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Questions and Answers
Questions and Answers
How many milliliters will you need to administer for a dose of 750 mg of vancomycin from a 1 g vial that contains 50 mg/mL?
How many milliliters will you need to administer for a dose of 750 mg of vancomycin from a 1 g vial that contains 50 mg/mL?
- 5 mL
- 20 mL
- 10 mL
- 15 mL (correct)
What is NOT required on a physician’s order for medication administration?
What is NOT required on a physician’s order for medication administration?
- The dosage amount
- The drug name
- The physician's signature (correct)
- The patient's full name
Which type of diluent is typically used for reconstituting medications like Penicillin G?
Which type of diluent is typically used for reconstituting medications like Penicillin G?
- Dextrose solution
- Sterile water for injection (correct)
- Normal saline
- Lactic acid solution
What is the conversion factor from grams to milligrams?
What is the conversion factor from grams to milligrams?
After withdrawing the dose of medication from a vial, what should NOT be done with the vial?
After withdrawing the dose of medication from a vial, what should NOT be done with the vial?
When documenting how a medication was reconstituted, what information is most crucial to include?
When documenting how a medication was reconstituted, what information is most crucial to include?
Which of the following is NOT a requirement when performing medication calculations?
Which of the following is NOT a requirement when performing medication calculations?
What is the proper rounding method for adult weight in kg during dosage calculations?
What is the proper rounding method for adult weight in kg during dosage calculations?
How many milliseconds are in one second?
How many milliseconds are in one second?
What is the correct way to write a dosage of 0.5 mL?
What is the correct way to write a dosage of 0.5 mL?
What is the recommended action regarding the administration of scored tablets?
What is the recommended action regarding the administration of scored tablets?
What amount of medication does one ounce equate to in milliliters?
What amount of medication does one ounce equate to in milliliters?
When rounding pediatric answers, what is the nearest precision to use?
When rounding pediatric answers, what is the nearest precision to use?
Which format is correct when documenting weights greater than 4 digits?
Which format is correct when documenting weights greater than 4 digits?
In a dosage calculation, if the desired dose is in milligrams and the available dose is in grams, what must be done?
In a dosage calculation, if the desired dose is in milligrams and the available dose is in grams, what must be done?
If you are performing a medication dosage calculation and end up with the answer of 5.3 mg, how should this be reported?
If you are performing a medication dosage calculation and end up with the answer of 5.3 mg, how should this be reported?
What is the correct way to express a tablet count when the tablet is not scored?
What is the correct way to express a tablet count when the tablet is not scored?
Where should a zero be placed when writing a decimal dosage?
Where should a zero be placed when writing a decimal dosage?
What is the proper way to indicate milliliters without using unnecessary symbols?
What is the proper way to indicate milliliters without using unnecessary symbols?
Which of the following is NOT included in the rules for dosage calculations?
Which of the following is NOT included in the rules for dosage calculations?
What step should come after cleansing the top of the medication vial when reconstituting medication?
What step should come after cleansing the top of the medication vial when reconstituting medication?
Questions and Answers
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Flashcards
Flashcards
Dosage Conversions
Dosage Conversions
Converting between units of measurement like grams (g) to milligrams (mg), kilograms (kg) to grams (g), or liters (L) to milliliters (mL).
Dosage Calculations
Dosage Calculations
Calculating the amount of medication a patient needs based on their weight, condition, and medication properties.
Desired Dose
Desired Dose
An amount of medication that is smaller than the standard unit.
Available Dose
Available Dose
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Reconstitution
Reconstitution
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Medication Double-Checking
Medication Double-Checking
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Scoring Tablets
Scoring Tablets
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Least Number of Pills
Least Number of Pills
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Diluent
Diluent
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Reconstituted Solution Concentration
Reconstituted Solution Concentration
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Dose
Dose
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Reconstitution Instructions
Reconstitution Instructions
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Single Strength Meds
Single Strength Meds
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Multi-Strength Vials
Multi-Strength Vials
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Two label checks
Two label checks
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Diluent Type and Amount
Diluent Type and Amount
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Expiration Dates
Expiration Dates
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Concentration
Concentration
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Hand Washing
Hand Washing
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Flashcards
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Study Notes
Study Notes
Pharmacology 3 Course Overview
- Course Instructor: Ashley Martin, RN, BSCN
- Course Dates: September 2024
- Midterm 1 (Med Math): September 9th, 0900. 25% weighting, up to two rewrites allowed
- IV Med Testing: September 26th, all day. 10% weighting, up to two re-tests allowed
- Discussions (LO5 & LO6): LO5 due October 20th at midnight, LO6 due October 27th at midnight. 20% weighting
- Lab Prep Activities (LO1 & LO2): LO1 due September 4th, 0900; LO2 due September 12th, 0900. 5% weighting
- Final Exam (Comprehensive): December 17th, 0900. 40% weighting
LO1: reconstitution of powdered meds
- Components:
- Med Math (Review Med Dosage Calculations)
- Reconstitution (Single Strength Meds)
- Reconstitution (Multiple Strength Meds)
- Demonstrate Reconstitution
Medication Calculation Review
- Dose Conversion: Ensure desired and available doses are in the same units
- Calculation Methods: Use formulas, ration and proportion methods
- Rounding: Pediatric calculations to the nearest hundredth. Adult answers: nearest tenth. Less than 1 mL to nearest hundredth.
- Documentation: Never round during a calculation, only at the end. Always place a zero in front of a decimal. Do not unnecessarily add zeros after a decimal
Dosage Calculations - Conversion Tables
- 1g = 1,000 mg
- 1 kg = 1,000 g
- 1 mg = 1,000 mcg
- 1 mg = 1,000 µg
- 1kg = 2.2 lbs
- 1 L = 1,000 mL
- 1 oz = 30 mL
- 1 teaspoon = 5 mL
- 1 tablespoon = 15 mL
Dosage Calculations: General Rules
- Weight: Rounding adult weights to the nearest tenth, pediatric weights to the nearest hundredth.
- Adult answers: Rounding adult answers to the nearest tenth (e.g., 2.1 mL, not 2.06 mL).
- Pediatric answers: Rounding pediatric answers to nearest hundredth (e.g., 2.06 mL, not 2.1 mL).
- Less than 1 mL: Rounding answers less than 1 mL to nearest hundredth (e.g., 0.93 mL, not 0.9 mL). Avoid rounding within a formula, only on the final answer
- Use decimals for dosages, not fractions.
Key Rights for Drug Administration
- Right Patient
- Right Medication
- Right Dose
- Right Route
- Right Time
- Right Documentation
- Right Reason
- Right Prescriber
Reconstitution Single Strength Meds
- Topic on reconstitution Single Strength medications.
Reconstitution Multiple Strength Meds
- Topic on reconstitution on Multiple Strength medications.
Additional Information
- Med Math Exam #1: September 9th at 0900, minimum 80% needed to pass, up to two rewrites permitted.
- Documentation: Document reconstitution activities and chosen diluents in nursing notes
- Review Lab Prep Activity: Review of lab preparation activities for calculations
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