Math.pdf PDF

1 Cup = 8 ounces 1 Bowl = 6 ounces 1 Can = 12 ounces 1. ½ bowl of soup = _____________ ounces 2. ¼ cup of water = _____________ mL 3. 12 ounces of juice = ___________mL 4. ⅓ bowl of gelatin = ____________ounces 5. 1 ounce = ___________________mL 6. 30 mL = ____________________ounc...

1 Cup = 8 ounces 1 Bowl = 6 ounces 1 Can = 12 ounces 1. ½ bowl of soup = _____________ ounces 2. ¼ cup of water = _____________ mL 3. 12 ounces of juice = ___________mL 4. ⅓ bowl of gelatin = ____________ounces 5. 1 ounce = ___________________mL 6. 30 mL = ____________________ounces 7. 2 ½ Tablespoons = ___________ mL 8. 1 ½ bowls of soup = __________mL 9. ½ can soda =________________mL 10. 2 ½ cups of water = ___________ ounces 11. ½ can soda = ________________ ounces 12. ⅓ bowl of gelatin = ____________mL 13. ½ bowl of soup = _____________ mL 14. 3 ounces = __________________ mL 15. ¼ cup of water = _____________ ounces 16. 3 Tablespoons = ______________ mL 17. ½ can soda =________________ounces 18. 3 bowls of soup = _____________ounces 19. 1 ½ bowls of soup = __________ounces 20. ½ can soda = ________________ mL 21. 3 ½ cups of coffee = ___________ ounces 22. 2 ½ cups of water = ___________ mL 23. 1 ¾ cups water = _____________ ounces 24. 2 ¾ cups coffee = ____________ mL 25. 1 ¾ cups water = _____________ mL Answers: 1. 3 ounces 2. 60 mL 3. 360 mL 4. 2 ounces 5. 30 mL 6. 1 ounce 7. 37.5 mL 8. 270 mL 9. 180 mL 10. 20 ounces 11. 6 ounces 12. 30 mL 13. 90 mL 14. 90 mL 15. 2 ounces 16. 45 mL 17. 6 ounces 18. 18 ounces 19. 9 ounces 20. 180 mL 21. 28 ounces 22. 600 mL 23. 14 ounces 24. 660 mL 25. 420 mL Conversions MAPE 1 Do not round conversions! This practice test is for accuracy. 1. 7oz = __________ mL 2. 37mg = _________mcg 3. 45mL = _________ oz 4. 725mcg = _______ mg 5. 17kg = __________ lb 6. 13cc = __________ mL 7. 5.25 oz = _______ mL 8. 9tsp = __________ mL 9. 3L = ____________ mL 10. 30mL = __________tsp 11. 15mL = __________ L 12. 3.75G = __________ mg 13. 1300mcg = ________mg 14. 4.5G = __________mcg 15. 33mcg = __________G 16. 4.5T = ___________ mL 17. 9tsp = ____________ mL 18. 9L = ______________ mL 19. 12oz = ___________ mL 20. 124lb = ___________ kg 21. 72kg = ____________lb 22. 3mcg = ___________ mg 23. 17 oz = ___________ T 24. 323mL = __________ L 25. 32lb = ____________kg 26. 145lb = ___________kg 27. 0.75mg = __________ mcg 28. 0.75L = ____________ mL 29. 450mcg = ___________mg 30. 8750mg = ___________G Conversions MAPE 1 Answers: 1. 210 2. 37,000 3. 1.5 4. 0.725 5. 37.4 6. 13 7. 157.5 8. 45 9. 3,000 10. 6 11. 0.015 12. 3,750 13. 1.3 14. 4,500,000 15. 0.000033 16. 67.5 17. 45 18. 9,000 19. 360 20. 56.4 21. 158.4 22. 0.003 23. 34 24. 0.323 25. 14.5 26. 65.9 27. 750 28. 750 29. 0.45 30. 8.75 PO tabs/caps MAPE 1 1. MD writes an order to Ativan 1mg by mouth at bedtime for sleeplessness. Pharmacy dispenses you with 0.5mg tablets. How many tablets do you administer with this dose?______ 2. Order: Atenolol 0.1 g PO daily Available: How many tablets will you give _____ 3. The nonsteroidal medication naproxen (Naprosyn) has been prescribed for a patient, 1375 mg/day in divided doses. Each tablet contains 0.275 g. How many tablets equal this daily dose?______ 4. The physician ordered: Digoxin 250 mcg po qid. The label reads 1 tablet equals 0.25 mg. How many tablets will you administer to your patient?_______ 5. MD writes an order Cardizem 250 mg bid by mouth daily. Pharmacy dispenses you with 0.5 gram capsules. How many capsules do you administer per dose?_____ 6. MD writes an order for a patient to receive 1000 mg of Sinemet by mouth bid. Pharmacy dispenses you with 250 mg tablets. How many tablets do you administer per day?_____ 7. Order: Benazepril (Lotensin HCT) 20 mg/25 mg PO every day How many tablets should the client receive per dose ____ PO tabs/caps MAPE 1 8. MD writes an order for Synthroid 500 mcg PO in the am daily. Pharmacy dispenses you with 250 mcg tablets. How many tablets do you administer with this dose?_____ 9. MD writes an order for Lanoxin 0.25 mg by mouth daily. Pharmacy dispenses you with 125 mcg per tablet. Patient’s apical pulse 80 bpm and it is safe to administer this dose. How many tablets do you administer per dose?_____ 10. MD writes an order to Amoxicillin 750mg TID by mouth for 5 days. Pharmacy dispenses you with 150mg capsules. How many capsules do you administer per dose?______ 11. MD writes an order for Coreg 15 mg PO BID for hypertension. Pharmacy dispenses you with 5 mg tablets. How many tablets do you administer with this dose?_____ 12. MD writes an order for Allopurinol 250 mg by mouth tid for a patient with gout. Pharmacy dispenses you with 0.5 gram tablets. How many tablets do you administer per day?____ 13. MD writes an order for Cytotec 0.1 gram by mouth daily. Pharmacy dispenses you with 100 mg per tablet. How many tablets do you administer per dose?_____ 14. Order: Benazepril (Lotensin HCT) 20 mg/25 mg PO every day How many tablets will be needed for 1 full week? _____ 15. MD writes an order for HCTZ 50 mg by mouth BID for hypertension. Pharmacy dispenses you with 12.5 mg tablets. How many tablets do you administer with this dose?_____ 16. MD writes an order for Lortab 5 mg by mouth every 4 hours as needed for pain. Pharmacy dispenses you with 10 mg tablets. How many tablets max can you administer per day?_____ PO tabs/caps MAPE 1 17. MD writes an order for Xanax 3 mg by mouth day. Pharmacy dispenses you with 1 mg per tablet of Xanax. How many tablets do you administer per dose?_____ 18. Order: Ampicillin 1 g PO as an initial dose, then 500 mg PO QID for 7 days Available: Ampicillin capsules labeled “500 mg” How many capsules will you administer in the initial dose _____ 19. MD writes an order for Betapace 75 mg bid. Pharmacy dispenses you with 0.025 gram capsules. How many capsules do you administer per day?_____ 20. Order: Cardura 8 mg PO daily Which dosage strength of Cardura, in milligrams, is most appropriate _____ 21. Order: Ampicillin 1 g PO as an initial dose, then 500 mg PO QID for 7 days Available: Ampicillin capsules labeled “500 mg” What is the total number of capsules needed for the subsequent 7 days’ doses ____ 22. Order: Coreg 6.25 mg PO BID Available: Coreg tablets labeled “3.125 mg” How many tablets should the client receive per dose _____ 23. Order: Estrace 2 mg PO daily Available: Scored tablets labeled “0.5 mg” and “1 mg” How many tablets will you administer in each dose ____ PO tabs/caps MAPE 1 24. MD writes an order for Dilantin 500 mg by mouth tid. Pharmacy dispenses you with 0.5 gram per capsule of Dilantin. How many capsules do you administer per day?_____ 25. Order: Evista 0.03 g PO daily How many tablets will be administered per dose _____ 26. MD writes for an order for MS Contin 15 mg by mouth every 6 hours for pain levels greater than 6 on 1-10 scale. Pharmacy dispenses you with 30 mg tablets. How many tablets is the patient allowed to have in a 24 hour period?_____ 27. MD writes an order for Lopressor 75 mg by mouth bid. Pharmacy dispenses you with 50 mg tablets. How many tablets do you administer per dose?_____ 28. Order: Synthroid 0.15 mg PO daily Available: Synthroid tablets labeled “75 mcg” How many tablets will be administered in each dose ____ 29. Order: Coreg 6.25 mg PO BID Available: Coreg tablets labeled “3.125 mg” How many milligrams will the client receive per day _____ 30. Order: Pindolol 5 mg PO BID for 1 week, increasing to 10 mg BID the second week Available: Pindolol tablets labeled “5 mg” How many tablets will the client need for the first week _____ 31. MD writes an order for Zovirax 525 mg by mouth every 8 hours. Pharmacy dispenses you with 150 mg per tablet. How many tablets do you administer per dose?_____ PO tabs/caps MAPE 1 32. Order: Methadone hydrochloride 25 mg PO daily Available: Scored tablets How many tablets will the client receive per dose ____ 33. Order: Norvasc 5 mg PO daily How many tablets will the client receive per dose ____ 34. Order: Pindolol 5 mg PO BID for 1 week, increasing to 10 mg BID the second week Available: Pindolol tablets labeled “5 mg” How many tablets will the client need for the second week ____ 35. Order: Ativan 0.5 mg by mouth four times a day Available: Ativan 1 mg per tablet Question: How many tablets will the nurse administer for each dose ____ 36. Order: Tegretol 0.3 g PO BID How many tablets will be administered per dose ____ 37. MD writes an order for Clonidine 0.375 mg by mouth daily for hypertension. Pharmacy dispenses you with 125 mcg tablets. How many tablets do you administer per dose?_____ PO tabs/caps MAPE 1 38. Order: Codeine 60 mg by mouth now Available: codeine 30 mg per tablet Question: How many tablets will the nurse administer for each dose ____ 39. Order: Zantac 300 mg PO daily at bedtime How many tablets will be administered per dose ____ 40. Order: Zoloft 50 mg PO daily Available: How many tablets will the client receive in each dose _____ 41. Order: Erythromycin (delayed release capsules) 0.5 g p.o. q12h for 10 days. Number of capsules to give_____ 42. Order: Effexor 75 mg p.o. B.i.d. Available: Scored Effexor tablets (can be broken in half) labeled 37.5 mg Number of tablets to give: _____ 43. Order: Crixivan 0.8 g p.o. Q8h Number of capsules to give:_____ PO tabs/caps MAPE 1 44. Order: Ampicillin 500 mg by mouth four times a day Available: Ampicillin 250 mg per capsule Question: How many capsules will the nurse administer for each dose ____ 45. Order: Cipro 1.5 g every 12 hours by mouth Available: Cipro 750 mg per tablet Question: How many tablets will the nurse administer for each dose ____ 46. Order: Synthroid 0.5 mg by mouth every day Available: Synthroid 250 mcg per tablet Question: How many tablets will the nurse administer for each dose ____ 47. Order: Ativan 2 mg PO stat Available: Ativan 1 mg/tablet Question: How many tablets of Ativan should be administered _____ 48. Order: Lanoxin 0.25 mg PO daily Available: Lanoxin 0.125 mg/tablet Question: How many tablets of Lanoxin should be administered ____ 49. Order: Lotensin HCT 20 mg/25 mg PO every day How many tablets should the client receive per dose ____ 50. Order: Coreg 6.25 mg PO BID Available: Coreg tablets labeled “3.125 mg” How many milligrams will the client receive per day _____ PO tabs/caps MAPE 1 Answers: 1. 2 tabs 2. 1 tab 3. 5 tabs 4. 1 tab 5. 0.5 caps 6. 8 tabs 7. 2 tabs 8. 2 tabs 9. 2 tabs 10. 5 caps 11. 3 tabs 12. 1.5 tabs 13. 1 tab 14. 14 tabs 15. 4 tabs 16. 3 tabs 17. 3 tabs 18. 2 caps 19. 6 caps 20. 4mg 21. 28 caps 22. 2 tabs 23. 2 tabs 24. 3 caps 25. 0.5tabs 26. 2 tabs 27. 1.5 tabs 28. 2 tabs 29. 12.5mg 30. 14 tabs 31. 3.5 tabs 32. 2.5tabs 33. 2 tabs 34. 28 tabs 35. 0.5 tabs 36. 3 tabs 37. 3 tabs PO tabs/caps MAPE 1 38. 2 tabs 39. 2 tabs 40. 2 tabs 41. 2 caps 42. 2 tabs 43. 2 caps 44. 2 caps 45. 2 tabs 46. 2 tabs 47. 2 tabs 48. 2 tabs 49. 2 tabs 50. 12.5 mg PO Liquids MAPE 1 1. The physician ordered Amoxicillin 10 mg PO q6h. Amoxicillin is supplied in 125 mg per 5 mL. How many milliliters will you administer per dose?_____ 2. Order: Biaxin 75 mg PO q12h Available: How many milliliters will be administered in each dose _____ 3. MD writes an order for Valium 1.5 mg by mouth via PEG tube. Pharmacy dispenses you with 3 mg/ml. How many ml will you administer per dose?_____ 4. MD writes an order for GI cocktail 150 mg by mouth every 6 hours for 24 hours. Pharmacy dispenses you with 75mg/3ml. How many ml will you administer daily?_____ 5. MD writes an order for Cipro oral suspension 100 mg every 12 hours for 3 day for a UTI. Pharmacy dispenses you with 5 gram/100 ml. How many mL will you administer per dose? ____ 6. MD writes an order for Digoxin Elixir 500 mcg by mouth daily. Patient’s apical pulse is 65 bpm. Pharmacy dispenses you with 0.5 mg/2 ml. How many ml will you administer per dose?____ 7. Order: Ceftin 500 mg PO q12h Available: How many milliliters will the client receive in each dose _____ PO Liquids MAPE 1 8. MD writes an order for Carafate 1 gram by mouth tid. Pharmacy dispenses you with 500 mg/ 2.5 ml. How many mg will you administer daily?_____ 9. Order: Depakene 0.5 g PO daily for 1 week, then 1 g PO daily beginning the second week Available: How many milligrams will the client receive per dose during the first week _____ 10. MD writes an order for Nystatin Oral Suspension 250,000 units by mouth every 6 hours for thrush in mouth. Pharmacy dispenses you with 500,000 units/5ml. How many ml will you administer per dose?_____ 11. Order: Depakene 0.5 g PO daily for 1 week, then 1 g PO daily beginning the second week Available: How many milliliters will you administer per dose during the first week ____ 12. MD writes an order for Colace 150 mg daily via PEG tube. Pharmacy dispenses you with 100 mg/ 15 ml. How many ml will you administer per dose?______ 13. MD writes an order for Lortab Elixir 5mg by mouth as needed for pain every 4 hours. Pharmacy dispenses you with 7.5mg/10ml. How many mL will you administer per dose?_____ PO Liquids MAPE 1 14. Order: Depakene 0.5 g PO daily for 1 week, then 1 g PO daily beginning the second week Available: How many milligrams will the client receive per dose during the second week ____ 15. Order: Amoxicillin 1 gram PO q6h. You have: Amoxicillin 400 mg in 5mL. How many mg will you give per day?_____ 16. Order: Depakene 0.5 g PO daily for 1 week, then 1 g PO daily beginning the second week Available: How many milliliters will you administer per dose during the second week ____ 17. MD writes an order for Posaconazole 50 mg by mouth once a day. Pharmacy dispenses you with 20 mg/ 2 ml. How many mg will you administer per dose?_____ 18. MD writes an order for Lactulose 20 grams by mouth BID. Pharmacy dispenses you with 10 gram/15 ml. How many grams will you administer per day?_____ 19. MD writes an order for Noxafil oral suspension 100 mg by mouth daily. Pharmacy dispenses you with 40mg/2ml. How many ml will you administer per dose?_____ 20. MD writes an order for Ibuprofen 200 mg by mouth every 4 hours for pain. Pharmacy dispenses you with 50 mg/ 2.5 ml. How many ml will you administer per dose?_____ PO Liquids MAPE 1 21. MD writes an order for Robitussin AC 100 mg by mouth 3 times per day as needed for cough. Pharmacy dispenses you with 100mg/5ml. How many teaspoons will you administer per day?_____ 22. Order: Dexamethasone 0.75 mg PO daily Available: How many milliliters will the client receive per dose _____ 23. Order: Diazepam 4 mg by nasogastric tube TID Available: Diazepam oral solution 5 mg/5 mL How many milliliters should the client receive per dose _____ 24. The physician ordered 180 mg of Dilantin po q8h. The patient weighs 98 lb. The label of the drug reads 250 mg per 5 mL. How many milliliters will you administer to this patient per dose? _____ 25. Order: Diazepam 4 mg by nasogastric tube TID Available: Diazepam oral solution 5 mg/5 mL How many milligrams will the client receive per day ____ 26. MD writes an order for Tylenol 160 mg by mouth as needed every 6 hours for pain for a child. Pharmacy dispenses you with 80 mg per ml. How many ml maximum can you administer per day?_____ 27. MD writes an order for Theodur Elixir 250 mg by mouth every 8 hours. Pharmacy dispenses you with 125mg/5ml. How many ml will you administer per dose?_____ PO Liquids MAPE 1 28. Order: Diflucan 350 mg PO daily Available: How many milliliters will the client receive per dose _____ 29. MD writes an order for Viscous Lidocaine 45 mg by mouth every 4 hours as needed for sore throat. Pharmacy dispenses you 30 mg/3ml. How many ml will you administer per day?_____ 30. MD writes an order for Demerol oral suspension 75 mg by mouth every 6 hours for pain. Pharmacy dispenses you with 25 mg/ 2 ml. How many mL maximum can you give per day? _____ 31. Order: Amoxil 500 mg by mouth four times a day Available: Amoxil 125 mg per 5 milliliters How many milliliters will the nurse administer for each dose ____ 32. Order: Potassium chloride 40 mEq PO every day Available: Potassium chloride 20 mEq/15 mL How many milliliters will the client receive per dose _____ 33. Order: Benadryl 50 mg p.o. at bedtime. Available: Benadryl elixir 12.5 mg per 5 mL Number of mL to give:_____ 34. Order: Dexamethasone 0.75 mg PO daily What is the dose in milliliters _____ PO Liquids MAPE 1 35. Order: Zithromax 160 mg PO daily Available: How many milliliters will the client receive per dose ____ 36. MD writes an order for Amoxicillin 600 mg by mouth daily. Pharmacy dispenses you with 200 mg/ 2 ml. How many ml will you administer per dose?_____ 37. Order: Dilantin 100 mg by gastrostomy tube t.i.d. Available: Dilantin 125 mg per 5 mL Number of mL to give:_____ 38. Order: Zithromax 250 mg p.o. daily for 3 days. Number of mL to give per dose:_____ 39. Order: Amoxicillin 0.475 g p.o. Q6h. Number of mL to give:______ 40. Order: Retrovir 80 mg p.o. Q8h. Available: Retrovir syrup labeled 50 mg per 5 mL How many mL will you give? _____ 41. Order: Benadryl 37.5 mg by mouth four times a day Available: Benadryl 12.5 mg per 5 mL Question: How many milliliters will the nurse administer for each dose ____ 42. Order: Phenobarbital 30 mg by mouth twice a day Available: Phenobarbital 20 mg per 5 mL Question: How many milliliters will the nurse administer for each dose _____ PO Liquids MAPE 1 43. Order: Protonix 40 mg per GT twice a day Available: Protonix 2 mg per milliliter Question: How many milliliters will the nurse administer for each dose ____ 44. Order: Prozac 60 mg by mouth once a day Available: Prozac 20 mg per 5 mL Question: How many milliliters will the nurse administer for each dose ____ 45. Order: Protonix 40 mg daily per GT Available: Protonix 2 mg/mL Question: How many milliliters of Protonix should be administered ____ 46. Order: Versed 2 mg IV q2h PRN for agitation Available: Versed 5 mg/mL Question: How many milliliters of Versed should be administered ____ 47. The order reads, "Ampicillin suspension 275 mg q6h." You have available ampicillin suspension 50 mg/mL. How many milliliters will you administer in each dose ____ 48. Order: Biaxin 75 mg PO q12h What is the dose in milliliters ____ 49. Order: Ceftin 500 mg PO q12h What is the dose in milliliters _____ PO Liquids MAPE 1 50. Order: Depakene 0.5 g PO daily for 1 week, then 1 g PO daily beginning the second week How many milligrams will the client receive per dose for the first week _____ 51. Order: Diflucan 350 mg PO daily What is the dose in milliliters _____ Answers: 1. 0.4 mL 2. 3 mL 3. 0.5 mL 4. 24 mL 5. 2 mL 6. 2 mL 7. 1 0mL 8. 3,000 mg 9. 500 mg 10. 2. 5mL 11. 10 mL 12. 22.5 mL PO Liquids MAPE 1 13. 6.7 mL 14. 1000 mg 15. 4000 mg 16. 20 mL 17. 50 mg 18. 40 grams 19. 5 mL 20. 10 mL 21. 3 tsp 22. 7.5 mL 23. 4 mL 24. 3.6 mL 25. 12 mg 26. 8 mL 27. 10 mL 28. 8.8 mL 29. 27 mL 30. 24 mL max 31. 20 mL 32. 30 mL 33. 20 mL 34. 7.5 mL 35. 4 mL 36. 6 mL 37. 4 mL 38. 12.5 mL 39. 19 mL 40. 8 mL 41. 15 mL 42. 7.5 mL 43. 20 mL 44. 15 mL 45. 20 mL 46. 0.4 mL 47. 5.5 mL 48. 3 mL 49. 10 mL 50. 500 mg 51. 8.8 mL IV_IM_SQ MAPE 1 1. MD orders Heparin 2,000 units subq now. Vial is labeled 1,000 units/ml. How many ml will you give per dose?_____ 2. MD orders Labetalol 40 mg IV BID. Vial is labeled 100mg/20ml. How many mg will you give per day?_____ 3. MD orders Digoxin 1000 mcg IV daily divided into four doses. Vial is labeled 500 mcg/2 ml. How many mcg will you give with each dose?_____ 4. MD orders Protonix 20 mg IV daily. Vial is labeled 40mg/2ml. How many ml will you give per dose?_____ 5. Doctor orders Zantac 400 mg PO daily divided into four doses. Bottle is labeled 100 mg/1 tab. How many mg will you give each dose?_____ 6. MD ordered Adenosine 6 mg IV STAT. Vial is labeled 12 mg/4ml. How many ml will you give per dose?_____ 7. MD orders Digoxin 375 mcg IV stat. Pt apical pulse is 120 bpm. Vial is labeled 500 mcg/2 ml. How many ml will you give per dose?_____ 8. MD orders Dextrose 50% 50 grams IV STAT for blood glucose of 45. Vial is labeled 2 g/ml. How many ml will you give per dose?_____ 9. Doctor orders Motrin 400 mg PO Q6 hours PRN for pain. Bottle is labeled 200 mg/1 tab. How many doses can the patient receive each day?_____ 10. MD orders Bendryl 75 mg IV Q6 hours. Vial is labeled 50mg/ml. How many mg will you administer per day?_____ 11. MD orders Lasix 20 mg IV BID. Vial is labeled 40mg/4ml. How many ml will you administer per day?_____ 12. MD orders Zofran 4 mg IV every 8 hours for 48 hours for recurrent nausea. How many mg will the patient receive total during the 48 hours period?_____ 13. MD orders Morphine 0.5 mg IV now. Vial is labeled 4mg/2ml. How many ml will you give per dose?_____ 14. MD orders Zoloft 50 mg PO daily divided into two doses. Bottle is labeled 25 mg/1 tab. How many mg will you give each day?_____ 15. MD orders Lovenox 60 mg subq daily. Pharmacy sends you a pre-filled syringe that is labeled 120 mg/0.8ml. How many ml will you administer per dose?_____ IV_IM_SQ MAPE 1 16. MD orders Heparin 1000 units subq daily divided into four doses. Vial is labeled 1,000 units/ml. How many units will you administer per dose?_____ 17. Doctor orders Motrin 800 mg PO daily divided into four doses. Bottle is labeled 200 mg/1 tab. How many mg will you give each day?_____ 18. MD orders Lopressor 2.5 mg IV now. Vial is labeled 5mg/5ml. How many ml will you give per dose?_____ 19. Doctor orders Zantac 300 mg PO daily divided into three doses. Bottle is labeled 100 mg/1 tab. How many mg will you give each day?_____ 20. MD orders Narcan 1 mg IV now. Vial is labeled 0.25 mg/ml. How many ml will you draw up and administer for this dose?_____ 21. MD orders Fentanyl 50 mcg IV for pain. Vial is labeled 10 mcg/2ml. How many ml will you draw up and administer per dose?_____ 22. MD orders Paxil 100 mg PO daily divided into four doses. Bottle is labeled 25 mg/1 tab. How many mg will you give each dose?_____ 23. MD orders Versed 0.5 mg IV before procedure. Vial is labeled 2mg/ml. How many ml will you draw up and administer per dose?_____ 24. MD orders Atropine 1 mg IV STAT. Vial is labeled 0.2 mg/ml. How many ml will you give per dose?_____ 25. Doctor orders Motrin 400 mg PO Q4 hours PRN for pain. Bottle is labeled 200 mg/1 tab. How many mg total could be given per day maximum?_____ 26. The label reads Heparin Sodium 10,000 USP Units/mL. The order is for Heparin 6,000 U q6h sc. How many milliliters will you administer each dose to the patient?_____ 27. The order is to give 600 mg of Ampicillin IM q8h. The directions for dilution on the 2 gm vial reads: Reconstitute with 10 mL of sterile water. How many mL will you administer per dose?_____ 28. Ordered: Atropine 0.6 mg IM. Label reads 0.3 mg per 0.5 mL. How many milliliters will you give per dose?_____ 29. Order: Kefzol 3gm IV q8. You have: Kefzol 500 mg in 10mL of 0.9NS. How many ml will you administer per dose? _____ 30. MD orders Solu-Medrol 40 mg IV BID. Vial is labeled 40 mg/2.5ml. How many ml will the patient receive daily?_____ IV_IM_SQ MAPE 1 31. Order: Gentamicin 50 mg IM q8h. Label reads Gentamicin 40mg/mL in a 20 mL vial. How many mL will you give per dose?_____ 32. Doctor orders Motrin 400 mg PO Q4 hours PRN for pain. Bottle is labeled 200 mg/1 tab. How many doses can the patient receive each day?_____ 33. Order: Atropine 0.3 mg IM stat. Available: Atropine 0.4 mg per mL Number of mL to give per dose:_____ 34. Order: Heparin 8,000 units subcut q12h. Vial reads 10,000 units/mL in a 5mL vial. Number of mL to give per dose:_____ 35. Doctor orders Wellbutrin 500 mg PO daily divided into two doses. Bottle is labeled 250 mg/1 tab. How many mg will you give each dose?_____ 36. Order: Potassium chloride 20 mEq in 1 L of D5W. Vial states Potassium Chloride 30 mEq in 15 mL (2mEq/mL) How many mL will you give per dose?_____ 37. Order: Diphenhydramine 60 mg IM stat. Available: Diphenhydramine 50 mg/mL. How many mL will you give per dose?_____ 38. Doctor orders Zantac 300 mg PO daily divided into three doses. Bottle is labeled 100 mg/1 tab. How many mg will you give each dose?_____ 39. Order: Sandostatin 175 mcg subcut q12h. Available drug is Sandostatin 500 mcg/1mL. How many mL will you give per dose?_____ 40. Order: Ketorolac 25 mg IM q6h p.r.n. for pain. Vial states Ketorolac 30mg/mL How many mL will you give per dose?_____ 41. Order: Kefzol 250 mg IM q4h. How many milliliters will you administer to provide the ordered dosage? _____ IV_IM_SQ MAPE 1 42. Order: Amoxicillin 0.4 g p.o. q8h. Vial reads Amoxicillin 125 mg/5mL. How many milliliters will you administer per dose?_____ 43. Order: Morphine 3.5 mg subcut q6h p.r.n. for pain. Vial states Morphine 15mg/mL Number of mL to be given per dose:_____ 44. Doctor orders Motrin 800 mg PO daily divided into four doses. Bottle is labeled 200 mg/1 tab. How many mg will you give each dose?_____ 45. The order reads, "Add heparin 15,000 units to 500 mL of normal saline." You have available Heparin 25,000 units per 2 mL. How many milliliters will you need to add to the bag of normal saline _____ 46. The order reads, "Vistaril 20 mg IM now." You have available Vistaril 25 mg/mL. How many milliliters will you administer in each dose ____ 47. Order: Penicillin 1.3 million units IM stat. On hand: vial labeled "Penicillin 10,000,000 units/10 mL." How many milliliters will you administer in each dose _____ 48. Order: Atropine 0.5 mg IM stat. Vial states Atropine 0.4 mg/mL. How many milliliters will you administer per dose? ______ 49. Order: Epinephrine 0.5 mg subcut stat. Vial states Epinephrine Injection 1mg/mL (1:1000) in 30 multiple dose vial. How many milliliters will you administer with each dose? _____ 50. Doctor orders Zantac 400 mg PO daily divided into four doses. Bottle is labeled 100 mg/1 tab. How many mg will you give each day?_____ Answers: 1. 2 mL 2. 80 mg 3. 250 mcg 4. 1 mL 5. 100 mg 6. 2 mL 7. 1.5 mL 8. 25 mL 9. 4 doses maximum 10. 300 mg 11. 4 mL 12. 24 mg 13. 0.3 mL 14. 50 mg IV_IM_SQ MAPE 1 15. 0.4 mL 16. 250 units 17. 800 mg 18. 2.5mL 19. 300 mg 20. 4mL 21. 10mL 22. 25 mg 23. 0.3mL 24. 5mL 25. 2400 mg 26. 0.6mL 27. 3mL 28. 1mL 29. 60mL 30. 5mL 31. 1.3mL 32. 6 doses maximum 33. 0.8mL 34. 0.8mL 35. 250 mg 36. 10mL 37. 1.2mL 38. 100 mg 39. 0.4mL 40. 0.8 mL 41. 1.1mL 42. 16mL 43. 0.2mL 44. 200 mg 45. 1.2mL 46. 0.8 mL 47. 1.3mL 48. 1.3mL 49. 0.5 mL 50. 400 mg Reconstitution MAPE 2 Reconstitution is the process of adding diluent to a powdered medication. You will find some variance in concentration based on the specific medication. Let’s explore concentrations first: This label has 100 capsules total in the bottle. Each one of those has 50mg of Surfak. 1 capsule = 50mg. That is what you use in your calculations. This label shows a suspension medication with 160 mg of Acetaminophen in every 5mL. You don’t need to read further for concentration, you use that. Here we only see 2 Grams of Fortaz. We don’t know how much fluid volume that 2 grams is diluted into therefore we must look further into the fine print: The small font on the right states to add 10mL of sterile water to the vial. If you look further, there are no other concentration notes. You must calculate that yourself. There are 2 grams in 10mL. To find the concentration take 2000mg/10mL = 200mg/mL. Use that as your concentration for your calculations. Or you may choose to use 2 grams in 10mL. It is your choice. It’s all about ratios and proportions and keeping them equal. Reconstitution MAPE 2 Here we only see 500mg of Ancef. We don’t know how much fluid volume it is diluted into therefore we must look further into the fine print: The small font on the right states to add 2mL of volume to the vial for IM administration. It then states that each mL will equal 225mg of medication. Use that as your concentration for your calculations. Here we have 1 gram of Cefadyl. It is not readily apparent what the concentration is though, we have to read further. You will see both IV and IM used for this vial. If the order is IM, you will add 2mL of fluid. If you continue to read, the manufacturer states that after dilution you will have a concentration of 500 mg / 1.2mL. This is what you use for your calculations. You have another concentration if you are administering the medication IV. For that you will add 10 mL of sterile water with a concentration of 100mg / 1 mL Reconstitution MAPE 2 This label shows a dual medication. It is called “Bactrim” but it contains both trimethoprim and sulfamethoxazole in a ratio of 40mg/200mg in 5mL. The doctor’s order can be written in a couple different ways. It can be written as a ratio/proportion like “Give Bactrim 80/400mg p.o...”. It can also be written for the first medication listed on the bottle which would look like this: “Give Bactrim 40 mg p.o…”. 1. Order: Ancef 0.375 g IM q6h How many milliliters of diluent will you add to the vial? _______ 2. Order: Kefurox 0.75 g IV q12h How many milliliters will you administer per dose? _______ Reconstitution MAPE 2 3. Order: Vancocin 0.85 g IV q12h What is the dosage strength, in milligrams per milliliter, of the prepared solution?_______ 4. Order: Ancef 0.375 g IM q6h What is the dosage strength of the reconstituted solution in milligrams per milliliter? _______ 5. Order: Zosyn 3 g IV q6h How many milliliters of diluent should be used to reconstitute the solution? _______ Reconstitution MAPE 2 6. Order: Kefurox 0.75 g IV q12h How many milliliters of diluent will you add to reconstitute the solution for IV use? _______ 7. Order: Vancocin 0.85 g IV q12h How many milliliters of diluent will be used to reconstitute the solution? _______ 8. Order: Kefzol 850 mg IM q6h How many milliliters will you administer? (Round to the nearest tenth.) __________ Reconstitution MAPE 2 9. Order: Piperacillin 3 g IV q6h How many milliliters will you add to the IV? _________ 10. Order: Ancef 0.375 g IM q6h How many milliliters will you administer? (Round to the nearest tenth.) __________ 11. Order: Vancocin 0.85 g IV q12h How many milliliters will you add to the IV? __________ Reconstitution MAPE 2 12. Order: Zosyn 3 g IV q6h What is the dosage strength, in milligrams per milliliter, of the prepared solution? ___________ Answers: 1. 2mL 2. 7mL 3. 50mg/mL or 1000mg/20mL 4. 225mg/mL 5. 152mL 6. 7mL 7. 20mL 8. 2.6mL 9. 15mL 10. 1.7mL 11. 17mL 12. 200mg/mL Infusion Rates MAPE 2 1. The client is to receive carbenicillin disodium (Geopen) 2 g IV piggyback, diluted in 50 mL of D5W, for infusion over 15 minutes with the use of an infusion pump. At what hourly rate should the infusion pump be set _____ 2. An order calls for 1.5 L of D5NS to be infused IV over 12 hours. The IV will be administered with the use of an electronic pump. What hourly rate should you set your infusion pump _____ 3. An IV is infusing at 75 ml/hr. How many mL will be infused in 8 hours? _______ 4. At what rate would you set your pump to administer 1,500 mL D5RL in 24 hr?______ 5. The nurse has available 500 mL of NS with 100 units of regular insulin, to be infused at the rate of 30 mL/hr. What hourly rate should you set your infusion pump _____ 6. At what rate would you set your pump to administer 500 mL RL in 12 hr?______ 7. The IV infusion is running at 55 ml/hr. How many mL will infuse in 12 hours? ______ 8. Order: Rocephin 1 g IV every 12 hours over 30 minutes Available: Rocephin 1 g in 150 mL of NS Calculate the IV flow rate in milliliters per hour _____ 9. You want to deliver 1,000 mL of D5W over 16 hours. How many milliliters per hour will be infused ____ 10. The infusion is running at 125 ml/hr. How many mL will infuse in 6 hours? ______ 11. A client has a new order for a continuous infusion of morphine sulfate to relieve pain. The order calls for the infusion to run over 24 hours. The label on the IV bag indicates that it contains morphine sulfate 125 mg diluted in D5W 250 mL. At what rate (milliliters per hour) should the infusion pump be set ____ 12. The nurse has available 250 mL of normal saline solution with regular insulin 100 units, to be infused over 10 hours. What hourly rate should you set your infusion pump _____ 13. At what rate would you set your pump to administer 100 mL 0.45% NS in 45 min?______ Infusion Rates MAPE 2 14. The infusion is running at 50 ml/hr. How many mL will infuse in 8 hours? ______ 15. At what rate would you set your pump to administer 30 mL of antibiotic in 0.9% NS in 20 min?______ 16. At what rate would you set your pump to administer 1,800 mL of D5W in 24 hr? ____ 17. 1,000 mL of D5W is ordered to infuse over 12 hours. Calculate the IV flow rate in milliliters per hour _____ 18. An IV is infusing at 85 mL/hr. How many mL will infuse in 12 hours? _______ 19. At what rate would you set your pump to administer 2,000 mL of D5W in 24 hr?_____ 20. An IV solution of 1,000 mL contains 5 g of medication. If the solution is to be given over 8 hours, how much solution will be delivered over each hour ____ 21. The IV infusion is running at a rate of 95 ml/hr. How many mL will infuse in 8 hours? ______ 22. 1,000 mL of lactated ringers is to infuse over 90 minutes. Calculate the IV flow rate in milliliters per hour _____ 23. A client on an infusion pump is to receive an antibiotic in 50 mL of 0.9% NS over 30 minutes. What rate do you set your IV pump?_______ 24. The IV infusion is running at 65 ml/hr. How many mL will infuse in 4 hours? ______ 25. Order states to administer 3,000 mL of IV solution in 24 hours. Each liter contains 40 mEq KCl. What hourly rate should you set your infusion pump _____ 26. The infusion is running at 105 ml/hr. How many mL will infuse in 24 hours? ______ 27. An IV solution of 1,000 mL contains 4 g of medication. If the solution is to be given over 120 minutes, what hourly rate should you set your infusion pump _____ 28. One liter of D5NS is to be infused over 6 hours with the use of an infusion pump. At what hourly rate will the nurse set the infusion pump _____ Infusion Rates MAPE 2 29. The client is to receive carbenicillin disodium (Geopen) 3 g IV piggyback, diluted in 75 mL D5W, for infusion over 20 minutes with the use of an infusion pump. At what hourly rate (milliliters per hour) should the pump be set _______ 30. 500 mL of normal saline with 10 mEq of potassium chloride is to be infused over ninety minutes. Calculate the IV flow rate in milliliters per hour ________ 31. The IV infusion is running at 52 ml/hr. How many mL will infuse in 8 hours? ______ 32. One liter of D5NS is to be infused over 12 hours with the use of an infusion pump. At what hourly rate (milliliters per hour) should the infusion pump be set _____ 33. 500 mL of normal saline is ordered to infuse over 2 hours. Calculate the IV flow rate in milliliters per hour _____ 34. At what rate would you set your pump to administer 750 mL in 45 minutes?_____ 35. The IV infusion is running at a rate of 78 ml/hr. How many mL will infuse in 4 hours? ______ Answers: 1. 200 ml/hr 2. 125 ml/hr 3. 600 mL 4. 63 ml/hr 5. 30 ml/hr 6. 42 ml/hr 7. 660 mL 8. 300 ml/hr 9. 63 ml/hr 10. 750mL 11. 10 ml/hr 12. 25 ml/hr Infusion Rates MAPE 2 13. 133ml/hr 14. 400mL 15. 90 ml/hr 16. 75 ml/hr 17. 83 ml/hr 18. 1020mL 19. 83 ml/hr 20. 125 ml/hr 21. 760mL 22. 667 ml/hr 23. 100 ml/hr 24. 260 mL 25. 125 ml/hr 26. 2520 mL 27. 500 ml/hr 28. 167 ml/hr 29. 225 ml/hr 30. 333 ml/hr 31. 416 mL 32. 83 ml/hr 33. 250 ml/hr 34. 1000 ml/hr 35. 312 mL Infusion Times MAPE 2 1. An infusion pump is set to administer 75 mL/hr to a client. How long will it take for the client to receive 600 mL of fluid _____ 2. An IV of 500 mL NS is to infuse at 60 mL/hr. Determine the infusion time in hours and minutes ________ 3. Order is for 1 Liter of NS to run at a rate of 75mL/hour. You start the infusion at 0930. What time will it be complete?_____ 4. The doctor orders a 1000 mL bag of IV Normal Saline to infuse at a rate of 50 mL/hr. How many hours will it take for the bag to completely infuse?_____ 5. The doctor orders 1 L of 0.45 Normal Saline to infuse at 200 mL/hr. You start the infusion at 0800. When will the infusion be complete in military time?_____ 6. The IV is running at 72 mL/hr. You hang a new 500mL bag of D5 0.45 NS with 20 mEq/KCL/liter. How many hours and minutes will it run? _____ 7. You have an IV infusing at a rate of 125 mL/hr. How many hours will it take for 1,500 mL to infuse _____ 8. The doctor orders 2L of 0.45% Normal Saline to infuse at 125 mL/hr. How long will it take for the infusion to complete?_____ 9. A 500 mL IV bag of 0.9NS is infusing at 60 mL/hour. If the infusion started at 0800, how many hours and minutes will it take for the infusion to be completed? ________ 10. A liter bag of normal saline was started at 10am and is infusing at 100mL/hour. How many hours will it take for the infusion to be complete?_______ 11. At 0900, 600 mL remained in an IV bag. The IV is infusing at the rate of 75mL/hour. What time will the IV be completed in military time? _________ 12. An IV of 500 mL D5W is to infuse at 75 mL/hr. Determine the infusion time in hours and minutes _________ 13. The doctor has ordered a TPN solution. The bag is 1 liter and the order is for 50 mL/hour. How many hours and minutes would it take for the bag to be infused? ________ 14. The nurse starts 1L of D5.045 NS to infuse at 125 mL/hr at 0800. What is the completion time of this IV in military time?_____ Infusion Times MAPE 2 15. At 2100, 1L of 0.45NS is started infusing at 100mL/hr. When will it finish in military time?_____ 16. A liter bag of normal saline was started at 10am and is infusing at 100mL/hour. What time will the infusion be completed?_____ 17. The nurse starts an IV containing 600 mL of IV fluid at 1930 to infuse at 75mL/hr. What is the completion time of the IV infusion? State in military time._____ 18. The nurse starts an IV infusion of 500mL of NS at 1430 to infuse at 80mL/hr. When will the infusion be complete in military time?_____ 19. The nurse starts an infusion of 750 mL of LR at 0900 to infuse at 150mL/hr. When will the IV be completed in military time?_____ 20. Order is for 1 Liter of NS to run at a rate of 75mL/hour. You start the infusion at 0930. How many hours and minutes will it run?__________ 21. You have a liter of D5.45NS solution and you set the pump to run at 85 mL/hr. How many hours and minutes will pass when you have to hang a new bag?_____ 22. 1,000 mL of D5W to infuse at 40 mL/hr. Determine the infusion time _______ 23. The doctor has ordered a TPN solution. The bag is 1 liter and the order is for 50 mL/hour. If the infusion was started at 0730 on 11/8, at what time will the infusion be completed? ________ 24. The nurse starts an IV containing 600 mL of IV fluid at 1930 to infuse at 75mL/hr. How long will it take for the infusion to be complete? Answer in hours and minutes_____ 25. A 500 mL IV bag of 0.9NS is infusing at 60 mL/hour. If the infusion started at 0800, at what time will it be completed? Answer in military time. ___________ Infusion Times MAPE 2 Answers: 1. 8 hours 2. 8 hr 20 min 3. 2250 4. 20 hours 5. 1300 6. 6.94 hr = 6 hr 56 min 7. 12 hours 8. 16 hours 9. 8 hours 20 minutes 10. 10 hours 11. 1700 12. 6.66 hr = 6 hr 40 min 13. 20 hours 14. 1600 15. 0700 16. 2000 17. 0330 18. 2045 19. 1400 20. 13 hours and 20 minutes 21. 11 hours and 46 minutes 22. 25 hours 23. 0330 on 11/9 24. 8 hours 25. 1620 Drop Factors MAPE 2 How do you round drop factors? Let’s think about this for a moment ;) When practicing drug calculations, think like a nurse! Put yourself in the room and imagine what you can and can’t do! You can’t possibly give half of a drop, so don’t. Whole numbers only for this one. 1. Infuse 1500 mL of Lactated Ringer’s over 12 hours. Drip factor: 15 gtt/mL. How many gtt’s per minute?_____ 2. 0.4L of D5W in Normal Saline to infuse over 3 hours. Drip factor 10 gtt/mL. How many gtt’s per minute?_____ 3. 250mL of D5W to infuse over 15 minutes. Drip factor 15 gtt/mL. How many gtt’s per minute?_____ 4. Two 250mL Packed Red Blood Cells to infuse over 4 hours. Drip factor:15 gtt/mL. How many gtt’s per minute?_____ 5. 0.5 L of Normal Saline to infuse over 6 hours. Drip factor: 30 gtt/mL. How many gtt’s per minute?_____ 6. 50mL of Zofran to infuse over 15 minutes. Drip factor: 15 gtt/mL. How many gtt’s per minute?_____ 7. 300mL Ampicillin Sodium 500mg to infuse over 45 minutes. Drip factor: 20 gtt/mL. How many gtt’s per minute?_____ 8. 650mL of D5W to infuse over 6 hours. Drip factor: 10 gtt/mL. How many gtt’s per minute?_____ 9. 500 mL of Lactated RIngers to infuse at 125mL/hour. Drip Factor: 20 gtt/mL. How many gtt’s per minute?_____ 10. 3L of D5W with 20meq of KCL to infuse over 24 hours. Drip factor: 10 gtt/mL. How many gtt’s per minute?_____ 11. 500mL of D5 1/2 NS with 10meq of KCL to infuse over 5 hours. Drip factor 10 gtt/mL. How many gtt’s per minute?_____ Drop Factors MAPE 2 12. 125 mL of NS over 90 minutes. Drip factor: 60 gtt/mL. How many gtt’s per minute?_____ 13. 500 mL of 0.9 NaCl to infuse over 4 hours. Drip factor: 10 gtt/mL. How many gtt’s per minute?_____ 14. 75 mL of 0.45 NaCL to infuse at 100mL/hour. Drop factor: 15 gtt/mL. How many gtt’s per minute?_____ 15. 2 L of D5 1/2 Normal Saline with 50 meq Potassium Chloride to infuse over 48 hours. Drip factor: 15 gtt/mL. How many gtt’s per minute?_____ 16. 1L D5W to infuse at a rate of 250 mL/hour. Drop factor: 10 gtt/mL. How many gtt’s per minute?_____ 17. 0.5L LR to infuse over 6 hours. Drop factor: 15 gtt/mL. How many gtt’s per minute?_____ 18. 60 mL 0.9 NaCl to infuse over 1 hour. Drop factor 10 gtt/mL. How many gtt per minute?_____ 19. 0.75L D5 to infuse over 3 hours. Drop factor 20 gtt/mL. How many gtt’s per minute?_____ 20. 800 mL half normal saline to infuse over 24 hours. Drop factor 60 gtt/mL. How many mL/hour?_____ 21. Keflin 1.5 grams in 100 mL D5W over 20 minutes. The IV tubing is 15 gtt/mL. How many gtts/min?_____ 22. 1 Liter of D5NS contains 5% dextrose in normal saline. The doctor has ordered for the solution to infuse over 8 hours. Drip factor is 20 gtts/mL. What is the rate per hour? _____ How many gtts/min?_____ 23. 500 mL IV bolus of LR over 1 hour. Drip factor is 10 gtts/mL. What is the rate per hour? How many gtts/min?_____ Drop Factors MAPE 2 24. Ampicillin 750mg in 100 mL of 0.5NS over 30 minutes. Drip factor 20 gtts/mL. What is the rate per hour? How many gtts/min?_____ 25. Gentamicin 750 mg in 75 mL to be infused over 90 minutes. Drip factor 15 gtt/mL. What is the rate per hour? How many gtts/min?_____ 26. Vancomycin 1 gram in 150 mL to be infused over 2 hours. Drip factor is 20 gtt/mL. What is the rate per hour? How many gtts/min?_____ 27. The doctor orders a 2L IV 0.9NS bolus to be infused over 4 hours. What rate would you set the pump?_____ If you didn’t have a pump, and your drop factor was 10 gtt/mL, how many gtts/min?_____ 28. Meropenem 1.25 grams in 50 mL of D5.45NS to infuse over 75 minutes. What rate would you set your standard IV pump?_____ The pump is broken but you have tubing with 60 gtt/mL. How many gtt/min would infuse?_____ 29. The patient is prescribed 1500 mL of NS to be infused in 8 hours using an infusion set device that delivers 15gtt/mL. Determine the flow rate in mL per hour._____ 30. The patient is prescribed 1500 mL of NS to be infused in 8 hours using an infusion set device that delivers 15gtt/mL. How many drops per minute must be infused to deliver the entire volume?_____ 31. LR 175 mL/hr via gravity flow using tubing calibrated at 20 gtt/mL. What is the flow rate in gtt/min?_____ 32. Order: Amphotericin B 20 mg IV in 500mL of D5W over 6 hr. Drop factor: 60 gtt/ mL. If the IV medication was started at 1400, what time will it be completed? Answer in military time. _____ 33. Add 1 g amikacin sulfate (Amikin) to 150 mL of D5W for IV administration. Calculate the flow rate (drops per minute) if the drop factor is 10 gtt/mL and the infusion is completed in 60 minutes _____. 34. The patient’s IV infusion is running at 75mL/hr. The pump broke. If the drop tubing is 15gtt/mL, how many drops per minute will you infuse?_____ Drop Factors MAPE 2 35. The patient’s IV infusion is running at 75 mL/hr. If the tubing is 20gtt/mL, how many mL will the patient receive in 8 hours? _______ 36. The patient’s IV infusion is running at 50mL/hour. If the tubing is 10gtt/mL, what is the hourly rate for the infusion?_____ How much fluid volume will be infused in 4 hours?_____ 37. 1,000 mL D5RL to infuse in 8 hr. Drop factor: 20 gtt/mL. How many gtt/min? ______ 38. 2,500 mL D5NS to infuse in 24 hr. Drop factor: 10 gtt/mL. How many gtt/min? _____ 39. 500 mL D5W to infuse in 4 hr. Drop factor: 15 gtt/mL. How many gtt/min? ______ 40. Order: Infuse 1,000 mL NS at 125 mL/hr. Drop factor: 12 gtt/mL Calculate the IV flow rate in drops per minute _____ 41. 300 mL NS to infuse in 6 hr. Drop factor: 60 gtt/mL. How many gtt/min? _____ 42. 1,000 mL D5W over 24 hr to KVO. Drop factor: 60 gtt/mL. How many gtt/min? ______ Answers 1. 31.25 = 31 gtt/min 2. Rate = 133 ml/hour = 22.17 = 22 gtt/min 3. Rate = 1000ml/hour = 250 gtt/min 4. Rate = 125 ml/hour = 31.25 = 31 gtt/min 5. Rate = 83 ml/hour = 41.5 = 42 gtt/min 6. Rate = 200 ml/hour = 50 gtt/min 7. Rate = 400 ml/hour = 133.33 = 133 gtt/min 8. Rate = 108 ml/hour = 18 gtt/min 9. 41.67 = 42 gtt/min 10. Rate = 125 ml/hour = 20.83 = 21 gtt/min 11. Rate = 100 ml/hour = 16.67 = 17 gtt/min 12. Rate = 83 ml/hour = 83 gtt/min 13. Rate = 125 ml/hour = 20.83 = 21 gtt/min 14. 25 gtt/min Drop Factors MAPE 2 15. Rate = 42 ml/hour = 10.5 = 11 gtt/min 16. 41.67 = 42 gtt/min 17. Rate = 83 ml/hour = 20.75 = 21 gtt/min 18. 10 gtt/min 19. Rate = 250 ml/hour = 83.33 = 83 gtt/min 20. 33.33 = 33 ml/hour 21. 75 gtt/min 22. 125 mL/hour, 41.67 = 42 gtts/min 23. 500 mL/hour, 83.33 = 83 gtts/min 24. 200 mL/hour, 66.67 = 67 gtts/min 25. 50 mL/hour, 12.5 = 13 gtt/min 26. 75 mL/hour, 25 gtts/min 27. 500 mL/hour, 83.33 = 83 gtt/min 28. 40 mL/hour, 40 gtts/min 29. 187.5 = 188 mL/hour 30. Rate = 188 ml/hour = 47 gtt/minute 31. 58.33 = 58 gtt/min 32. 2000 33. 25 gtt/min 34. 18.75 = 19 gtt/min 35. 600 mL 36. 50 mL/hour, 200 mL 37. 42 gtt/min 38. 17 gtt/min 39. 31 gtt/min 40. 25 gtt/min 41. 50 gtt/min 42. 42 gtt/min Drop Factors MAPE 3 1. The patient’s IV infusion is running at 17 gtts/minute. If the tubing is 20gtt/mL, what is the hourly rate for the infusion?__________ 2. You find that there is 150 mL of D5W left in an IV. The IV is infusing at 60 microgtt/min. How many hours and minutes will the fluid last? ___________ 3. An IV medication of 20 mL is infusing at 35 microgtt/min. Drop factor is 60 gtt/mL. How long will it take for the infusion to be complete? Answer in hours and minutes. ____________ 4. The patient’s IV infusion is running at 19 gtts/minute. If the tubing is 10gtt/mL, how much fluid volume will be infused in 8 hours?_________ 5. A client is receiving 1,000 mL of D5W at 20 macrogtt/min. Drop factor is 10 gtt/mL. How long will it take for the infusion to be complete? Answer in hours and minutes. _____________ 6. The patient’s IV infusion is running at 25 gtts/minute. If the tubing is 15 gtt/mL, how much fluid volume will be infused in 2 hours?_________ 7. The patient’s IV infusion is running at 31 gtts/minute. If the tubing is 20gtt/mL, how much fluid volume will be infused in 2 hours?_________ 8. There is 90mL of D5 0.33% NS left in an IV that is infusing at 60 microgtt/min. The drop factor is 60 gtt/mL. How many hours will the fluid last? ___________ 9. A client is receiving 100 mL of D5W at 10 macrogtt/min. Drop factor is 15 gtt/mL. How long will it take for the infusion to be complete? Answer in hours and minutes. ____________ 10. An IV is regulated at 25 gtt/min. Drop factor: 15 gtt/mL How many milliliters of IV fluid will the client receive in 8 hr?_________ 11. If the IV fluid is infusing at a rate of 42 gtt/min with a drop factor of 20 gtt/mL, how much IV fluid will the client receive in 5 hours _________ 12. A client is receiving 250 mL of NS at 17 microgtt/min. Drop factor is 15 gtt/mL. How long will it take for the infusion to be complete? Answer in hours and minutes. ___________ Drop Factors MAPE 3 13. The patient’s IV infusion is running at 17 gtts/minute. If the tubing is 20gtt/mL, how much fluid volume will be infused in 4 hours?__________ 14. There is 150 mL of D5 0.33% NS left in an IV that is infusing at 60 microgtt/min. The drop factor is 60 gtt/mL. How many hours and minutes will the fluid last? ___________ 15. If the IV is infusing at a rate of 75 gtt/min with a drop factor of 15 gtt/mL, how much IV fluid will the client receive in 4 hours ____________ 16. The patient’s IV infusion is running at 25 gtts/minute. If the tubing is 15 gtt/mL, what is the hourly rate for the infusion?__________ 17. An IV medication of 50 mL is infusing at 45 microgtt/min. Drop factor is 60 gtt/mL. How long will it take for the infusion to be complete? Answer in hours and minutes. ___________ 18. You find that there is 200 mL of D5W left in an IV. The IV is infusing at 60 microgtt/min. How many hours will the fluid last? ____________ 19. A client is receiving 500 mL of NS at 45 microgtt/min. Drop factor is 20 gtt/mL. How long will it take for the infusion to be complete? Answer in hours and minutes. _____________ 20. The patient’s IV infusion is running at 55 gtts/minute. If the tubing is 20 gtt/mL, how much fluid volume will be infused in 4 hours?_____________ Answers: 1. 51mL/hr 2. 2.5 hours 3. 34 minutes 4. 912 mL 5. 8 hours and 20 minutes 6. 200 mL 7. 186 mL 8. 1.5 hours 9. 2 hours and 30 minutes 10. 800ml/8 hours 11. 630 mL 12. 3 hours and 47 minutes 13. 204 mL Weight Based MAPE 2 1. Order: Gentamicin 8 mg/kg/day in divided doses q6h. Patient weighs 175 pounds. How many mg will the patient get with each dose? _________ 2. Order: Tobramycin 10 mg/kg/day in four divided doses. Patient weighs 105 pounds. How many mg will the patient get with each dose? _________ 3. Order: Amoxicillin 25 mg/kg/day in divided doses q12h. Patient weighs 95 pounds. How many mg will the patient get each dose? __________ 4. The recommended dosage of Mezlin for an adult with a serious infection is 200 to 300 mg/kg/day in four divided doses. The adult weighs 175 lb. What is the adult's weight in kilograms _____ 5. Order: Amoxicillin 20 mg/kg/day in divided doses q8h. Patient weighed 195 pounds. How many mg will the patient get each dose? ________ 6. Order: Penicillin 60 mg/kg/day divided into two doses per day. Patient weighed 223 pounds. How many mg will the patient get each dose? ________ 7. Order: Penicillin 45 mg/kg/day divided q6h. Patient weighed 187 pounds. How many mg will the patient get each dose? _______ 8. Order: Fortaz 25 mg/kg PO TID to a child that weighs 72lb. Fortaz is available in an oral suspension labeled 100mg/mL. How many mL would the nurse administer per dose?_____ 9. The recommended dosage of Tobramycin for adults with serious infections is 3mg/kg/day in 3 equally divided doses q8h. How many mg would you give for one dose for an adult that weighs 80kg?_____ 10. The doctor orders Fortaz 50 mg/kg. The patient weighs 156 lb. How many mg will you administer for the ordered dose?_______ 11. Doctor orders Vancomycin Hydrochloride for a patient that weighs 184 lb. The label states to administer 10mg/kg PO bid. How many mg do you give per dose?____ Weight Based MAPE 2 12. The doctor ordered Digoxin 0.012 mg/kg po QD. The label states “50mcg/mL”. The patient weighs 86lb. How many mL will you give per dose?_____ 13. Order: IV heparin sodium bolus. The hospital protocol is 80 units/kg. The client weighs 165 lb. How many units will you administer _____ Answers: 1. 159 mg 2. 119.3 mg 3. 540 mg 4. 79.5kg 5. 590.7 mg 6. 3042 mg 7. 956.3 mg 8. 8.2 mL 9. 80 mg 10. 3545 mg 11. 836mg 12. 9.4mL 13. 6000 units Weight Based MAPE 4 1. Ilosone 62.5 mg PO q6h is ordered for an infant weighing 10 lb 4 oz. The recommended safe dosage is 30 to 50 mg/kg/24 hours divided into four doses to be given every 6 hours. What is the lowest safe 24-hour dose in mg for this infant _______ 2. Albuterol 1.2 mg PO TID is ordered for a child weighing 27 lb. The recommended dosage is 0.3 mg/kg/24 hr, divided q8h. What is the child's weight in kilograms _______ 3. The recommended dosage of Ticar for an adult with a complicated urinary tract infection is 150 to 200 mg/kg/day IV in divided doses every 4 or 6 hours. An adult client weighs 194 lb. What is the highest safe 24-hour dose in mg for this client ________ 4. The recommended dose of Ticar for an adult with a complicated urinary tract infection is 150 to 200 mg/kg/day IV in divided doses every 4 or 6 hours. An adult client weighs 194 lb. What is the highest amount per dose in mg this client may safely receive_______ 5. Ceclor (cefaclor) 100 mg PO q8h is ordered for a child weighing 32 lb. The recommended dosage is 20 to 40 mg/kg/day, divided into three doses. What is the highest safe 24-hour dose, in milligrams, for this child ________ 6. Phenobarbital 45 mg PO BID is ordered for a child weighing 35 lb. The recommended dosage is 6 to 8 mg/kg/24 hours, given every day or BID. What is the lowest safe 24-hour dose, in milligrams, for this child ________ 7. Ilosone 62.5 mg PO q6h is ordered for an infant weighing 10 lb 4 oz. The recommended safe dosage is 30 to 50 mg/kg/24 hours divided into four doses to be given every 6 hours. What is the highest safe 24-hour dose in mg for this infant _________ 8. The recommended dosage of Mezlin for an adult with a serious infection is 200 to 300 mg/kg/day in four divided doses. The adult weighs 175 lb. What is lowest amount per 24 hours, in grams, that the client may safely receive ___________ 9. Phenobarbital 45 mg PO BID is ordered for a child weighing 35 lb. The recommended dosage is 6 to 8 mg/kg/24 hours, given every day. Is the ordered dosage safe? _______ 10. Ceclor (cefaclor) 100 mg PO q8h is ordered for a child weighing 32 lb. The recommended dosage is 20 to 40 mg/kg/day, divided into three doses. What is the child's weight in kilograms _____ Weight Based MAPE 4 11. The recommended dosage of Mezlin for an adult with a serious infection is 200 to 300 mg/kg/day in four divided doses. The adult weighs 175 lb. What is highest amount per 24 hours, in grams, that the client may safely receive _______ 12. Phenobarbital 45 mg PO BID is ordered for a child weighing 35 lb. The recommended dosage is 6 to 8 mg/kg/24 hours, given every day or BID. What is the lowest amount per dose in mg the child may safely receive _______ 13. Ilosone 62.5 mg PO q6h is ordered for an infant weighing 10 lb 4 oz. The recommended safe dosage is 30 to 50 mg/kg/24 hours divided into four doses to be given every 6 hours. What is the lowest amount per dose in mg the infant may safely receive ______ 14. Ilosone 62.5 mg PO q6h is ordered for an infant weighing 10 lb 4 oz. The recommended safe dosage is 30 to 50 mg/kg/24 hours divided into four doses to be given every 6 hours. What is the highest amount per dose in mg the infant may safely receive _______ 15. Ceclor (cefaclor) 100 mg PO q8h is ordered for a child weighing 32 lb. The recommended dosage is 20 to 40 mg/kg/day, divided into three doses. What is the lowest amount per dose in mg that the child may safely receive _____ 16. Order: Garamycin 15 mg IV q8h How many milliliters will you administer to a pediatric client _____ Weight Based MAPE 4 17. Ceclor (cefaclor) 100 mg PO q8h is ordered for a child weighing 32 lb. The recommended dosage is 20 to 40 mg/kg/day, divided into three doses. What is the lowest safe 24-hour dose, in milligrams, for this child _____ 18. Order: Amoxicillin 650 mg po q6 hours. Patient weighs 127 lbs. Safe range is 30-50 mg/kg/24 hr. What is the safe 24 hour range? ____________ How many mg/day is the patient receiving?__________ 19. Albuterol 1.2 mg PO TID is ordered for a child weighing 27 lb. The recommended dosage is 0.3 mg/kg/24 hr, divided q8h. What is the safe 24-hour dose, in milligrams, for this child _________ 20. Order: Gentamicin 45 mg IV q8h for a child weighing 45 lb. The recommended dosage is 6 to 7.5 mg/kg/day in three or four divided doses. What is the child's weight in kilograms ________ 21. Order: Gentamicin 40 mg IV q8h for a child that weighs 43 lb. The recommended dosage for children is 2 to 2.5 mg/kg q8h. What is the recommended minimum single dose for this child? ___________ What is the recommended maximum single dose for this child? ___________ Is the ordered dose safe?__________ 22. Order: Gentamicin 45 mg IV q8h for a child weighing 45 lb. The recommended dosage is 6 to 7.5 mg/kg/day in 3 or 4 divided doses. What is the lowest safe 24-hour dose, in milligrams, for this child __________ Weight Based MAPE 4 23. Order: Furosemide oral solution 10mg po bid for a child who weighs 16 lb. The recommended pediatric dosage is 0.5 to 2 mg/kg BID. What is the recommended minimum single dose? ___________ What is the recommended maximum single dose? ___________ Is the ordered dose safe?____________ 24. Ceclor (cefaclor) 100 mg PO q8h is ordered for a child weighing 32 lb. The recommended dosage is 20 to 40 mg/kg/day, divided into three doses. What is the highest amount per dose in mg that the child may safely receive _______ 25. Order: Carbamazepine 150 mg po bid for a child who weighs 40 lb. The recommended dose for children is 10 to 20 mg/kg/day in 2 to 4 divided doses per day not to exceed 400 mg/day. What is the recommended minimum daily dose for this child? _____________ What is the recommended maximum daily dose for this child? ____________ Is the ordered dose safe? _____________ 26. Order: gentamicin 45 mg IV q8h for a child weighing 45 lb. The recommended dosage is 6 to 7.5 mg/kg/day in three or four divided doses. What is the highest safe 24-hour dose, in milligrams, for this child _________ 27. Phenobarbital 45 mg PO BID is ordered for a child weighing 35 lb. The recommended dosage is 6 to 8 mg/kg/24 hours, given every day or BID. What is the lowest amount per dose in mg the child may safely receive __________ 28. Order: gentamicin 45 mg IV q8h for a child weighing 45 lb. The recommended dosage is 6 to 7.5 mg/kg/day in three or four divided doses. What is the lowest amount per dose in mg the child may safely receive ____________ 29. Albuterol 1.2 mg PO TID is ordered for a child weighing 27 lb. The recommended dosage is 0.3 mg/kg/24 hr, divided q8h. Is the ordered dosage safe?_________ Weight Based MAPE 4 30. Order: gentamicin 45 mg IV q8h for a child weighing 45 lb. The recommended dosage is 6 to 7.5 mg/kg/day in three or four divided doses. What is the highest amount per q8h dose in mg the child may safely receive __________ 31. You have an order to give 5mg/kg of Motrin po Q4-6 PRN. Your patient weighs 112 lb. How many mg do you give per dose? ___________ What is the maximum you could give per day?_________ 32. Phenobarbital 45 mg PO BID is ordered for a child weighing 35 lb. The recommended dosage is 6 to 8 mg/kg/24 hours, given every day or BID. What is the highest safe 24-hour dose, in milligrams, for this child _______ 33. Order: gentamicin 45 mg IV q8h for a child weighing 45 lb. The recommended dosage is 6 to 7.5 mg/kg/day in three or four divided doses. Is the ordered dosage safe?__________ 34. Lasix 10 mg IV stat is ordered for a child weighing 22 lb. The recommended dose is 1–2 mg/kg/dose. Is the dosage ordered safe?___________ 35. Ceclor (cefaclor) 100 mg PO q8h is ordered for a child weighing 32 lb. The recommended dosage is 20 to 40 mg/kg/day, divided into three doses. How many milliliters of Ceclor will be needed to deliver the ordered dosage ________ 36. Furadantin oral suspension 25 mg p.o. q6h is ordered for a child weighing 37.4 lb. Recommended dosage is 5–7 mg/kg/24 hr divided q6h. Available: Furadantin oral suspension 25 mg per 5 mL. What is the dosage range for this child?________ Is the dosage ordered safe?___________ How many milliliters must be given per dosage to administer the ordered dose? _____ Weight Based MAPE 4 37. Phenobarbital 45 mg PO BID is ordered for a child weighing 35 lb. The recommended dosage is 6 to 8 mg/kg/24 hours, given every day or BID. What is the child's weight in kilograms ____________ Answers: 1. 141 mg 2. 12.3 kg 3. 17640 mg 4. 4410 mg 5. 580 mg 6. 95.4 mg 7. 235 mg 8. 15.9 gm 9. No, too low 10. 14.5 kg 11. 23.9 gm 12. 47.7 mg 13. 35.3 mg 14. 58.8 mg 15. 96.7 mg 16. 1.5 mL 17. 290 mg 18. 1731-2885 mg/day, 2600 mg/day 19. 3.7 mg 20. 20.5 kg 21. 39mg, 48.75 = 48.8mg, safe dose ordered 22. 123 mg 23. 3.65 = 3.7mg, 14.6mg, safe dose ordered 24. 193.3 mg 25. 182mg, 364 mg, safe dose of 300mg/day 26. 153.8 mg 27. 47.7 mg 28. 41 mg 29. Yes 30. 51.3 mg 31. 254.5mg, 1527 mg/day 32. 127.2 mg Weight Based MAPE 4 33. Yes 34. Yes 35. 4 mL 36. 21-30 mg/dose, Yes, 5mL 37. 15.9 kg