Exam 4: Basic Math Review: Preparing for Medication Calculations

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Calculate IV rates for medications administered over time. Set the rate in mL/hr. Round answers to the nearest tenth. -Aminophylline 250 mg in 500 mL. Infuse at 30 mg/hr.

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Pediatric Practice Problems To determine whether dosages are appropriate, answer the following questions for each problem: 1. What is the appropriate low (therapeutic) to high (safe) range, in milligrams, for each dose of medication for this child? 2. What is the safe maximum dose for this child? 3. Is the prescribed dose therapeutic and/or safe? a. If answer is yes, how much medication will be given for the ordered dose? b. If answer is no, what will you do? Round answers to the nearest tenth. -Ordered: Nebcin 10 mg IM q8h Pediatric dose: 2.5 mg/kg/dose Neonate's weight: 4000 g Available: Nebcin 40 mg/mL

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Calculate IV rates for medications administered over time. Set the rate in mL/hr. Round answers to the nearest tenth. -Heparin 22,000 units in 500 mL NS at 800 units/hr.

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Calculate IV rates for medications administered over time. Set the rate in mL/hr. Round answers to the nearest tenth. -Ordered: Morphine sulfate 10 mg/hr continuous IV Available: MS 50 mg in 100 mL NS

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Calculate IV rates for medications administered over time, based on body weight. Round answers to the nearest tenth. Set the rate in mL/hr. -Ordered: Dobutrex 6 mcg/kg/min. Bag is labeled D₅W 250 mL with 500 mg Dobutrex added. Patient weighs 198 lb.

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IV Rate Practice Problems Calculations with conversion factors required. Round answers to the nearest tenth. Calculate IV rate in mL/hr for each problem. -500 mL 0.9 normal saline to infuse over 2 hours

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IV Rate Practice Problems Calculations with conversion factors required. Round answers to the nearest tenth. Calculate IV rate in mL/hr for each problem. -250 mL vancomycin to infuse over 2 hours

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Calculate IV rates in gtt/min. -Give 1500 mL 0.9 NS with 20 mEq K⁺ over 12 hours. Drop factor is 15 gtt/min.

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Calculate small volumes to be infused in less than 1 hour in gtt/min. -Ancef 250 mg IV piggyback diluted in 100 mL NS over 30 minutes. Drop factor is 10 gtt/min.

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Dosage Calculations Calculate the following dosages. -How many milliliters of KCl will you give? Ordered: KCl 15 mEq PO BID Available: 20% KCl labeled 40 mEq/15 mL

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Dosage Calculations Calculate the following dosages. -How many tablets of Synthroid will you give for one dose? Ordered: Synthroid 0.1 mg PO every morning Available: 50 mcg Synthroid tablets

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IV Rate Practice Problems Calculations with conversion factors required. Round answers to the nearest tenth. Calculate IV rate in mL/hr for each problem. -500 mL D5LR to infuse in 4 hours

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Dosage Calculations Calculate the following dosages. -How much is one dose of Lanoxin? Ordered: Lanoxin 375 mcg IV in the morning Available: Lanoxin ampule labeled 0.5 mg/2 mL

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Calculate small volumes to be infused in less than 1 hour in mL/hr. -Calcium gluconate 10% 16 mEq in 100 mL D₅W over 30 minutes

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Pediatric Practice Problems To determine whether dosages are appropriate, answer the following questions for each problem: 1. What is the appropriate low (therapeutic) to high (safe) range, in milligrams, for each dose of medication for this child? 2. What is the safe maximum dose for this child? 3. Is the prescribed dose therapeutic and/or safe? a. If answer is yes, how much medication will be given for the ordered dose? b. If answer is no, what will you do? Round answers to the nearest tenth. -Ordered: Ibuprofen 40 mg PO q6h PRN temp higher than 101.8º F Pediatric dose range: Child 6 mo to 12 yr, antipyretic: for temp lower than 102.5º F, 5 mg/kg/dose; for temp higher than 102.5º F, 10 mg/kg/dose May be given q6-8h: max daily dose of 40 mg/kg/day Child's weight: 7-month-old weighs 18.5 lb; temp is 102.4º F. Available: Ibuprofen susp. 80 mg/5 mL

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Calculate IV rates in gtt/min. -Give D₁₀W 250 mL over 8 hours. Microdrip set delivers 60 gtt/mL.

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Calculate IV rates for medications administered over time, based on body weight. Round answers to the nearest tenth. Set the rate in mL/hr. -Ordered: Dobutrex 5 mcg/kg/min IV. Client weighs 145 lb. Available: Dobutrex 250 mg in 250 mL D₅W

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Dosage Calculations Calculate the following dosages. -How many tablets of Zaroxolyn are in one dose? Ordered: Zaroxolyn 0.005 gm PO q AM Available: 2.5-mg tablets

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IV Rate Practice Problems Calculations with conversion factors required. Round answers to the nearest tenth. Calculate IV rate in mL/hr for each problem. -1000 mL 0.45 NS to infuse over 8 hours

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Calculate IV rates in gtt/min. -Give 1 unit PRBC over 2 hours. Blood bag states approximate volume is 250 mL. Drop factor is 10 gtt/mL.

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