Podcast
Questions and Answers
What is the weight of a patient who is 132 lb in kilograms?
What is the weight of a patient who is 132 lb in kilograms?
- 65 kg
- 55 kg
- 60 kg (correct)
- 70 kg
If a patient's weight is 31 lb, how many milligrams of Cefaclor should they receive per day?
If a patient's weight is 31 lb, how many milligrams of Cefaclor should they receive per day?
- 330 mg
- 310 mg
- 280 mg
- 260 mg (correct)
What is the total daily dose of mephenytoin for a patient with a body surface area of 0.8 m²?
What is the total daily dose of mephenytoin for a patient with a body surface area of 0.8 m²?
- 160 mg (correct)
- 150 mg
- 180 mg
- 140 mg
For a patient who is 68 inches tall and weighs 172 lb, what is the Melphalan dosage per dose if it is given every 2 weeks?
For a patient who is 68 inches tall and weighs 172 lb, what is the Melphalan dosage per dose if it is given every 2 weeks?
In the formula 'mg x kg = pts dose', what does 'pts' stand for?
In the formula 'mg x kg = pts dose', what does 'pts' stand for?
What is the essential part of a medication order that must be included?
What is the essential part of a medication order that must be included?
If a client needs to receive 80 mg of a drug, and the available tablets are 40 mg each, how many tablets should the client take?
If a client needs to receive 80 mg of a drug, and the available tablets are 40 mg each, how many tablets should the client take?
To convert 2.5 kg to pounds, one would multiply by what factor?
To convert 2.5 kg to pounds, one would multiply by what factor?
Which abbreviation represents 'hour of sleep' in medication orders?
Which abbreviation represents 'hour of sleep' in medication orders?
How many milliliters are in 1 liter?
How many milliliters are in 1 liter?
If a child weighs 33 pounds, approximately how many kilograms does this weight correspond to?
If a child weighs 33 pounds, approximately how many kilograms does this weight correspond to?
What is the correct conversion factor between milligrams (mg) and grams (g)?
What is the correct conversion factor between milligrams (mg) and grams (g)?
In the given calculations, what is the third numerator after 250 mg and 1000 mg?
In the given calculations, what is the third numerator after 250 mg and 1000 mg?
What is the most accurate way to determine drug dose for infants, children, and older adults?
What is the most accurate way to determine drug dose for infants, children, and older adults?
Which equation is used to calculate the patient's dose per day based on body weight?
Which equation is used to calculate the patient's dose per day based on body weight?
What is the final answer for the given example involving cyclophosphamide dosing?
What is the final answer for the given example involving cyclophosphamide dosing?
For oral medication, if 1 tablet equals 325 mg, what is the correct conversion factor from milligrams to grams for this scenario?
For oral medication, if 1 tablet equals 325 mg, what is the correct conversion factor from milligrams to grams for this scenario?
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Study Notes
Dosage Calculations
- Fluorouracil dosage calculation: 12mg/kg/day, not to exceed 800mg/day; for a 132lb patient, the dose would be 720mg
- Cefaclor dosage calculation: 20mg/kg/day in 3 divided doses; for a 31lb patient, the dose would be 280mg, divided into 3 doses of 93mg each
- Mephenytoin dosage calculation: 200mg/m² PO in 3 divided doses; for a 42-inch tall, 44lb patient, the dose would be 160mg, divided into 3 doses of 53mg each
Pharmacology and Medication Orders
- Types of medication orders: stat, single, and standing orders
- Essential parts of a medication order: full name of client, date and time order is written, name of drug to be administered, dosage of drug, frequency of administration, route of administration, and signature of person writing the order
- Communicating medication orders: written chart, phone, or verbally; copied to Kardex or MAR, or on computer printout
Systems of Measurement and Conversion
- Gram (weight): 1kg = 2.2lbs
- Liter (volume): 1L = 1000mL
- Meter (length): 1m = 100cm = 1000mm
- Conversions: lb → kg, kg → lb, mL → L, L → mL
Body Surface Area (BSA) and Body Weight
- BSA calculation: most accurate way for infants, children, older adults, and patients on antineoplastic agents or with low body weight
- Determining drug dose per body weight: convert lbs to kg, determine drug dose per BW by multiplying drug dose x # of square meters
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