invented an instrument called the monochord which consisted
of a hollow wooden box with one string and movable fret. He
discovered that when he divided the string exactly in half by means
of the fret, the tone produced was an octave higher than the tone
given out by striking the entire string; one-third of the string
produced the interval of a fifth above the octave; one-fourth the
length of the string produced a fourth above the fifth; one-fifth
produced a third (large or major) above the fourth; one-sixth
produced a third (small or minor); one-seventh produced a slightly
smaller third and one-eighth produced a large second, three octaves
above the sound of the entire string:
The truth of Pythagoras’ theory of tone relationship has been
proven by an experiment in physics showing that all of the above
tones belong to the same tone family. An amusing experiment can be
made by pressing silently any one of the tones marked 2, 3, 4, 5, 6, or
8, and striking the fundamental tone sharply, the key you are
pressing silently will sound so that you can distinctly hear its pitch.
The Greeks seem to have had no harmony (that is, combining of
two or more tones in chords) outside of the natural result of men’s
voices and women’s singing together. But they had groups of singers
answering each other in what is called antiphony (anti-against,
phony-sound). Even our American Indians have their song leader
and chorus answering each other.
Greek rhythm followed the rhythm of the spoken word and was
considered a part of their poetic system.
Greek Instruments
The Romans, law givers, world conquerors and road builders, gave
little new to music, for they did not show a great talent for art. They
were influenced by Greek ideals and Greek methods. They were
warlike by nature, and from defenders of their state they became
conquerors. As they grew nationally stronger and more secure, they
learned music, oratory, architecture and sculpture from Greek
teachers. Many Romans well known in history were singers and
gifted players on the Greek kithara, lyre, and flute (aulos).
The Romans seemed to have cared more about the performing of
music than for the composing of it, and “offered prizes to those who
had the greatest dexterity, could blow the loudest or play the fastest.”
(Familiar Talks on History of Music.—Gantvoort.)
As they come to America today the musicians of other lands
flocked to Rome, especially those who played or sang, because they
were received with honor and were richly paid.
The Romans, among them Boethius (6th century B.C.), wrote
treatises on the Greek modes, were very much interested in the
theory of music, and built their scales like the Greeks. To each of the
seven tones within an octave they gave the name of a planet, and to
every fourth tone which was the beginning of a new tetrachord, the
name of a day of the week which is named for the planet.
B C D E F G A
Saturn Jupiter Mars Sun Venus Mercury Moon
Saturday Sunday Monday
B C D E F G A
Saturn Jupiter Mars Sun Venus Mercury Moon
Tuesday Wednesday
B C D E F G A
Saturn Jupiter Mars Sun Venus Mercury Moon
Thursday Friday
The days of the week in French show much more clearly than in
English the names of the planets, in the case of Tuesday—mardi,
(Mars); Wednesday—mercredi (Mercury); Thursday—jeudi,
(Jupiter); Friday—vendredi, (Venus).
The Greeks brought their instrument, the kithara, to Rome, and
with it a style of song called a kitharoedic chant, which was usually a
hymn sung to some god or goddess. The words, until three hundred
years after the birth of Jesus, were in the Greek language; the Latin
kitharoedic songs like those of the poets Horace and Catullus were
sung at banquets and private parties, Cicero too, was musical.
Courtesy of the
Metropolitan
Museum of Art.
Chinese
Instruments.
Fig. 5.—Trumpets.
Fig. 6.—Te’ch’ing—sonorous stone.
Fig. 7.—Yang-Ch’in or Dulcimer.
Fiddles from Arabia (Fig. 8, Rebab); Japan (Fig. 9, Kokin);
Corea (Fig. 10, Haggrine) and Siam (Fig. 11, See Saw Duang).
The Koto-Player.