# DRUG COMPUTATIONS

10 GOLDEN RULES FOR ADMINISTERING DRUG SAFELY
(from Nursing 88, Vol. 18, August 1988)

1. 2. 3. 4. 5.

Administer the right drug. Administer the right drug to the right patient. Administer the right dose. Administer the right drug by the right route. Administer the right drug at the right time

) 9. 7. . Document each drug you administer. (There is a risk of adverse drug reactions when a number of drugs are taken or when patient is taking alcoholic drinks. Teach your patient about the drugs he is receiving. Take a complete patient drug history. Find out if the patient has any drug allergies. 8.6.

10.drug or drug. .food interactions. Be aware of potential drug.

... Convert 0.5g to mg ..... Convert 250mg to g .... 4...... 5.. Convert 50ml to litres ... 2. Convert 250 mcg to mg ........... 3.. Convert 0...EXERCISE 1 1...125g to mg .... ..

. 625mg prescribed. 50mg is prescribed. ..... 1... 2..... tablets are 12.... 3 tablets each contain 250mg... What is the total dose in milligrams? ..... 5.........5mg each: how many tablets will you give ? . tablets are 500micrograms: how many tablets will you give? ..EXERCISE 2 500mg is prescribed.... tablets are 1.... 4.25g each: how many tablets will you give ? ....... 1mg prescribed.. 3... tablets are 250mg each: how many tablets will you give? ..

...... .5ml ? . Drug available as 20mg/5ml: prescription is for 40mg..... 4.. 5. how many ml will be given ? ..... how many ml will be given ? . 2. Drug available as 10mg/ml: how many mg will there be in 3ml ? .. how many ml will be given ? ... Drug available as 10mg/2ml: prescription is for 5mg. 3. Drug available as 20mg/5ml: how many mg will be in 7..EXERCISE 3 1....... Drug available as 10mg/ml: prescription is for 20mg.

EXERCISE 4 Find the drop rate for these questions: 1. A patient is to be given 1000 ml by IVI using a controller with a drip factor of 15 drops/ml. If a patient requires 250ml in 6 hours what is the flow rate (give your answer to two decimal places) 2. If the drip rate was set at 25 drops per minute. If a patient is to be given 750ml by IVI using a controller with a drip factor of 20drops/ml over 12 hours. how much liquid would be left at 3. The infusion starts at 8. If a patient requires 1000ml in 12 hours what is the flow rate (give your answer to two decimal places) 3.00pm ? .00am and every four hours the patient is given a 1hr rest. If a patient is to be given 500ml by IVI using a controller with a drip factor of 20drops/ml over 6hours. what would you set the drip rate to (round to the nearest whole number) 4. what would you set the drip rate to (round to the nearest whole number) 5.

How many ml will you administer? . Available: Trilafon concentrate labeled 16 mg/5 ml.Ordered: Trilafon 24 mg po bid.EXERCISE 5 1.

2. Ordered: SoluMedrol 100 mg IM q8h Available: Vial 1 ml in size labeled 125 mg SoluMedrol/3 ml How many ml will you administer? What size syringe is best to administer this dose? .

How many ml will you administer? . Ordered: Ampicillin 400 mg IM q6h Available: Vial with powder.3. Use solution within one hour.5 ml diluent (read accompaning circular). Resulting solution contains 250 mg Ampicillin per ml. Label reads: For IM injection. add 3.

How many gtts/min will you administer the IV? . Ordered: Infuse 2 L of Lactated Ringers solution in 24 hours. The pediatric handbook states that 1 mg/kg is a safe initial dose.4. The physician orders Lasix 20 mg IV stat for a child weighing 34 lbs. Should you give this dose? 5. The administration set has 12 gtts/ml.

COMPUTE THE FOLLOWING PROBLEMS: 1. Administer Ampicillin oral suspension 50 mg p.R. How many ml will you inject? . How many ml/dose will you administer? b. a. Stock: 500 mcg/1ml ampule a. How many bottles of the medication will you request? 2.o.3 mg IM on call to O. Administer Atrophine Sulfate 0. Stock: 125 mg/5 ml in 30 ml bottle. For 7 days.

If the IV set is calibrated to deliver 15 drops per milliliter.3. Howm many milliliters will be needed to supply the dose of 20 mg? 4. What time would you administer the last dose? . orders 20 mg IM of a drug for a patient. the doctor orders a drug to be administered in three doses at four-hour interval. The dr. how many drops must be administered per minute? 5. At exactly 8 o'clock in the morning. The physician orders 3000 mL of D5W IV over 24-hour period. The drug is available in a 10 mL vial which contains 50mg of drug.

Diphenhydramine (Benadryl) 25 mg q4h po 2.g. Demerol 100 mg IM stat 4. Tetrahydrozoline Hcl 0. Elixir Acetaminophen (Elixir Tylenol) 20 gtts pc and hs po 3. Atenolol 25mg OD= Give 25 mg Atenolol once a day 1. Paracetamol 1 amp IV stat then prn for fever 5.05% sol'n 2 gtts OD TID .Interpret the following: e.

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0.Answers EXERCISE 1 1. 125mg .25g 2.05 l 5. 0. 500mg 3.25mg 4. 0.

750mg . 1/2 tablet 5.EXERCISE 2 1. 2 tablets 4. 2 tablets 2. 4 tablets 3.

2ml 2. 30mg . 10ml 4. 1ml 3. 30mg 5.EXERCISE 3 1.

28 drops/min 4.67ml/hr 2. 21drops/min 5. 83.33ml/hr 3. 41. 400ml .EXERCISE 4 1.

5. 2.6 ml No. 3.5 ml 2. 4.EXERCISE 5 1. The dose is not safe for the child 16-17 gtts/min . 7.4 ml and 3 cc syringe 5.

1 ml 2. 4 ml 4. 0.EXERCISE 6 1.6 ml 3. 31 gtts/min 5. 4 pm . 2 ml b. a.

05% sol'n 2 drops right eye three times a day . Give Paracetamol 1 ampule intravenous immediately then as necessary for fever 5.EXERCISE 7 1. Tetrahydrozoline Hcl 0. 2. Give Elixir 20 drops after meals and during hours of sleep by mouth 3. Give diphenhydramine (benadryl) 25 milligrams every 4 hours per orem/ by mouth. Give Demerol 100 milligrams intramuscular immediately 4.