Calculating drug dosages: a patient-safe approach to nursing and math 2nd
edition by castillo, verified chapters 1 - 22, complete newest version
,contents
i. Safety in medication administration ................................................................................... 3
chapter 1: safety in medication administration .......................................................................... 3
chapter 2: the drug label ............................................................................................................. 9
ii. Systems of measurement ................................................................................................. 21
chapter 3: the metric system .................................................................................................... 21
chapter 4: the household system.............................................................................................. 29
iii. Methods of calculation ................................................................................................... 35
chapter 5: linear ratio and proportion ...................................................................................... 35
chapter 6: fractional ratio and proportion ................................................................................ 45
chapter 7: dimensional analysis ................................................................................................ 58
chapter 8: formula method ....................................................................................................... 70
iv. Administration of medications ........................................................................................ 84
chapter 9: calculating oral medication doses ........................................................................... 84
chapter 10: syringes and needles.............................................................................................. 96
chapter 11: calculating parenteral medication doses ............................................................. 107
chapter 12: preparing powdered parenteral medication ....................................................... 120
chapter 13: administration of insulin ...................................................................................... 135
v. Iv therapy and administration of intravenous medications ............................................. 148
chapter 14: intravenous infusion and infusion rate................................................................ 148
chapter 15: calculating infusion and completion time ........................................................... 160
chapter 16: administering direct iv medications .................................................................... 171
vi. Verifying safe dose and critical care calculations ........................................................... 189
chapter 17: verifying safe dose ............................................................................................... 189
chapter 18: titration of intravenous medications ................................................................... 205
vii. Intake and output ........................................................................................................ 218
chapter 19: calculating input and output ............................................................................... 218
chapter 20: calculating parenteral intake ............................................................................... 233
viii. Dosages for pediatric and older adult populations ....................................................... 246
chapter 21: considerations for the pediatric patient .............................................................. 246
chapter 22: considerations for the older adult ....................................................................... 260
,I. Safety in medication administration
Chapter 1: safety in medication administration
Castillo: calculating drug dosages: a patient-safe approach to nursing and math 2nd edition
Multiple choice
1. The following medication order is in the patient’s medication administration record
(mar):
Methylprednisolone 40 mg po daily at 0900.
After reading the order, the nurse correctly determines:
A “po” is an inappropriate abbreviation.
B the medication order is written correctly.
C 40 mg should be written as 40mg.
D tall man lettering indicates that the drug is a narcotic.
Answer: b
Feedback
The medication order has all the required components (drug name, dose, route, and frequency
of administration) for a drug order. “po” is an appropriate abbreviation; 40 mg is written
correctly with a space between the dose and the unit of measurement. Tall man lettering is
used to distinguish the drug from another drug
With a similar name.
2. Which of the following accurately describes the “boxed warning” found on a drug label?
, A it is primarily is used to identify the safe dose for the patient.
B it is commonly found on all drug labels.
C it identifies serious potential risks and side effects related to drug use.
D it protects the patient by providing information to decrease side effects.
Answer: c
Feedback
A drug label with a boxed warning provides information to healthcare professionals and
patients regarding the serious risks and side effects related to the drug. The boxed warning is
not the primary source for identifying the patient’s drug dosage.
The warning is found on specific prescription medications and does not provide information to
reduce or decrease side effects.
3. When practicing safety in the administration of medication, for which of the following
medication orders should a nurse seek clarification before the administration of the
medication?
A regular insulin 5 u subcut now.
B enoxaparin 80 mg subcut every 12 hours.
C benadryl 50 mg po prn every 6 hr for itching.
D ondansetron 4 mg ivp stat.
Answer: a
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