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Dosage Cal Comprehensive Study Guide

1. The document provides instructions for correctly performing dosage calculations, including rounding rules, notation conventions, unit conversions, and labeling answers. 2. It then provides 21 practice problems of various dosage calculation scenarios involving tablets, oral suspensions, intravenous drips and infusions to calculate doses and flow rates. 3. The problems cover medications like amoxicillin, morphine, ceclor, heparin, nitroprusside, lidocaine, and involve patient weights in both pounds and kilograms.

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Christian Cortner
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83 views4 pages

Dosage Cal Comprehensive Study Guide

1. The document provides instructions for correctly performing dosage calculations, including rounding rules, notation conventions, unit conversions, and labeling answers. 2. It then provides 21 practice problems of various dosage calculation scenarios involving tablets, oral suspensions, intravenous drips and infusions to calculate doses and flow rates. 3. The problems cover medications like amoxicillin, morphine, ceclor, heparin, nitroprusside, lidocaine, and involve patient weights in both pounds and kilograms.

Uploaded by

Christian Cortner
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Dosage Calculations

Instructions to ensure a correct answer

l. Round all answers to medication problems to the nearest tenth, unless they do
not have a whole number in front of the decima (see #3) l and then round to the
100th place (ex: 0.786=0.79). Kilogram weights should not be rounded until you get
to the final answer. Answers that are not correctly rounded to the nearest tenth are
graded as incorrect. For example, 3.25 is rounded to 3.3.
2. I.V. flow problems are rounded to the nearest whole drop. For example, 33.3 is
rounded to 33 drops.
3. If the answer is less than 1, with no whole number before the decimal point,
ALWAYS place a zero in front of the decimal and round to the 100th place. This is
a safety issue. An answer on the test not preceded by a zero as appropriate will be
graded as an incorrect notation. For example, .75 must be written as 0.75 in order
to be considered appropriate notation.
4. If the answer is 1,000 or above indicate the number with a comma.
5. ALWAYS omit terminal zeros. Answer containing terminal zeros violate patient
safety standards, and will be graded as an incorrect notation. For example 12.50
must be written as 12.5 in order to be considered appropriate notation.
6. The answer must be labeled in correct terms. An incorrectly labeled answer is
considered a wrong answer. For example, 7 mg is not the same as 7 mL or 7.
7. Metric units of measure are expressed in decimals.
8. On the test, circle your ONE final answer. If any answer in the circle in
incorrect, the answer is graded an incorrect. If no answer is circled, then the
question is determined to be unanswered and graded as incorrect.
Practice dosage calculation problems

1. Order: Amoxicillin 0.25 g p.o. every 8 hours. Available: Amoxicillin 125 mg tablets. How many tablets
will the nurse give per dose?

2. Order: Zofran 8 mg p.o. t.i.d. Available: Zofran in a 100 mL bottle labeled 4 mg/tsp. How many mL will
the nurse administer for each dose?

3. Order: Morphine 0.001 g Available: Morphine 10 mg/mL How many mL will the nurse give?

4. Give Fortaz 50 mg/kg p.o. t.i.d. to a child who weighs 25.5 kg. Fortaz is available in an oral suspension
labeled 100 mg/mL. How many mL would the nurse administer per dose?

5. Give Ceclor 45 mg/kg/day p.o. in 3 divided doses for a patient who weighs 66 pounds. A 75 mL stock
medication is labeled Ceclor 125 mg/mL. How many mL would the nurse administer per dose?

6. LR 125 mL/hr via gravity flow using tubing calibrated at 15 gtt/mL. Calculate the flow rate.

7. 1 liter of NS to infuse over 24 hours using a microdrip (gravity flow). Calculate the flow rate.

8. At the change of shift you notice 200 mL left to count in the I.V. bag. The I.V.is infusing at 80 mL/hr.
How much longer will the I.V. run? (Express your answer in hours and minutes.)

9.Keflin 2 g in I 00 mL DsW IVPB over 20 minutes. The I.V. tubing is 15 gtt/mL. Calculate the flow rate.

10. The physician writes an order for heparin 900 units/hr. The label on the I.V. bag reads: Heparin
10,000 units in 500 mL D5W. How many mL/hr will deliver the correct dose?

11. Administer Heparin 1,000 units/hr from an l.V. bag mixed 40,000 units in 1 L DsW. How many mL/hr
will deliver the correct amount of heparin?
12. The patient's heparin is infusing at 28 mL/hr on an infusion pump. The bag of fluid is mixed 20,000
units of heparin in 500 mL D5W. What hourly dose of heparin is the patient receiving?

13. The patient's heparin drip is infusing at 11 mL/hr on an infusion pump. The bag of fluid is mixed
25,000 units of heparin in 250 mL DsW. What hourly dose of heparin is the patient receiving?

14. Give Regular insulin by continuous I.V. infusion at 20 units/hr. The solution is 250 mL NS with 100
units of Regular insulin. What rate on the infusion pump will deliver the correct dose?

15. Administer a Theophylline drip at 40 mg/hr 1.V. The solution is 250 mL DsW + Theophylline 500 mg.
What rate on the infusion pump will deliver the correct dose?

16. Give Tridil 15 mcg/minute. Tridil is mixed 50 mg in 500 mL DsW. What rate on the infusion pump will
deliver the correct dose?

17. Give propofol 10 mcg/kg/minute. The infusion is mixed propofol 250 mg in 250 mL DsW. The patient
weighs 168 pounds. What rate on the infusion pump will deliver the correct dose?

18. Give Nitroprusside 5 mcg/kg/minute via continuous infusion for a patient weighing 205 lbs.
Nitroprusside is available in a solution of 200 mg in 250 mL D5W. What rate on the infusion pwnp will
deliver the correct dose?

19. Tridil is infusing at 15 mL/hr on an infusion pump. The drug is mixed 50 mg in 500 mL DsW. How
many mcg/minute is the patient receiving?

20. A lidocaine drip is infusing at 30 mL/hr on an infusion device. The drug is mixed 2 g in 500 mL DsW.
How many mg/minute is the patient receiving?

21. Aminophylline is infusing at 30 mL/hr. The drug is mixed 250 mg in 500 mL D5W. How many mg/hr is
the patient receiving?

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