Medication Dosage Calculations Quiz

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Questions and Answers

A 110 lb patient needs medication at a concentration of 25mg/ml, and requires 40 mg/kg over 150 minutes. What is the correct flow rate of the IV in ml/min?

  • 0.5 ml/min (correct)
  • 0.7 ml/min
  • 0.6 ml/min
  • 0.4 ml/min

A 95 lb patient requires an antibiotic, where the recommended dosage is 25 mg/kg, and is needed over 10 days, taking 20ml twice daily. How many grams of this antibiotic must be measured out for the entire course?

  • 24 g
  • 22 g (correct)
  • 26 g
  • 20 g

A 125 lb patient is on an IV drip, delivering a drug over 360 minutes at a rate of 1.0 ml/min. The recommended dosage of the drug is 60 mg/kg. What is the drug concentration that should be prepared, in mg/ml?

  • 9 mg/ml (correct)
  • 10 mg/ml
  • 8 mg/ml
  • 7 mg/ml

If calcium accounts for 1.4% of a human's mass, how many kilograms of calcium are in a 125 lb person?

<p>0.80 kg (A)</p> Signup and view all the answers

A patient weighing 110 lbs requires a drug at a concentration of 25mg/ml. If the dosage needed is 40 mg/kg, and the IV flow rate is 0.5ml/min, how long in minutes should the drug take to be delivered?

<p>150 minutes (D)</p> Signup and view all the answers

A physician orders 75 mg of Toprol XL. The pharmacy supplies Toprol XL in 100 mg tablets. How many tablets should the nurse administer?

<p>0.75 tablets (A)</p> Signup and view all the answers

A patient needs 1800 mg of Klor-Con. The available dose is 600 mg per tablet. How many tablets would you administer?

<p>3 tablets (A)</p> Signup and view all the answers

A dose of 0.4 g of Dilantin-125 is ordered. The available concentration is 125 mg/5 mL. How many mL should the nurse administer?

<p>16 mL (D)</p> Signup and view all the answers

If a medication is available as 250 mg per tablet, and a nurse needs to administer 750 mg, how many tablets should the nurse give?

<p>3 tablets (B)</p> Signup and view all the answers

A patient needs 20 mg of Furosemide. The available supply is 40 mg in 1 mL. How much should the nurse administer?

<p>0.5 mL (C)</p> Signup and view all the answers

A medication is supplied as 500 mg per 2 mL and the patient needs 250 mg. How many mL should be administered?

<p>1 mL (A)</p> Signup and view all the answers

If a medication is available at a concentration of 100 mg/mL, and a patient needs a 75 mg dose, what volume should be administered?

<p>0.75 mL (C)</p> Signup and view all the answers

A medication is available as 150 mg per tablet. If a nurse needs to administer 450 mg, how many tablets are needed?

<p>3 tablets (D)</p> Signup and view all the answers

A patient requires an antibiotic with a recommended dosage of 15.0 mg/kg. If the patient weighs 32.4 lbs and the medication is to be administered twice daily for 10 days in a 200 mL solution, how many grams of the antibiotic are needed?

<p>4.418 g (B)</p> Signup and view all the answers

A 175 lb patient is on an IV drip at 0.5 ml/min. The prescribed drug dosage is 25 mg/kg, and the drug solution is 150 mg/ml. How long should the IV drip be set to deliver the correct dose in minutes?

<p>26.66 minutes (D)</p> Signup and view all the answers

If a 500 mg dose of drug A is ordered and it is available as 25 mg in 5 mL, what volume should be administered?

<p>100 ml (B)</p> Signup and view all the answers

What is the IV flow rate in gtts/min if 750 mL of a solution is to be administered over 6 hours, using a drop factor of 20 gtts/mL?

<p>38 gtts/min (D)</p> Signup and view all the answers

A doctor orders 225 mg of Dilantin-125. The medication is available as 25 mg in 1 mL. How many milliliters should be administered?

<p>9 ml (B)</p> Signup and view all the answers

A patient weighing 100 lbs requires Furosemide at a dose of 2 mg/kg. The medication is available as 25 mg in 2 mL. What volume should be administered?

<p>7.27 ml (D)</p> Signup and view all the answers

An infusion of 1000 mL of normal saline is ordered over 8 hours. If the drop factor is 15 gtts/mL, what is the required IV flow rate in gtts/min?

<p>31 gtts/min (D)</p> Signup and view all the answers

A 40 lb patient needs Medrol at a dosage of 10 mg/kg, four times a day for 3 days. How many milligrams of Medrol must be dissolved in 120 mL total to give the correct dosage?

<p>2200 mg (C)</p> Signup and view all the answers

A patient needs 500 mL of IV fluid administered over 4 hours using a 60 gtts/mL IV set. What is the correct drip rate in gtts/min?

<p>125 gtts/min (D)</p> Signup and view all the answers

If a 500 mL IV solution is administered over 10 hours using a pump, what is the flow rate in mL/hour?

<p>50 mL/hour (A)</p> Signup and view all the answers

Aggrastat, available as 12.5 mg in 250 mL, is prescribed at 6.0 mg/kg over 1 hour for a 100 lb patient. What is the required flow rate in mL/hr?

<p>5500 ml/hr (B)</p> Signup and view all the answers

A 110 lb patient is prescribed a drug at 40 mg/kg, to be administered over 150 minutes via IV drip. If the drug is prepared as 25 mg/ml, what is the flow rate in mL/min?

<p>1.33 mL/min (D)</p> Signup and view all the answers

An infusion pump is set to deliver 1500 mL of fluid over 12 hours. What is the infusion flow rate in mL/hour?

<p>125 mL/hour (B)</p> Signup and view all the answers

A patient requires 800 mL of an IV solution to be administered over 200 minutes using an infusion pump. What is the flow rate in mL/hour?

<p>240 mL/hour (A)</p> Signup and view all the answers

What is the required flow rate in mL/hr if 1000 mL of IV fluid needs to be infused over 5 hours using an infusion pump?

<p>200 mL/hr (B)</p> Signup and view all the answers

A 1200 mL IV bag needs to be infused within 8 hours through an infusion pump. What is the flow rate in mL/hr?

<p>150 mL/hr (D)</p> Signup and view all the answers

A medication is ordered at 5 mg/kg for a child weighing 44 lbs. What is the required dosage of the medication in milligrams?

<p>100 mg (C)</p> Signup and view all the answers

A doctor prescribes 300 mg of a medication every 6 hours for a patient. The medication label indicates a desired range of 50-100 mg/kg per day. If the patient weighs 22 lbs, is the prescribed amount within the desired range?

<p>No, the prescribed dose is above the maximum daily dose. (C)</p> Signup and view all the answers

A medication is available as 250mg/2mL. If a patient needs a 150mg dose, how many mL should be administered?

<p>1.2 mL (B)</p> Signup and view all the answers

A doctor orders a medication at 2.5 mg/kg for a child weighing 33 pounds. The medication is available in a concentration of 100mg/mL. How many mL should be administered?

<p>0.375 mL (B)</p> Signup and view all the answers

A patient weighing 17.5 kg needs a medication dosed at 7 mg/kg. If the medication is supplied as 350 mg per 5 mL, what volume of medication is required?

<p>1.75 mL (A), 1.75 mL (C)</p> Signup and view all the answers

A medication is prescribed at a range of 20 to 40 mg/kg per day. A child weighs 55 lbs. What is the range of the daily dosage?

<p>500-1000 mg (A)</p> Signup and view all the answers

An infant weighs 15 lbs and needs a medication with a desired dosage range between 10-20 mg/kg. Which of the options below is within the range?

<p>120 mg (A)</p> Signup and view all the answers

A patient is prescribed 15 mg of a medication per kilogram of body weight. If the patient weighs 176 pounds, what is the total dosage the patient must receive?

<p>1200 mg (B)</p> Signup and view all the answers

Flashcards

Drug Dosage Calculations

Calculating the amount of medication to give a patient when the ordered dose is different from what is available.

Amount Desired (D)

The amount of medication the doctor has ordered for the patient to receive.

Amount on Hand (H)

The form and strength of the medication as it is available in the pharmacy or hospital.

Quantity (Q)

The amount of medication in a single unit (e.g., a tablet, a capsule, a milliliter).

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Ratio and Proportion Method

A method for solving drug calculations involving a simple formula: D/H x Q = X (Desired amount divided by Amount on hand multiplied by Quantity equals the amount to administer).

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Tablets/Capsules

Drug dosage calculations where a single unit contains a specific amount of medication.

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Liquid Medications

Drug dosage calculations where the medication is provided in a liquid form and needs to be measured precisely.

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Accurate Dosage Calculations

A key factor in medication administration that helps ensure patient safety and accurate drug delivery.

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Dosage Calculations Based on Body Weight

Dosage calculations based on body weight are necessary when the medication's amount is dependent on the patient's weight, often seen in pediatric prescriptions.

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Patient's Weight in Kilograms

The weight of a patient in kilograms (kg) is a crucial factor in determining accurate dosage calculations.

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Dosage Ordered

The dosage ordered by the doctor is the prescribed amount of medication per kilogram of body weight.

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Medication Concentration

The available medication's concentration is represented as the amount of medication (e.g., milligrams) present in a specific volume (e.g., milliliters).

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Calculating Required Dosage

The process of calculating the total dosage needed based on the patient's weight and the dosage ordered.

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Calculating Volume to Administer

The final step is to determine the volume of medication to be administrated, considering the medication's available concentration.

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Desired Dosage Range

The desired dosage range is a set guideline provided by the medication label, indicating the safe and effective dosage per kilogram of body weight.

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Verifying Dosage within Range

Comparing the calculated total dosage with the desired dosage range provided by the medication label to ensure the prescribed dose is safe and appropriate.

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Intravenous Drip Rate Calculation

Calculating the rate at which intravenous fluids are delivered to a patient, expressed in drops per minute (gtts/min).

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Drop Factor

The number of drops per milliliter (gtts/mL) that an intravenous administration set delivers.

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Intravenous Drip Rate Formula

The formula used to calculate the intravenous drip rate, taking into account the volume of fluid, infusion time, and drop factor: Flow Rate (gtts/min) = Volume (mL) x Drop Factor (gtts/mL) / Time (min)

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Infusion Pump

A device used to deliver intravenous fluids at a precise and controlled rate, usually measured in milliliters per hour (mL/h).

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Infusion Pump Flow Rate

The rate at which fluids are delivered by an infusion pump, typically expressed in milliliters per hour (mL/h).

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Calculating Infusion Pump Flow Rate

Calculating the flow rate for an infusion pump involves considering the volume of fluid and the time of infusion. The formula is: Flow Rate (mL/h) = Volume (mL) / Time (h)

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Rounding Drip Rates

Rounding off calculated drip rates to the nearest whole number is necessary because it is impossible to administer fractions of drops.

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Time Unit Conversions

Converting time units (such as hours to minutes) is often required when working with infusion calculations.

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Drug Dosage

The amount of medication a patient needs based on their weight and the prescribed dosage.

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Body Mass Conversion

Converting pounds (lbs) to kilograms (kg) to calculate drug dosage.

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IV Flow Rate

Calculating the flow rate of an IV drip based on the prescribed dosage, concentration, and time.

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Drug Concentration

Determining the necessary concentration of a drug in a solution based on prescribed dosage and delivery rate.

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Component Calculation

Calculating the amount of a specific component (e.g., calcium) in a body based on its percentage and total mass.

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Desired Dosage

The amount of a drug that is needed for a patient based on their weight, typically measured in milligrams per kilogram (mg/kg).

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Amount to Administer

The amount of drug that needs to be measured out and administered to the patient based on the desired dosage and the available drug concentration.

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Flow Rate

The rate at which a medication is delivered to a patient, typically measured in milliliters per hour (mL/hr).

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Kilogram (kg)

A unit of weight equal to 2.2 pounds.

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Liter (L)

A unit of volume equal to 1,000 milliliters (mL) or 1 liter (L).

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Milliliter (mL)

A unit of volume equal to one-thousandth of a liter (L).

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Study Notes

Drug Delivery and IV Rates

  • Drug delivery and intravenous (IV) rates are crucial for administering medications accurately.
  • IV rates are calculated using formulas that consider the volume of medication, time of administration, and the drop factor of the IV set.
  • Calculations for IV flow rates need the volume (mL), time (minutes or hours), and the drop factor (gtts/mL) set.
  • Flow rates are expressed in drops per minute (gtts/min).
  • Dosage calculations for various medications, especially those for children, often depend on the patient's weight.
  • Dose calculations typically involve converting pounds (lbs) to kilograms (kg).
  • Common terms include “amount desired”, “amount on hand”, and “quantity”.
  • Several drug types and dosages are noted in the provided text, including Cetirizine, Diphenhydramine, Ibuprofen, and Klor-Con.
  • Drug dosage calculations are essential when a physician orders a drug in one dose, while the available drug is in a different dose.
  • Formulas are given to enable calculation of drug dosage and drip rates depending on the information provided.
  • For certain conditions, it's relevant to note if a rate is measured as a daily, hourly or drop per second value.
  • Specific examples include calculating the number of tablets to administer (e.g., Toprol XL, Klor-Con) and determining IV drip rates.

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