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Upper Level Math/Drug Proficiency Spring Review 2 KEY
Calculate the following problems. Unless indicated, all medications involving mL greater than 1 should be rounded to the nearest tenth. Answers in mL that are less than 1 should be rounded to the nearest hundredth. All answers involving tablets should be recorded in terms of # of tabs (or ½ tabs). 1.
You are caring for a post-op patient and have orders to give Mefoxin 1 gram
IVPB every 8 hours. The medication comes mixed from pharmacy in a 50 mL
IVPB. The drug book states to administer the medication over 40 minutes. How
fast will you give this medication in both mL/hr and gtts/min with IV tubing that
has a drop factor of 10 gtts/mL?
X mL/hr = 50 mL/40 min x 60 min/hr
X gtts/min = 10 gtts/mL x 75 mL/hr x hr/60 min
The physician has ordered Diflucan 200 mg to be given IVPB. The pharmacy
sends the medication mixed in 100 mL. The drug book states to administer the
medication over 1 hour. How fast will you administer this medication in both
mL/hr and gtts/min with IV tubing that has a drop factor of 20 gtts/mL?
X mL/hr = 100 mL/hr
X gtts/min = 20 gtts/mL x 100 mL/hr x hr/60 min
You have orders to give Lasix 100 mg IVPB every 12 hours. Pharmacy sends
the medication in 100 mL of D5W. The drug book states to administer at a rate of
Lasix 2 mg/min. How fast will you administer this medication? The label reads
D5W 100 mL, Lasix 100 mg (10 mL).
X min = min/2 mg x 100 mg/1
X mL/hr = 110 mL/50 min x 60 min/hr
You are admitting a patient following open heart surgery. The physician orders
Dopamine 7.5 mcg/kg/min to keep the SBP above 100 but not to exceed 140. The
patient’s initial BP is 90/48. The patient’s pre-op weight was recorded as 155
pounds. How fast will you administer the Dopamine? The Dopamine comes
premixed with 400 mg in 250 mL.
X mL/hr = 250 mL/400 mg x mg/1000 mcg x 7.5 mcg/kg/min x kg/2.2 lbs x 155 lbs/1
x 60 min/hr
You are now working in CCU and are admitting a patient with hypertensive crisis.
The physician has ordered Nipride to infuse at 0.8 mcg/kg/min. The patient
weighs 132 pounds. How fast will you administer this medication? The
medication comes mixed with 50 mg in 250 mL.
X mL/hr = 250 mL/50 mg x 1 mg/1000 mcg x 0.8 mcg/kg/min x kg/2.2 lbs x 132 lbs/1
x 60 min/hr
The normal pediatric dose of an antibiotic is 8 mg/kg every 8 hours. How many
mg will you give in one dose and how many will you give total for the day for a
child who weighs 50 pounds?
X mg/dose = 8 mg/kg/dose x kg/2.2 lbs x 50 lbs/1
X mg/day = 182 mg/dose x 3 doses/day
A 4 kg infant is admitted with severe pneumonia and has orders for IV Nebcin.
The physicin ordered 5 mg/kg/day to be administered in 3 equal doses every 8
hours. How many mg will you administer at each dose?
X mg/dose = 5 mg/kg/day x 4 kg/1 x 1 day/3 doses
You have orders to give gr ½ of Codeine for pain management. The tablets come
with 30 mg per tablet. How many tablets will you administer?
X tab = tab/30 mg x 60 mg/gr 1 x gr ½/1
You have orders to give gr 1/8 of Morphine Sulfate. The medication comes
prepared with 10 mg/mL. How much will you administer?
X mL = mL/10 mg x 60 mg/gr 1 x gr 1/8 /1
You have orders to immediately start your patient with ventricular concerns on a
Lidocaine drip at 1 mg/min. The medication comes prepared from pharmacy with
2 grams in 500 mL. The patient weighs 120 pounds. How fast will you
administer this medication?
X mL/hr = 500 mL/2 g x g/1000 mg x 1 mg/min x 60 min/hr
You are caring for a patient who is in atrial fib with a fast ventricular response
who has not responded to other medications. The physician orders Amiodorone
150 mg bolus over 10 minutes and then a continuous drip at 1 mg/min for 6 hours.
The pharmacy sends the bolus in 100 mL. The continuous infusion comes
prepared with 450 mg in 250 mL. How fast will you administer the bolus and the
X mL/hr = 100 mL/10 min x 60 min/hr
X mL/hr = 250 mL/450 mg x 1 mg/min x 60 min/hr
You have orders to administer Dilantin 8 mg/kg/day in divided doses to be given
every 6 hours for a young child with seizures. The child weighs 25 pounds. The
Dilantin comes prepared with 150 mg/5 mL. How many mL will you administer
X mL/dose = 5 mL/150 mg x 8 mg/kg/day x kg/2.2 lbs x 25 lbs/1 x 1 day/4 doses
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