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Math Final Review

1. 100 mg = _____g
2. 2.5 oz = _____mls
3. 4 Tbs = _____mls
4. 5 ft. 5 in. = _____cm(s)
5. 250 mcg = _____mg
6. 240 ml = _____oz
7. 47 kgs = _____lbs
8. 100 cms = _____in.
9. 135 lbs = _____kgs
10. 103.5 lbs = _____kgs
11. The physician orders Prostaphlin 250 mg IM. The vial is labeled Prostaphlin 500 mg. Add 2.7 ml of
sterile water for a total of 3 mls in the vial. How many mls will the nurse inject?

12. The health care provider orders Morphin sulfate 10 mg sc stat. How much will the nurse inject using a
vile which is labeled 15 mg/ml?

13. Child medication order


Order: Tylenol elixir (160 mg/5ml) 2 ml po q4hrs
Therapeutic Range: Tylenol 10-15 mg/kg/dose q4hrs
Childs weight: 20 lbs
(a) 91 mg/kg 136.5 mg/kg (b) 64 mg/2ml (c) yes, no, and no

a) What is the safe and effective (therapeutic) range for this child?

b) What is the childs actual dose?

c) Is this childs dose safe?


Is this childs dose effective?
Is this childs dose therapeutic?
*NOTE: For the medication to be safe, the amount has to be below the highest number in
question 13c. For the medication to be effective, the amount has to be within the range of
question 13c. For the medication to be therapeutic, the amount has to be both safe and effective.
The 3-step method: (1) Amount of solution / Hrs to administer (2) ml per hour / 60 minutes = ml/min
(3) ml per minute X gtt per ml of IV set = gtt/min.

14. The health care provider has ordered one L of D5W to run over 10 hrs. The administration set is 20
drops per 1 ml. What is the drops/minute?

15. The physician orders 7500 U of Heparin sc q12h. The vial reads 10,000 units/1 ml in a 4 ml multiple
dose vial. How many milliliters of Heparin will the nurse administer using a Tb syringe?

16. A 500 cc bag of Normal Saline is to run over 4 hours at a rate of 75 ml/hr. Using a macrodrip
administration set (15 gtt/ml), calculate the drops per minute for the patients IV.
17. The patients primary IV is running continuously at 80 ml/hour. If it is a one L bag, how many hours and
minutes will this IV run?

18. One unit of blood (350 mls) is to run over 4 hours. Run it using a pump.
a. Rate:

b. VTBI (volume to be infused):


c. Give the above blood using a 20 gtts/ml blood tubing.

19. A child weighs 17 lbs and is 27 inches tall. What is the safe dose of Leucovorin for this child if the
literature states the safe dose is 10 mg/m2?

20. If the Leucovorin in question 19 comes in 0.5 mg/ml, how many mls will the nurse give?

21. Infuse Dopamine 400 mg in 250 ml D5W at 10 mcg/kg/min. The patient weighs 140 lbs.

22. Important medication info in the label: Contains 5 g of Clarithromycin, 100 ml (when mixed),
Clarithromycin for oral suspension, 250 mg per 5 ml when reconstituted and the usual dose for children
is 15mg/kg/day divided in two equal doses.
a. How many total grams are in the above bottle based on the information found on the label?
b. What is the therapeutic daily dose for a child who weighs 15 lbs?
c. How many mls would the nurse give for the 0900 dose?
23. Heparin comes in 25,000 international units in 250 mls D5W. Give your patient 1500 units per hour
using an IV pump.

24. List the 8 steps to administer two insulins in the same syringe.

25. Know the table with the route (intradermal, subcutaneous, and intramuscular), gauge, length, and
syringe.

Answers to the Review


1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.

0.1 g
75 mls
60 mls
165 cm
0.25 mg
8 oz
103.4 lbs
39.4 in
61.4 kg
47 kg
1.5 mls
0.66 ml
(a) 91 mg/kg 136.5 mg/kg (b) 64 mg/2ml (c) yes, no, and no
33 gtts/min
0.75 ml
19 gtts/min
12 hrs and 30 min
(a) 87.5 ml/hr (b) 350 mls (c) 29 gtts/min
3.8 mg/m2
7.6 ml
23.85 ml/kg/min

22.
23.

(a) 5 g (b) 102 mg/kg/day (c) 1.02 mls


15 mls

24.

1.
2.
3.
4.
5.
6.
7.
8.

Check the Drs order and the vials expiration dates.


Check and clean the viles.
Insert 15 units of air into the Novulin insulin.
Insert 5 units of air into the Regular insulin.
Withdraw 5 units of insulin from the Regular vile.
Withdraw 15 units of insulin from the Novulin vile.
Check that you have the correct dose with another RN.
Locate the correct patient and administer the med.

25.

Method
Intradermal
Subcutaneous
Intramuscular

Gauge
25 26
23 25
19 22
*Note: Could be 19 23 on a
slender person.

Length
1 /4 - 5/8 in.
3/8 5/8 in.
1 2 in.

Syringe
0.5 1 ml
1 3 mls
0.5 5 mls
*Note: The max
number in a muscle
would be 4 mls.

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