Dosage Calculation in Nursing
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Questions and Answers

What is the initial quantity measured in the equation before solving for X?

  • 6.5 mL
  • 650 mg
  • 5 mL (correct)
  • 500 mg
  • What is the final result for X after setting up and solving the equation?

  • 6.5 mL (correct)
  • 5 mL
  • 650 mg
  • 500 mg
  • How is the conversion factor used in the equation relevant?

  • To set the initial quantity of 5 mL
  • To cancel out unwanted units of measurement (correct)
  • To find the dosage of the liquid
  • To change 500 mg to 650 mg
  • Why is it important to determine whether the amount to administer makes sense?

    <p>To ensure that the patient receives the correct medication</p> Signup and view all the answers

    What two values are compared to set up the equation for calculating X?

    <p>Desired amount and initial dose</p> Signup and view all the answers

    What dosage is prescribed that requires calculating how much to administer?

    <p>650 mg</p> Signup and view all the answers

    What operation is performed in step 4 of the process?

    <p>Solving for X</p> Signup and view all the answers

    What is the significance of rounding the final answer?

    <p>To make the dosage easier to dispense</p> Signup and view all the answers

    How many milliliters would a nurse administer if the prescription reads 200 mg and the concentration is 250 mg/5 mL?

    <p>4 mL</p> Signup and view all the answers

    If a nurse needs to administer a dose of 15,000 units and the available concentration is 20,000 units, what calculation method could be used?

    <p>Using Desired Over Have</p> Signup and view all the answers

    What is the correct first step in determining the dosage to be administered using Dimensional Analysis?

    <p>What is the unit of measurement?</p> Signup and view all the answers

    When converting units of measurement for dosage calculations, what should the nurse verify?

    <p>If a conversion is necessary</p> Signup and view all the answers

    If a nurse is using the Ratio and Proportion method, what is the essential step to take?

    <p>Cross-multiply to find the desired volume</p> Signup and view all the answers

    What should be done if the available dose and the desired dose require conversion to the same unit?

    <p>Convert both doses to the same unit</p> Signup and view all the answers

    In calculating dosage, why is it significant to confirm the concentration before administering medication?

    <p>To achieve accurate dosage calculations</p> Signup and view all the answers

    What method of calculation might not be useful if the units of the available dose and the dose to be administered are mismatched?

    <p>Using Simple Addition</p> Signup and view all the answers

    What is the desired dose that the nurse should administer?

    <p>2 mg</p> Signup and view all the answers

    What is the dose available from the medication the nurse has?

    <p>1 mg</p> Signup and view all the answers

    Should the nurse convert the units of measurement in this calculation?

    <p>No, conversion is not required</p> Signup and view all the answers

    Which method involves placing the unit of measurement being calculated on the left side of the equation?

    <p>Dimensional Analysis</p> Signup and view all the answers

    What is the quantity of the dose available according to the provided information?

    <p>1 tablet</p> Signup and view all the answers

    In Ratio and Proportion, what base information does the nurse need before calculating the dose?

    <p>Desired dose and available dose</p> Signup and view all the answers

    Which of the following describes the second step in all three methods?

    <p>Determine the desired dose to administer</p> Signup and view all the answers

    Which of these methods is specifically focused on establishing a ratio for dose calculation?

    <p>Ratio and Proportion</p> Signup and view all the answers

    How many mL should the nurse administer for clindamycin 200 mg if it is available as injection 200 mg in 100 mL 0.9% NaCl?

    <p>50 mL</p> Signup and view all the answers

    What is the correct IV infusion rate in mL/hr for 250 mg of amoxicillin to be infused over 30 minutes using a solution of 250 mg/5 mL?

    <p>90 mL/hr</p> Signup and view all the answers

    For the administration of heparin 15,000 units, how many mL should the nurse administer if the available concentration is 20,000 units/mL?

    <p>1.5 mL</p> Signup and view all the answers

    How many mL should the nurse administer for furosemide 80 mg if it is available as 10 mg/mL?

    <p>8 mL</p> Signup and view all the answers

    If a nurse is administering acetaminophen 650 mg PO, how many mL should be given if the available concentration is 500 mg/5 mL?

    <p>6.5 mL</p> Signup and view all the answers

    When preparing to administer 750 mL of D5W IV over 6 hours, what is the rate in mL/hr?

    <p>125 mL/hr</p> Signup and view all the answers

    How many gtt/min should the nurse set the IV infusion if the drop factor is 10 gtt/mL and the CNS infusion rate is set at 125 mL/hr?

    <p>30 gtt/min</p> Signup and view all the answers

    What is the volume in mL to be administered for a dose of 200 mg clindamycin if it is given in 100 mL of 0.9% NaCl?

    <p>20 mL</p> Signup and view all the answers

    How many tablets should be administered if the prescription reads 2 mg and each tablet is 1 mg?

    <p>2 tablets</p> Signup and view all the answers

    What is the first step in using the dimensional analysis method for dosage calculation?

    <p>Determine the unit of measurement being calculated</p> Signup and view all the answers

    In dosage calculation, if 1 kg is equal to 2.2 lb, how do you determine the client's weight in kg from their weight in lb?

    <p>Divide the weight in lb by 2.2</p> Signup and view all the answers

    What is the equivalent of 44 lb in kilograms using the given relationship of 1 kg = 2.2 lb?

    <p>19.8 kg</p> Signup and view all the answers

    If a nurse needs to administer 4 mL of a medication, which calculation method is most effective for determining dosages?

    <p>All methods are equally effective</p> Signup and view all the answers

    When using the 'Desired Over Have' method, what must be established first?

    <p>The desired dosage</p> Signup and view all the answers

    What is the correct equation setup when calculating dosage if the client’s weight is 2.2 lb and we are converting to kg?

    <p>2.2 lb = X kg × 1 kg/2.2 lb</p> Signup and view all the answers

    If the dosage of a medication is determined using dimensional analysis, what is essential for accuracy?

    <p>Ensuring units cancel correctly</p> Signup and view all the answers

    Study Notes

    Dosage Calculation

    • A nurse needs to determine the correct dosage to administer medication to a patient.
    • Dosage calculation involves calculating the correct amount of medication to give based on the patient's weight, age, and condition.
    • This calculation is necessary to ensure a safe and effective medication administration.
    • Dosage calculations are also important for medication safety and to prevent medication errors.
    • The nurse determines the unit of measurement the nurse needs to calculate.
    • The nurse determines the dose to administer.
    • The nurse determines the available dose.
    • The nurse determines if they should convert the units of measurement.
    • The nurse determines the quantity of the dose available.
    • The nurse sets up the equation to solve for the correct dose (X).
    • After calculating the correct dose, the nurse should determine if the amount makes sense.
    • There are different methods to calculate dosage, like the ratio and proportion method, the desired over have method, and the dimensional analysis method.

    Ratio and Proportion Method

    • This method is used to find the ratio that equates to the provided ratio and solves for the unknown dosage.
    • The nurse sets up a ratio of the known dose to the unknown dose and equates it to the ratio of the quantity available to the unknown quantity.

    Desired Over Have Method

    • This method involves setting up an equation with the desired dose divided by the available dose.
    • The nurse then multiplies this equation by the available quantity to obtain the desired quantity.

    Dimensional Analysis Method

    • This method involves determining the unit of measurement being calculated and then using other ratios with known quantities to solve the desired quantity.
    • The nurse sets up an equation and uses ratios to cancel out unwanted units and isolate the desired unit.

    Different Examples of Dosage Calculation

    • Calculating a patient's weight in kilograms.
    • Calculating the number of mL to administer amoxicillin suspension.
    • Calculating the number of mL to administer heparin subcutaneously every 12 hours.
    • Calculating the number of mL to administer acetaminophen PO every 6 hours PRN for pain.
    • Calculating the number of gtt/min. for a manual IV infusion.
    • Calculating the number of mL/hr for an IV pump.
    • Calculating the number of tablets to administer haloperidol every 12 hours.
    • Calculating the number of mL to administer furosemide oral solution daily.
    • Calculating the number of mL to administer dextrose 5% in water (D5W) IV to infuse over 6 hours.
    • Calculating the number of gtt/min to adjust a manual IV infusion.

    NCLEX® Connection: Pharmacological and Parenteral Therapies, Dosage Calculation

    • This topic is essential for nurses, and they are likely to encounter questions related to it on the NCLEX® exam.
    • It is essential to understand the different methods of dosage calculation and be able to apply them to different scenarios.

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    Description

    Test your knowledge on dosage calculation methods used in nursing. This quiz covers essential concepts related to determining the correct dosage based on patient specifics such as weight, age, and condition. The importance of medication safety and error prevention will also be highlighted.

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