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Deck 11: Advanced Intravenous Calculations
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Question
Directions: Calculate the IV medication and infusion rates.Use a calculator for safe dose range calculations,multiplication,and long division as desired.Verify results using DE-style equations where requested.If the order is unsafe,do not proceed with the math.Label answers.
Diltiazem hydrochloride IV maintenance drip infusion has been ordered for a patient diagnosed with atrial flutter,who was treated on admission with a bolus IV dose to lower the ventricular pulse rate.
Order: Titrate the diltiazem HC1 at 5-15 mg per hr to maintain a ventricular pulse rate
90 beats per minute (bpm).Increase by increments of 5 mg per hr
Available: diltiazem hydrochloride 100 mg per 100 mL NS
A)With what IV dose in mg per hr will the nurse initiate the infusion?
B)Estimated initial flow rate on an EID:
C)DA equation for flow rate:
D)Evaluation: The patient's ventricular pulse rate is 100 bpm at the end of the first hour.
E)IV dose in mg per hr to be administered:
F)Estimated flow rate:
G)DA equation for flow rate:
H)Evaluation:
Diltiazem hydrochloride IV maintenance drip infusion has been ordered for a patient diagnosed with atrial flutter,who was treated on admission with a bolus IV dose to lower the ventricular pulse rate.
Order: Titrate the diltiazem HC1 at 5-15 mg per hr to maintain a ventricular pulse rate
90 beats per minute (bpm).Increase by increments of 5 mg per hrAvailable: diltiazem hydrochloride 100 mg per 100 mL NS
A)With what IV dose in mg per hr will the nurse initiate the infusion?
B)Estimated initial flow rate on an EID:
C)DA equation for flow rate:
D)Evaluation: The patient's ventricular pulse rate is 100 bpm at the end of the first hour.
E)IV dose in mg per hr to be administered:
F)Estimated flow rate:
G)DA equation for flow rate:
H)Evaluation:
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Directions: Calculate the IV medication and infusion rates.Use a calculator for safe dose range calculations,multiplication,and long division as desired.Verify results using DE-style equations where requested.If the order is unsafe,do not proceed with the math.Label answers.
Ordered: dobutamine 2.5 mcg per kg per min
Available: 500 mL D5W
Patient's weight: 80 kg
A)Information requested: Micrograms per minute ordered Calculator result:
B)Information requested: Micrograms per hour ordered Calculator result:
C)Information requested: Milligrams per minute ordered Calculator result:
D)Milligrams per hour ordered (Use in final flow rate equation.) Calculator result: Milliliters per hour to be administered on infusion pump:
E)DA equation:
F)Evaluation:
Ordered: dobutamine 2.5 mcg per kg per min
Available: 500 mL D5W
Patient's weight: 80 kg
A)Information requested: Micrograms per minute ordered Calculator result:
B)Information requested: Micrograms per hour ordered Calculator result:
C)Information requested: Milligrams per minute ordered Calculator result:
D)Milligrams per hour ordered (Use in final flow rate equation.) Calculator result: Milliliters per hour to be administered on infusion pump:
E)DA equation:
F)Evaluation:
Question
Question
Directions: Calculate the IV medication and infusion rates.Use a calculator for safe dose range calculations,multiplication,and long division as desired.Verify results using DE-style equations where requested.If the order is unsafe,do not proceed with the math.Label answers.
Ordered: magnesium sulfate 2.5 g per hr IV infusion,for a patient with toxemia
Existing infusion rate when nurse arrives on shift: 75 mL per hr
Available: magnesium sulfate (refer to label)diluted in 500 mL D5W
A)Number of milliequivalents per milliliter stated on label:
B)Number of milligrams per milliliter stated in fine print on right side of label:
C)Total number of grams of magnesium sulfate in 50-mL vial: Number of grams per hour infusing on the infusion pump:
D)DA equation:
E)Evaluation: Ordered infusion rate:
F)DA equation:
G)Evaluation:
H)Decision:
Ordered: magnesium sulfate 2.5 g per hr IV infusion,for a patient with toxemia
Existing infusion rate when nurse arrives on shift: 75 mL per hr
Available: magnesium sulfate (refer to label)diluted in 500 mL D5W
A)Number of milliequivalents per milliliter stated on label:
B)Number of milligrams per milliliter stated in fine print on right side of label:
C)Total number of grams of magnesium sulfate in 50-mL vial: Number of grams per hour infusing on the infusion pump:
D)DA equation:
E)Evaluation: Ordered infusion rate:
F)DA equation:
G)Evaluation:
H)Decision:
Question
Question
Directions: Calculate the IV medication and infusion rates.Use a calculator for safe dose range calculations,multiplication,and long division as desired.Verify results using DE-style equations where requested.If the order is unsafe,do not proceed with the math.Label answers.
Ordered: oxytocin drip,1 milliunit per min
Infusing: oxytocin drip at 6 mL per hr
Available:
A)How many units of Pitocin are contained in 1 mL, according to label?
B)How many milliunits equal 1 unit? How many milliunits equal 10 units? (Recall the meaning of the prefix "milli".)
C)One mL of Pitocin has been placed in 1000 mL of D5W.What is the concentration of milliunits per milliliter in the IV solution? DA equation:
D)How many milliunits per hour are being infused? DA equation:
E)Evaluation:
F)How many milliunits per minute are infusing
DA equation:
G)Evaluation:
H)Is the existing flow rate correct? (Do the milliunits per minute being infused match the order?) If not, what flow rate should be set?
I)DA equation:
J)Evaluation:
Ordered: oxytocin drip,1 milliunit per min
Infusing: oxytocin drip at 6 mL per hr
Available:
A)How many units of Pitocin are contained in 1 mL, according to label?
B)How many milliunits equal 1 unit? How many milliunits equal 10 units? (Recall the meaning of the prefix "milli".)
C)One mL of Pitocin has been placed in 1000 mL of D5W.What is the concentration of milliunits per milliliter in the IV solution? DA equation:
D)How many milliunits per hour are being infused? DA equation:
E)Evaluation:
F)How many milliunits per minute are infusing
DA equation:
G)Evaluation:
H)Is the existing flow rate correct? (Do the milliunits per minute being infused match the order?) If not, what flow rate should be set?
I)DA equation:
J)Evaluation:
Question
Question
Directions: Calculate the IV medication and infusion rates.Use a calculator for safe dose range calculations,multiplication,and long division as desired.Verify results using DE-style equations where requested.If the order is unsafe,do not proceed with the math.Label answers.
Ordered: meperidine 30-mg IV push,for a patient with complaints of pain.
Drug reference: Inject over 1 minute.
Available:
Total number of milliliters for the prepared injection to nearest tenth of a milliliter:
A)Estimate:
B)DA equation:
C)Evaluation:
D)Total minutes for injection: Total seconds for injection:
E)Total number of calibrations occupied by dose:
Number of calibrations per second to be pushed:
F)DA equation:
G)Evaluation:
Ordered: meperidine 30-mg IV push,for a patient with complaints of pain.
Drug reference: Inject over 1 minute.
Available:
Total number of milliliters for the prepared injection to nearest tenth of a milliliter:
A)Estimate:
B)DA equation:
C)Evaluation:
D)Total minutes for injection: Total seconds for injection:
E)Total number of calibrations occupied by dose:
Number of calibrations per second to be pushed: F)DA equation:
G)Evaluation:
Question
Directions: Calculate the IV medication and infusion rates.Use a calculator for safe dose range calculations,multiplication,and long division as desired.Verify results using DE-style equations where requested.If the order is unsafe,do not proceed with the math.Label answers.
Ordered: Lasix 25 mg direct IV,for a patient with pulmonary edema.SDR: Up to 20 mg per min
For pulmonary edema,push over several minutes.
The nurse plans to administer the medication over a 5-minute period.
Available:
Total number of milliliters for the prepared injection to the nearest tenth of a milliliter:
A)Estimated dose:
B)DA equation:
C)Evaluation:
D)Total minutes for injection: Total seconds for injection:
E)Total number of calibrations occupied by the dose:
Number of calibrations per second to be pushed:
F)DA equation:
G)Evaluation
Ordered: Lasix 25 mg direct IV,for a patient with pulmonary edema.SDR: Up to 20 mg per min
For pulmonary edema,push over several minutes.
The nurse plans to administer the medication over a 5-minute period.
Available:
Total number of milliliters for the prepared injection to the nearest tenth of a milliliter:
A)Estimated dose:
B)DA equation:
C)Evaluation:
D)Total minutes for injection: Total seconds for injection:
E)Total number of calibrations occupied by the dose:
Number of calibrations per second to be pushed: F)DA equation:
G)Evaluation
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Directions: Calculate the IV medication and infusion rates.Use a calculator for safe dose range calculations,multiplication,and long division as desired.Verify results using DE-style equations where requested.If the order is unsafe,do not proceed with the math.Label answers.
Ordered: aminophylline IV infusion,for a patient with asthma.
Infusing: aminophylline at 33 mL per hr
Available: IV of 500 mL of D5W with the contents of the vial shown here
Patient's weight: 110 kg
The nurse has withdrawn 20 mL of D5W and added the medication to make a total volume of 500 mL.
How many milligrams of aminophylline is the patient receiving per hour?
A)DA equation:
B)Evaluation:
Ordered: aminophylline IV infusion,for a patient with asthma.
Infusing: aminophylline at 33 mL per hr
Available: IV of 500 mL of D5W with the contents of the vial shown here
Patient's weight: 110 kg
The nurse has withdrawn 20 mL of D5W and added the medication to make a total volume of 500 mL.
How many milligrams of aminophylline is the patient receiving per hour?
A)DA equation:
B)Evaluation:
Question
Question
Directions: Calculate the IV medication and infusion rates.Use a calculator for safe dose range calculations,multiplication,and long division as desired.Verify results using DE-style equations where requested.If the order is unsafe,do not proceed with the math.Label answers.
RX: Lanoxin 0.25 mL direct IV
Available: Lanoxin (digoxin)0.5 mg per 2 mL.
Dilute to 4 mL SW.Give over 5 minutes.
A)How many mL will be given?
B)How many calibrations will the mL occupy on the syringe?
C)Total minutes to administer:
D)Flow rate in seconds per calibration?
RX: Lanoxin 0.25 mL direct IV
Available: Lanoxin (digoxin)0.5 mg per 2 mL.
Dilute to 4 mL SW.Give over 5 minutes.
A)How many mL will be given?
B)How many calibrations will the mL occupy on the syringe?
C)Total minutes to administer:
D)Flow rate in seconds per calibration?
Question
Directions: Calculate the IV medication and infusion rates.Use a calculator for safe dose range calculations,multiplication,and long division as desired.Verify results using DE-style equations where requested.If the order is unsafe,do not proceed with the math.Label answers.
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Deck 11: Advanced Intravenous Calculations
1
Directions: Calculate the IV medication and infusion rates.Use a calculator for safe dose range calculations,multiplication,and long division as desired.Verify results using DE-style equations where requested.If the order is unsafe,do not proceed with the math.Label answers.
Ordered: A medicated IV at 6 mcg per kg per minute
Patient's weight: 176 lb
A)Estimated wt.in kg:
B)Actual wt.in kg:
C)mcg per hour ordered
D)mg per hour ordered
Ordered: A medicated IV at 6 mcg per kg per minute
Patient's weight: 176 lb
A)Estimated wt.in kg:
B)Actual wt.in kg:
C)mcg per hour ordered
D)mg per hour ordered
a.Estimated wt.in kg: 176 ÷ 2 = 88
b.Actual wt.in kg: 176 ÷ 2.2 = 80
c.mcg per hour ordered 6 * 80 *60 min = 28,800 mcg per hr
d.mg per hr ordered: 28,800 ÷ 1000 = 28.8 mg per hr
b.Actual wt.in kg: 176 ÷ 2.2 = 80
c.mcg per hour ordered 6 * 80 *60 min = 28,800 mcg per hr
d.mg per hr ordered: 28,800 ÷ 1000 = 28.8 mg per hr
2
Directions: Calculate the IV medication and infusion rates.Use a calculator for safe dose range calculations,multiplication,and long division as desired.Verify results using DE-style equations where requested.If the order is unsafe,do not proceed with the math.Label answers.
Diltiazem hydrochloride IV maintenance drip infusion has been ordered for a patient diagnosed with atrial flutter,who was treated on admission with a bolus IV dose to lower the ventricular pulse rate.
Order: Titrate the diltiazem HC1 at 5-15 mg per hr to maintain a ventricular pulse rate 90 beats per minute (bpm).Increase by increments of 5 mg per hr
Available: diltiazem hydrochloride 100 mg per 100 mL NS
A)With what IV dose in mg per hr will the nurse initiate the infusion?
B)Estimated initial flow rate on an EID:
C)DA equation for flow rate:
D)Evaluation: The patient's ventricular pulse rate is 100 bpm at the end of the first hour.
E)IV dose in mg per hr to be administered:
F)Estimated flow rate:
G)DA equation for flow rate:
H)Evaluation:
Diltiazem hydrochloride IV maintenance drip infusion has been ordered for a patient diagnosed with atrial flutter,who was treated on admission with a bolus IV dose to lower the ventricular pulse rate.
Order: Titrate the diltiazem HC1 at 5-15 mg per hr to maintain a ventricular pulse rate
90 beats per minute (bpm).Increase by increments of 5 mg per hrAvailable: diltiazem hydrochloride 100 mg per 100 mL NS
A)With what IV dose in mg per hr will the nurse initiate the infusion?
B)Estimated initial flow rate on an EID:
C)DA equation for flow rate:
D)Evaluation: The patient's ventricular pulse rate is 100 bpm at the end of the first hour.
E)IV dose in mg per hr to be administered:
F)Estimated flow rate:
G)DA equation for flow rate:
H)Evaluation:
a.5 mg per hr.Note: When titrating medications,the initial dose must be the lowest dose in the range.
b.5 mL per hr (100 mg per 100 mL = 1:1)
c.
d.Equation is balanced.Only mL per hour remain.
e.10 mg per hr.Note: The drug is to be titrated in 5 mg per hr increments.
f.10 mL per hr
g.
h.Equation is balanced.Only mL per hr remain.
b.5 mL per hr (100 mg per 100 mL = 1:1)
c.
d.Equation is balanced.Only mL per hour remain.
e.10 mg per hr.Note: The drug is to be titrated in 5 mg per hr increments.
f.10 mL per hr
g.
h.Equation is balanced.Only mL per hr remain. 3
Directions: Calculate the IV medication and infusion rates.Use a calculator for safe dose range calculations,multiplication,and long division as desired.Verify results using DE-style equations where requested.If the order is unsafe,do not proceed with the math.Label answers.
Ordered: A medicated IV infusion at 3 mg per minute.Available: Drug Y
1500 mg in 1000 mL of D5NS.
A)How many mg per hr will be administered?
B)How many mg per mL will be in the IV? DA: Evaluation:
Ordered: A medicated IV infusion at 3 mg per minute.Available: Drug Y
1500 mg in 1000 mL of D5NS.
A)How many mg per hr will be administered?
B)How many mg per mL will be in the IV? DA: Evaluation:
a.180 mg per hr 
b.
DA: 
b.
DA: 4
Directions: Calculate the IV medication and infusion rates.Use a calculator for safe dose range calculations,multiplication,and long division as desired.Verify results using DE-style equations where requested.If the order is unsafe,do not proceed with the math.Label answers.
Ordered: dopamine infusion at 3 mcg per kg per min,for a patient in shock.
Available: dopamine 200 mg per 250 mL D5W.
Patient's weight: 60 kg
A)Information requested: Micrograms per hour ordered Calculator result:
B)Information requested: Milligrams per hour ordered Calculator result: Milliliters per hour to be administered on infusion pump
C)DA equation:
D)Evaluation:
Ordered: dopamine infusion at 3 mcg per kg per min,for a patient in shock.
Available: dopamine 200 mg per 250 mL D5W.
Patient's weight: 60 kg
A)Information requested: Micrograms per hour ordered Calculator result:
B)Information requested: Milligrams per hour ordered Calculator result: Milliliters per hour to be administered on infusion pump
C)DA equation:
D)Evaluation:
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5
Directions: Calculate the IV medication and infusion rates.Use a calculator for safe dose range calculations,multiplication,and long division as desired.Verify results using DE-style equations where requested.If the order is unsafe,do not proceed with the math.Label answers.
Ordered: A medicated IV infusion with drug Y at 2 mg per minute.Available: Drug Y 1 g in 1000 mL of NS.
A)What will the flow rate be in mL per hr?
B)DA:
C)Evaluation
Ordered: A medicated IV infusion with drug Y at 2 mg per minute.Available: Drug Y 1 g in 1000 mL of NS.
A)What will the flow rate be in mL per hr?
B)DA:
C)Evaluation
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6
Directions: Calculate the IV medication and infusion rates.Use a calculator for safe dose range calculations,multiplication,and long division as desired.Verify results using DE-style equations where requested.If the order is unsafe,do not proceed with the math.Label answers.
Ordered: Dobutamine hydrochloride IV infusion 0.5 mcg per kg per minute,
for a patient with cardiac decompensation.
Patient weight: 70 kg.
Available dobutamine: 250 mg in 500 mL
A)How many mg per mL of drug are contained in the IV?
B)How many mcg per mL of drug are contained in the IV?
C)What flow rate will you set in mL per hr to the nearest tenth of a mL? DA:
D)Evaluation:
Ordered: Dobutamine hydrochloride IV infusion 0.5 mcg per kg per minute,
for a patient with cardiac decompensation.
Patient weight: 70 kg.
Available dobutamine: 250 mg in 500 mL
A)How many mg per mL of drug are contained in the IV?
B)How many mcg per mL of drug are contained in the IV?
C)What flow rate will you set in mL per hr to the nearest tenth of a mL? DA:
D)Evaluation:
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7
Directions: Calculate the IV medication and infusion rates.Use a calculator for safe dose range calculations,multiplication,and long division as desired.Verify results using DE-style equations where requested.If the order is unsafe,do not proceed with the math.Label answers.
Ordered: dobutamine 2.5 mcg per kg per min
Available: 500 mL D5W
Patient's weight: 80 kg
A)Information requested: Micrograms per minute ordered Calculator result:
B)Information requested: Micrograms per hour ordered Calculator result:
C)Information requested: Milligrams per minute ordered Calculator result:
D)Milligrams per hour ordered (Use in final flow rate equation.) Calculator result: Milliliters per hour to be administered on infusion pump:
E)DA equation:
F)Evaluation:
Ordered: dobutamine 2.5 mcg per kg per min
Available: 500 mL D5W
Patient's weight: 80 kg
A)Information requested: Micrograms per minute ordered Calculator result:
B)Information requested: Micrograms per hour ordered Calculator result:
C)Information requested: Milligrams per minute ordered Calculator result:
D)Milligrams per hour ordered (Use in final flow rate equation.) Calculator result: Milliliters per hour to be administered on infusion pump:
E)DA equation:
F)Evaluation:
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8
Directions: Calculate the IV medication and infusion rates.Use a calculator for safe dose range calculations,multiplication,and long division as desired.Verify results using DE-style equations where requested.If the order is unsafe,do not proceed with the math.Label answers.
Ordered: A medicated IV at 2 mcg per kg per minute
Patient's weight: 60 kg
A)Micrograms per minute ordered:
B)Micrograms per hour ordered:
C)Milligrams per hour ordered:
Ordered: A medicated IV at 2 mcg per kg per minute
Patient's weight: 60 kg
A)Micrograms per minute ordered:
B)Micrograms per hour ordered:
C)Milligrams per hour ordered:
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9
Directions: Calculate the IV medication and infusion rates.Use a calculator for safe dose range calculations,multiplication,and long division as desired.Verify results using DE-style equations where requested.If the order is unsafe,do not proceed with the math.Label answers.
Ordered: magnesium sulfate 2.5 g per hr IV infusion,for a patient with toxemia
Existing infusion rate when nurse arrives on shift: 75 mL per hr
Available: magnesium sulfate (refer to label)diluted in 500 mL D5W
A)Number of milliequivalents per milliliter stated on label:
B)Number of milligrams per milliliter stated in fine print on right side of label:
C)Total number of grams of magnesium sulfate in 50-mL vial: Number of grams per hour infusing on the infusion pump:
D)DA equation:
E)Evaluation: Ordered infusion rate:
F)DA equation:
G)Evaluation:
H)Decision:
Ordered: magnesium sulfate 2.5 g per hr IV infusion,for a patient with toxemia
Existing infusion rate when nurse arrives on shift: 75 mL per hr
Available: magnesium sulfate (refer to label)diluted in 500 mL D5W
A)Number of milliequivalents per milliliter stated on label:
B)Number of milligrams per milliliter stated in fine print on right side of label:
C)Total number of grams of magnesium sulfate in 50-mL vial: Number of grams per hour infusing on the infusion pump:
D)DA equation:
E)Evaluation: Ordered infusion rate:
F)DA equation:
G)Evaluation:
H)Decision:
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10
Directions: Calculate the IV medication and infusion rates.Use a calculator for safe dose range calculations,multiplication,and long division as desired.Verify results using DE-style equations where requested.If the order is unsafe,do not proceed with the math.Label answers.
Ordered: Dopamine infusion at 10 mcg per kg per minute.Available: Dopamine 400 mg premixed in 500 mL of D5W.
Patient weight: 60 kg (45 mL per hr)
A)How many mg per mL are contained in the solution?
B)How many mcg per mL are contained in the solution?
C)How many mL per hr will the flow rate be set? DA:
D)Evaluation:
Ordered: Dopamine infusion at 10 mcg per kg per minute.Available: Dopamine 400 mg premixed in 500 mL of D5W.
Patient weight: 60 kg (45 mL per hr)
A)How many mg per mL are contained in the solution?
B)How many mcg per mL are contained in the solution?
C)How many mL per hr will the flow rate be set? DA:
D)Evaluation:
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11
Directions: Calculate the IV medication and infusion rates.Use a calculator for safe dose range calculations,multiplication,and long division as desired.Verify results using DE-style equations where requested.If the order is unsafe,do not proceed with the math.Label answers.
Ordered: oxytocin drip,1 milliunit per min
Infusing: oxytocin drip at 6 mL per hr
Available:
A)How many units of Pitocin are contained in 1 mL, according to label?
B)How many milliunits equal 1 unit? How many milliunits equal 10 units? (Recall the meaning of the prefix "milli".)
C)One mL of Pitocin has been placed in 1000 mL of D5W.What is the concentration of milliunits per milliliter in the IV solution? DA equation:
D)How many milliunits per hour are being infused? DA equation:
E)Evaluation:
F)How many milliunits per minute are infusing
DA equation:
G)Evaluation:
H)Is the existing flow rate correct? (Do the milliunits per minute being infused match the order?) If not, what flow rate should be set?
I)DA equation:
J)Evaluation:
Ordered: oxytocin drip,1 milliunit per min
Infusing: oxytocin drip at 6 mL per hr
Available:
A)How many units of Pitocin are contained in 1 mL, according to label?
B)How many milliunits equal 1 unit? How many milliunits equal 10 units? (Recall the meaning of the prefix "milli".)
C)One mL of Pitocin has been placed in 1000 mL of D5W.What is the concentration of milliunits per milliliter in the IV solution? DA equation:
D)How many milliunits per hour are being infused? DA equation:
E)Evaluation:
F)How many milliunits per minute are infusing
DA equation:
G)Evaluation:
H)Is the existing flow rate correct? (Do the milliunits per minute being infused match the order?) If not, what flow rate should be set?
I)DA equation:
J)Evaluation:
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12
Directions: Calculate the IV medication and infusion rates.Use a calculator for safe dose range calculations,multiplication,and long division as desired.Verify results using DE-style equations where requested.If the order is unsafe,do not proceed with the math.Label answers.
Ordered: Dopamine infusion at 5 mcg per kg per min.Available: Dopamine 200 mg in 250 mL of D5W.
Patient weight: 80 kg
A)How many mcg per mL are contained in the solution?
B)How many mL per hr will the flow rate be set? DA:
C)Evaluation
Ordered: Dopamine infusion at 5 mcg per kg per min.Available: Dopamine 200 mg in 250 mL of D5W.
Patient weight: 80 kg
A)How many mcg per mL are contained in the solution?
B)How many mL per hr will the flow rate be set? DA:
C)Evaluation
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13
Directions: Calculate the IV medication and infusion rates.Use a calculator for safe dose range calculations,multiplication,and long division as desired.Verify results using DE-style equations where requested.If the order is unsafe,do not proceed with the math.Label answers.
Ordered: meperidine 30-mg IV push,for a patient with complaints of pain.
Drug reference: Inject over 1 minute.
Available:
Total number of milliliters for the prepared injection to nearest tenth of a milliliter:
A)Estimate:
B)DA equation:
C)Evaluation:
D)Total minutes for injection: Total seconds for injection:
E)Total number of calibrations occupied by dose: Number of calibrations per second to be pushed:
F)DA equation:
G)Evaluation:
Ordered: meperidine 30-mg IV push,for a patient with complaints of pain.
Drug reference: Inject over 1 minute.
Available:
Total number of milliliters for the prepared injection to nearest tenth of a milliliter:
A)Estimate:
B)DA equation:
C)Evaluation:
D)Total minutes for injection: Total seconds for injection:
E)Total number of calibrations occupied by dose:
Number of calibrations per second to be pushed: F)DA equation:
G)Evaluation:
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14
Directions: Calculate the IV medication and infusion rates.Use a calculator for safe dose range calculations,multiplication,and long division as desired.Verify results using DE-style equations where requested.If the order is unsafe,do not proceed with the math.Label answers.
Ordered: Lasix 25 mg direct IV,for a patient with pulmonary edema.SDR: Up to 20 mg per min
For pulmonary edema,push over several minutes.
The nurse plans to administer the medication over a 5-minute period.
Available:
Total number of milliliters for the prepared injection to the nearest tenth of a milliliter:
A)Estimated dose:
B)DA equation:
C)Evaluation:
D)Total minutes for injection: Total seconds for injection:
E)Total number of calibrations occupied by the dose: Number of calibrations per second to be pushed:
F)DA equation:
G)Evaluation
Ordered: Lasix 25 mg direct IV,for a patient with pulmonary edema.SDR: Up to 20 mg per min
For pulmonary edema,push over several minutes.
The nurse plans to administer the medication over a 5-minute period.
Available:
Total number of milliliters for the prepared injection to the nearest tenth of a milliliter:
A)Estimated dose:
B)DA equation:
C)Evaluation:
D)Total minutes for injection: Total seconds for injection:
E)Total number of calibrations occupied by the dose:
Number of calibrations per second to be pushed: F)DA equation:
G)Evaluation
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15
Directions: Calculate the IV medication and infusion rates.Use a calculator for safe dose range calculations,multiplication,and long division as desired.Verify results using DE-style equations where requested.If the order is unsafe,do not proceed with the math.Label answers.
Ordered: A medicated IV infusion at 1 mg per minute.Available: Drug Y 250 mg in 250 mL of D5W.
A)What will the flow rate be in mL per hour?
B)DA:
C)Evaluation:
Ordered: A medicated IV infusion at 1 mg per minute.Available: Drug Y 250 mg in 250 mL of D5W.
A)What will the flow rate be in mL per hour?
B)DA:
C)Evaluation:
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16
Directions: Calculate the IV medication and infusion rates.Use a calculator for safe dose range calculations,multiplication,and long division as desired.Verify results using DE-style equations where requested.If the order is unsafe,do not proceed with the math.Label answers.
Ordered: A medicated IV at 3 mcg per kg per minute.Available IV: D5W 1000 mL with 500 mg of Drug Y.
Patient weight: 50 kg
A)What flow rate will you set in mL per hr to the nearest tenth of a mL? DA:
B)Evaluation:
Ordered: A medicated IV at 3 mcg per kg per minute.Available IV: D5W 1000 mL with 500 mg of Drug Y.
Patient weight: 50 kg
A)What flow rate will you set in mL per hr to the nearest tenth of a mL? DA:
B)Evaluation:
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17
Directions: Calculate the IV medication and infusion rates.Use a calculator for safe dose range calculations,multiplication,and long division as desired.Verify results using DE-style equations where requested.If the order is unsafe,do not proceed with the math.Label answers.
Ordered: medicated IV at 4 mcgper kg per min.
Patient's weight: 50 kg.
A)Information requested: Micrograms per minute ordered Calculator result:
B)Information requested: Micrograms per hour ordered Calculator result:
C)Information requested: Milligrams per hour ordered Calculator result:
Ordered: medicated IV at 4 mcgper kg per min.
Patient's weight: 50 kg.
A)Information requested: Micrograms per minute ordered Calculator result:
B)Information requested: Micrograms per hour ordered Calculator result:
C)Information requested: Milligrams per hour ordered Calculator result:
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18
Directions: Calculate the IV medication and infusion rates.Use a calculator for safe dose range calculations,multiplication,and long division as desired.Verify results using DE-style equations where requested.If the order is unsafe,do not proceed with the math.Label answers.
An IV of 1000 mL of D5W contains 400 mg of dopamine HCl.
A)What is the concentration in milligrams per milliliter? (Remember: per indicates division.) Show the data you would enter on a calculator or use a DA equation.
B)What is the concentration in micrograms per milliliter? (Move the decimal point carefully.) Show the data you would enter on a calculator or use a DA equation.
An IV of 1000 mL of D5W contains 400 mg of dopamine HCl.
A)What is the concentration in milligrams per milliliter? (Remember: per indicates division.) Show the data you would enter on a calculator or use a DA equation.
B)What is the concentration in micrograms per milliliter? (Move the decimal point carefully.) Show the data you would enter on a calculator or use a DA equation.
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19
Directions: Calculate the IV medication and infusion rates.Use a calculator for safe dose range calculations,multiplication,and long division as desired.Verify results using DE-style equations where requested.If the order is unsafe,do not proceed with the math.Label answers.
Ordered: aminophylline IV infusion,for a patient with asthma.
Infusing: aminophylline at 33 mL per hr
Available: IV of 500 mL of D5W with the contents of the vial shown here
Patient's weight: 110 kg
The nurse has withdrawn 20 mL of D5W and added the medication to make a total volume of 500 mL.
How many milligrams of aminophylline is the patient receiving per hour?
A)DA equation:
B)Evaluation:
Ordered: aminophylline IV infusion,for a patient with asthma.
Infusing: aminophylline at 33 mL per hr
Available: IV of 500 mL of D5W with the contents of the vial shown here
Patient's weight: 110 kg
The nurse has withdrawn 20 mL of D5W and added the medication to make a total volume of 500 mL.
How many milligrams of aminophylline is the patient receiving per hour?
A)DA equation:
B)Evaluation:
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20
Directions: Calculate the IV medication and infusion rates.Use a calculator for safe dose range calculations,multiplication,and long division as desired.Verify results using DE-style equations where requested.If the order is unsafe,do not proceed with the math.Label answers.
Ordered: A medicated IV infusion at 0.5 mg per minute.Available: Drug Y 500 mg in 100 mL.LRS.
A)What will the flow rate be in mL per hr?
B)DA:
C)Evaluation:
Ordered: A medicated IV infusion at 0.5 mg per minute.Available: Drug Y 500 mg in 100 mL.LRS.
A)What will the flow rate be in mL per hr?
B)DA:
C)Evaluation:
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21
Directions: Calculate the IV medication and infusion rates.Use a calculator for safe dose range calculations,multiplication,and long division as desired.Verify results using DE-style equations where requested.If the order is unsafe,do not proceed with the math.Label answers.
RX: Lanoxin 0.25 mL direct IV
Available: Lanoxin (digoxin)0.5 mg per 2 mL.
Dilute to 4 mL SW.Give over 5 minutes.
A)How many mL will be given?
B)How many calibrations will the mL occupy on the syringe?
C)Total minutes to administer:
D)Flow rate in seconds per calibration?
RX: Lanoxin 0.25 mL direct IV
Available: Lanoxin (digoxin)0.5 mg per 2 mL.
Dilute to 4 mL SW.Give over 5 minutes.
A)How many mL will be given?
B)How many calibrations will the mL occupy on the syringe?
C)Total minutes to administer:
D)Flow rate in seconds per calibration?
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22
Directions: Calculate the IV medication and infusion rates.Use a calculator for safe dose range calculations,multiplication,and long division as desired.Verify results using DE-style equations where requested.If the order is unsafe,do not proceed with the math.Label answers.
(11 to 15)
(11 to 15)
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23
How many grams of dextrose are contained in 1 L of a D5W solution?
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24
What is the purpose of a TPN solution?
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25
How many approximate calories of dextrose are contained in 1 L of a D5W solution?
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26
What are the typical contents of a TPN solution?
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