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Practice Dosage Calculation Exam NOTE: The test will include 25 problems and you have a one-hour time

limit to complete all problems. Passing score is 90% (3 problems missed). Use everything you have learned in this class and if necessary feel free to explain why you rounded any answers (i.e. answered rounded to hundredths because I will be using a 3 ml syringe or answer rounded to tenths because it is less than 1 ml or if scored on tablets). It is better to get into some of these habits early because you will need this type of critical thinking in the program and may have to explain why you chose to round an answer. It may not be enough to just give the answer, because as we all know the biggest part of being a Nurse is the ability to think critically. The questions for the Practice are based on questions from the Antelope Valley College: ADN Survival Guide. The order and supply and all other pertinent information is the same as the guide, but names have been changed to protect the innocentha, ha. I wish everyone Good Luck, it has been a pleasure to tutor you and I cant wait to see you all in the RN program. Strong and confident that you CAN do this and youre DARN good at it. I believe in all of you. -Kendra 1. 2. 3. 4. 5. 6. 15kg = 8 Tbsp= 180mg= 3.5mg= 45mg= g ml gr. mcg g

Dr. E. Villes order reads: Drug X 250 mg PO four times a day. Drug X is available in capsules of 125 mg per capsule. How many capsules will you give per dose?

7.

Nurse Ratchett has left a note on your patients chart indicating a new course of therapy. The order reads Drug X gr. PO. You have available tablets labeled Drug X gr. . How many tablets will you give?

8.

Dr. M. U. Cus has called over an order for one of his patients, it reads: Give Drug X 3.75 mg PO. You have on-hand 2.5 mg tablets. How many tablets will you give?

9.

A new patient is on your ward and Dr. G. House has left his medication order, it reads: Give patient C. Payne Drug X 0.6 g per kg per day to be divided into four equal doses. You have in the supply cabinet 0.5g. Mr. Payne weighs 145 pounds. How many tablets will you give in one dose?

10.

Nurse Worth has handed you the Doctors orders for your patient, they read Drug X oral suspension 0.2 g PO. The bottle on-hand is labeled 400 mg per 5 ml. How many ml will you give?

11.

Dr. P. Cox has handed you the order for his patient Mr. Mann, they read: Give Drug X 10 mg PO t.i.d. You have Drug X elixir 20 mg per 5 ml. How many ml will you give for one dose?

12.

Your patient Mrs. W. Waites chart reads: Give Drug X 300,000 U IM every 4 hours. You have a vial labeled 3,000,000 U Drug X in powder form. The directions are to add 4.5 ml diluents to yield 5 ml reconstituted solution. How many ml will you give per day?

13.

Dr. I. Cureux has given you an order that reads: Give Drug X 12 mg IV every four hours prn. You have ampules labeled Drug X gr. per ml. How many ml will you give?

14.

Dr. D. Septum has given you an order that reads: Drug X 20 mg IV every 3-4 hours prn. You have a cartridge labeled Drug X 50 mg per ml. (Cartridges are prefilled Tubex syringes) How many ml will you give and how many will you discard?

15.

Dr. Goiter has left an order for his patient I. C. Ewe that reads: Give Drug X 1/6 IM. You have a vial labeled Drug X gr. per ml. How many ml will you give?

16.

Your patient Stan Osis needs Drug X 0.25 mg IM. You have a 2 ml ampule labeled Drug X 1:2000. How many ml will give?

17.

The charge nurse has told you that your patient Mrs. O.L. Ladye needs a 1500 ml IV to infuse over 12 hours. The drop factor is 15. Calculate the infusion rate in gtts/min.

18.

Your patient T. Timm is infusing at 12 gtts/min. The drop factor is 10. How many ml of IV solution will this patient receive in 24 hours?

19.

Dr. M. X. Upp has given you an order that reads: Drug X 1 g IVPB in 100 ml D5W q6h to infuse over 30 minutes. The drop factor is 10 gtt/ml. What is the flow rate in ml per hour? What is the flow rate in gtts/min?

20.

Nurse Poppins has given you the orders for your pediatric patient Peter Pann, it reads: Give Drug X 100 mg/kg/day. Little Peter weighs 23 lbs. The medication is available in standard strength of 125 mg/5 ml. The total amount is to be given in four equally divided doses. a. How many mg will be in one dose?

b.

How many ml will you give for one dose?

21.

Dr. C. Blu has ordered an IV for his patient John Dusse, the order reads: Drug X is to be started at 8 mcg/kg/minute IV. Mr. Dusse weighs 158 lbs. The drop factor is 15 drops per ml. The drug concentration is 400 mg per 500 ml of 5% D/W. What is the infusion rate in ml per hour?

22.

Nurse Jackie has noted the chart of your patient Mr.Cy Anosis and it reads: Give 5 micrograms per minutes by continuous IV infusion. Drug concentration is 1 mg in 500 ml 5% D/W. Drop factor is 60. What is the drip rate in gtts/min?

23.

Dr. Nic Yu has left an order for his patient Little Bobby, it reads: Little Bobby is to receive Drug X 100 mg/k for the first dose, then 50 mg/kg/day in three equally divided doses. The patient weighs 52 lbs. Drug X on-hand is 250 mg/5 ml. How many ml for the first dose?

How many ml for each following dose?

How many mg per day after first dose?

24.

Nurse Hawthorne has given you Dr. H. Aches order, it reads: Give gr. 1/250 of Drug X. You found that you only have 0.4 mg per 5 ml ampoules. How many ml will you give?

25.

Dr. M Caproiu has given you the last order of your shift and it reads: Give my patient Gary (Yes, cause you were her favorite for the dayha, ha) an infusion of Drug X, starting with a bolus of 4 g over 30 minutes then a maintenance rate of 2 g/hr. (Drug X comes in a 50% solution in 20 ml vials and the standard mixture is 40 g in 1000 ml of D5RL.) (Dont let the problem scare you, its easier than it may soundGood Luck!) Clue: Look for ml/hr. What is the rate of infusion for the bolus dose?

What will the maintenance rate be set at on the IV pump?

ANSWER KEY 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 0.0015 g 240 ml gr. III (3) 3500 mcg 0.045 g 250 mg Dose 1/2 gr. Dose 15 kg/1000 = 0.015 g 8 Tbsp X 15 ml = 120 ml 180 mg / 60 mg = 3 3.5 mg X 1000 mcg = 3500mcg 45 mg / 1000 mg = 0.045 g Caps = 125 mg Tablets = gr. Tablets = 2.5 mg Tablet 0.5 g 250 1/4 3.75 145 lb Patient = = = 2 Capsules 2 Tablets 1.5 Tables (If scored) 1kg 2.2 lb 1000 400 = 1 Day = 4 doses 2.5 ml/dose 1.97 Tablets (2 tablets)

3.75 mg Dose 0.6 g Kg 0.2 g Dose 10 mg Dose

5 ml 400 mg 5 ml 20 mg =

1000 mg = 1g 50 20

= 2.5 ml/dose = 0.5 ml/dose 0.8 ml/dose (prn)

300,000U 5 ml = Dose 3,000,000 U 12 mg Dose 20 mg Dose 1 ml gr. 1 ml 50 mg =

1,500,000 3,000,000

1 gr. = 12 = 60 mg 15 20 50

= 0.4 ml given

1 ml (Syringe) 0.4 ml (given) = 0.6 ml discarded 15. 1/6 gr. Dose ml gr. = 1/6 = 0.67 ml/dose

16.

0.25 mg Dose

2000 ml 1g = 500 1g 1000 mg 1000

0.5 ml/dose

17. 18. 19.

1500 ml 12 hours 12 gtt Min 100 ml 30 min 200 ml 1 hour

15 gtt ml 1 ml 10 gtt 60 min 1 hour 1 hour 60 min 23 lb Child 23 lb Child

1 hour = 22,500 = 60 min 720 60 min 1hour 6000 30

31 gtt/min = 17,280 10 = 1728 ml/day

24 hours Day

= 200 ml/hour = 33 gtt/min

10 gtt = 2000 ml

20. a. b.

100 mg kg/Day 100 mg kg/day =

1 kg Day = 2.2 lb 4 doses 1 kg 5 ml 2.2 lb 125 mg

2300 8.8

261.36 mg/dose 11500 1100

Day = 4 Doses

10.5 ml/dose 158 lb Patient 500 ml 1 kg 1 mg 400 mg 2.2 lb 1000 mcg 60 min = 37920000 1 hour 880000

21.

8 mcg Kg/min =

43.1 ml/hour 500 ml 1 mg 52 lb Pat. 52 lb Pat. 52 lb Pat. 5 ml 0.4 mg 1 ml 60 gtt 1000 mcg ml 1 kg 5 ml = 2.2 lb 250 mg 1 kg 5 ml 2.2 lb 250 mg 1 kg = 2600 = 2.2 lb 2.2 60 mg = 0.12 = 1 gr 0.4 60 min = 240000 1 hour 1200 2000 40 = 150000 1000 = 150 gtt/min

22. 23.

5 mcg Min 100 mg Kg 50 mg Kg/day 50 mg Kg/day

26000 = 47.3 ml 550 1 day = 13000 3 Doses 1650 1181.82 mg 3 ml/dose = 200 ml/hour = 7.9 ml

24. 25.

1/250 gr. Dose 4g 30 min 2g Hour

1000 ml 40 g 1000 ml = 40 g

= 50 ml/hour