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Nursing Drug Calculation Practice

This document provides sample calculation problems for a pharmacology module on drug calculations. It includes 20 sample problems calculating dosages, flow rates, and other parameters for various medications including Cleocin, Demerol, Rocephin, Aminophyllin, KCl, morphine sulfate, heparin, insulin, lanoxin, dopamine, nitroglycerin, nitroprusside, and others. It also provides the answer key with the solutions worked out using dimensional analysis.

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0% found this document useful (0 votes)
820 views9 pages

Nursing Drug Calculation Practice

This document provides sample calculation problems for a pharmacology module on drug calculations. It includes 20 sample problems calculating dosages, flow rates, and other parameters for various medications including Cleocin, Demerol, Rocephin, Aminophyllin, KCl, morphine sulfate, heparin, insulin, lanoxin, dopamine, nitroglycerin, nitroprusside, and others. It also provides the answer key with the solutions worked out using dimensional analysis.

Uploaded by

louradel
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

DONA REMEDIOS T.

ROMUALDEZ MEDICAL FOUNDATION


COLLEGE OF NURSING

PHARMACOLOGY
MODULE II.I
CALCULATION

1. Sarah is to receive Cleocin 275 mg IV q 6 hr. The recommended concentration is 5
mg/ml. How many milliliters of solution will you need for an appropriate dilution?



2. Andrea is to receive medication in 30 ml of fluid over 40 minutes. Using a drip factor of
60 gtts/ml what would your drip rate be?




3. Stephanie requires a Demerol PCA 7 mg every 10 minutes. You have a Demerol syringe
with 400 mg/40 ml available. How many ml will Stephanie receive every 10 minutes?




4. Deana is to receive Rocephin GM 1 IV q 12 h. The Rocephin is mixed in 150 ml D5W.
Figure the drip rate if it is to infuse over 45 minutes and the drop factor is 15.






5. Bridget is receiving an Aminophyllin drip at 30 ml per hour. The drug is mixed with one
gram in 500 ml. How many milligrams are you giving per hour?




6. Kellis IV is now to have 40mEq KCl added to each 1000 ml solution. There are 600 ml
left in the current bag. How many mEq would you add to the current bag?





7. The order for Nickole is 7 mg/h of continuous morphine sulfate infusion. The solution is
prepared as 125 mg morphine in 250 ml D5W. Calculate the ml per hour needed to
deliver the correct drug dosage.




8. Alysia is receiving a continuous heparin infusion running at 14 ml/h. The solution
available is 250 ml containing 25000 units of heparin. Calculate the dosage (units) of
heparin she is receiving per hour.





9. Jennifers insulin drip is mixed 100 units in 250 ml NS. How many ml/hr will the drip need
to run to deliver 4 units per hour?




10. Tracy is receiving lanoxin q8h. She weighs 7.2 KG. Safe dose range for this drug is 0.03
to 0.06 mg/KG/day. What is the maximum safe dose you should deliver q8h?





11. Vanessa is to receive 1000 ml of PLR in 8h. You are using 10 gtt/ml tubing. What will your
Flow rate be?







12. Peggy weighs 85 lbs and is to receive Rocephin GM 1 q12h. The Rocephin is mixed in
150 ml D5W. Figure the gtts/min if it is to infuse over 40 minutes using 15 gtt/ml tubing.







13. The physician has ordered 500000 units swish and swallow. Based on the label how
much will the nurse administer? Availbale: 100,000 units per mL




14. A hypotensive client is receiving IV dopamine(400 mg/250ml). The client weighs 72 kg
and is receiving 15 ml/hr. How many mcg/kg/min is the client receiving?





15. Cindy is to receive 250 mL of NS over the next hour. The tubing drop factor is 15 so what
will the gtt/min be?


16. You are to administer 12.5 mcg of Synthroid p.o. to Jean. The pharmacy sends
Synthroid 0.025 mg per scored tablet. How many tablets should you administer?





17. Sherrys IV fluids are to finish over the next 3 hours. She has 500 ml left and the drop
factor is 15. What should the drip rate be set at?





18. Your client is receiving an IV nitroglycerin gtt. (50 mg/250ml normal saline). The nurse needs to
set your volumetric pump at what mL/hour to deliver 10 mcg/min?






19. The client weights 132 pounds and is receiving a dopamine (400mg/500ml) infusion at 22.5 ml/hr
per volumetric pump. How many mcg/kg/min is being given?






20. A 70 kg hypertensive client is ordered to receive 0.5 mcg/kg/min of IV nitroprusside.
The solution strength is 50mg/250ml NS. How many mL/hr will the nurse set the IV
pump?



ANSWER KEY: MODULE II.I
Answers:

1. 55 ml
2. 45 gtt/min
3. 0.7 ml
4. 50 gtt/min
5. 60 mg
6. 24 mEq
7. 14 ml/hr
8. 1400 units
9. 10 ml/hr
10. 0.14 mg
11. 21 gtts./min
12. 56 gtts/min
13. 5 mL
14. 5.56 mcg/kg/min
15. 63 gtts/min
16. 0.5 tablets
17. 42 gtt/min
18. 3ml/hr
19. 5 mcg/kg/min
20. 10.5 mL/hr












Dosage Comp Level III & Level IV Practice Worksheet
Keys worked in Dimensional Analysis

#1. 55 mL
Wanted Recommended
concentration
Order Answer
mL 1 mL 275 mg 1 x 275 55
5 mg 5

#2. 45 drops per minute
Flow rate Drip factor Order Answer
gtt 60 gtt 30 mL 60 x 30 45
min 1 mL 40 min 1 x 40

#3. 0.7 mL
Wanted Have on hand Order Answer
mL 40 mL 7 mg 40 x 7 0.7
400 mg 40

#4. 50 drops per minute
Flow rate Drip factor Order Answer
gtt 15 gtt 150 mL 15 x 150 50
min 1 mL 45 min 1 x 45

#5. 60 mg
Wanted conversion Dose on hand order Answer
mg 1000 mg 1 gm 30 mL 1000 x 1 x 30 60
1 gm 500 mL 1x 500


#6. 24 mEq
Wanted Order Solution on hand Answer
mEq 40 mEq 600 mL 40 x 600 24
1000 mL 1000


#7. 14 mL/ hr
Wanted Dose on hand Order Answer
mL/hr 250 mL 7 mg 250 x 7 14
125 mg 125

#8. 1400 units
Wanted Dose on hand Order Answer
units 25000 Units 14 mL 25000 x 14 1400
250 mL 250

#9. 10 mL/hr
Wanted Dose on hand Order Answer
mL 250 mL 4 units 250 x 4 10
100 units 100

#10. 0.14 mg
Wanted Order per day weight conversion Frequency/dose Answer
Mg/dose 0.06 mg 7.2 kg 1 day 8 hr 0.06 x 7.2 x 8 0.14
1 kg 24 hours 1 x 24
C:\Documents and Settings\lbiglie\Local Settings\Temporary Internet
Files\Content.Outlook\K016YXKJ\Level III and IV Review Worksheet 10 2011.doc
Updated Jan 2011 9
#11. 21 gtt/min
Flow rate Drip factor Order Conversion Answer
gtt 10 gtt 1000 mL 1 hr 10x1000x1 20.8
min 1 mL 8 hr 60 min 1x8x60

#12. 56 gtt/min
Flow rate Drip factor Supplied Order Answer
gtt 15 gtt 150 mL 1 gm 15x150x1 56.25
min 1 mL 1 gm 40 min 1x1x40


#13. 5 mL
Wanted Have on Hand Order Answer
mL 1 mL 500,000 1x500000 5
100,000 100000

#14. 5.56 mcg/kg/min
wanted conversion Strength of
med
IV rate conversion Weight Answer
Mcg 1000 mcg 400 mg 15 mL 1 hr 1 1000x400x15x1x1 5.555
Kg/min 1 mg 250 mL 1 hr 60 min 72 kg 1x250x1x60x72


#15. 63 gtt/min
Flow rate Drip factor Order Conversion Answer
gtt 15tt 250 mL 1 hr 15x250x1 62.5
min 1 mL 1hr 60 min 1x1x60


#16. 0.5 tab or tab
Wanted Have on Hand conversion Order Answer
tabs 1 tab 1 mg 12.5 mcg 1x1x12.5 .0.5
0.025 mg 1000 mcg 0.025x1000

#17. 42 gtt/min
Flow rate Drip factor Order Conversion Answer
gtt 15 gtt 500 mL 1 hr 15x500x1 41.666
min 1 mL 3 hr 60 min 1x3x60

#18. 3 mL/hr
wanted Strength of
med
conversion order conversion Answer
mL 250 mL 1 mg 10 mcg 60 min 250x1x10x60 3
hr 50 mg 1000 mcg Kg/min 1 hr 50x1000x1

#19. 5 mcg/kg/min
wanted conversion Strength of med IV rate conversion Wt conversion Answer
Mcg 1000 mcg 400 mg 22.5 mL 1 hr 2.2 # 1000x400x22.5x1x2.2 5
Kg/min 1 mg 500 mL 1 hr 60 min 132# 1 kg 1x500x1x60x132x1

#20. 10.5 mL/hr
wanted Strength of med conversion order conversion weight Answer
mL 250 mL 1 mg 0.5 mcg 60 min 70 Kg 250x1x0.5x60x70 10.5
hr 50 mg 1000 mcg Kg/min 1 hr 50x1000x1

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