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Calculating Drug Dosages: APatient-SafeApproach to Nursing and Math by Castillo
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2ndEdition
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,Tableof Contents: v v
I.Safety in Medication Administration
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Chapter1. Safetyin Medication Administration
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Chapter2. TheDrug Label v v v v
II.Systems of Measurement
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Chapter3. TheMetric System v v v v
Chapter4. The Household System v v v v
III.Methods of Calculation
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Chapter5. Linear Ratio and Proportionv v v v v
Chapter6. Fractional Ratio and Proportion
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Chapter7. Dimensional Analysis v v v
Chapter8. Formula Method v v v
IV.Administration of Medications
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Chapter9. CalculatingOral Medication Doses
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Chapter10. Syringes and Needles v v v v
Chapter11. Calculating ParenteralMedication Dosages
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Chapter12. PreparingPowdered Parenteral Medications
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Chapter13. Administration of Insulin v v v v
V.IVTherapy and Administration of Intravenous Medications
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Chapter14. Intravenous Infusion and InfusionRates
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Chapter15. Calculating Infusion and Completion Time
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Chapter16. Administering IV PushMedications
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VI. Verifying Safe Doseand Critical Care Calculations
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Chapter17. VerifyingSafe Dose v v v v
Chapter18. Titration of Intravenous Medications
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VII. Intake and Output
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Chapter19. Calculating Intakeand Output
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Chapter20.Calculating Parenteral Intake
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VIII.Dosages forPediatric and Older Adult Populations
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Chapter21. Considerations for the Pediatric Patient
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Chapter22. Considerations for the Older Adult
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,Chapter1:Safety in Medication Administration
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Castillo:Calculating DrugDosages:APatient-SafeApproachtoNursingandMath 2ndEdition
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MULTIPLECHOICE v
1. Thefollowingmedication order is in thepatient’s medication administration record (MAR):
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methylPREDnisolone40 mg PO daily at 0900. v v v v v v
Afterreadingthe order, the nurse correctlydetermines:
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A “PO”is an inappropriate abbreviation. v v v v
B themedication order iswritten correctly. v v v v v
C 40 mgshould bewritten as 40mg. v v v v v v
D tall man letteringindicates that the drugis a narcotic. v v v v v v v v v
ANS: B v
Feedback
The medication order has all the required components (drug name, dose, route, and
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frequency of administration) for a drug order. “PO” is an appropriate abbreviation; 40
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mg is written correctly with a space between the dose and the unit of
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measurement. Tall man lettering is used to distinguish the drug from another drug with a v v v v v v v v v v v v v v
similar name.
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2. Which ofthe followingaccuratelydescribes the “Boxed Warning” found on a druglabel?
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A It is primarilyis used to identifythe safe dose for the patient.
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B It is commonlyfound on all druglabels. v v v v v v v
C It identifies serious potential risks and sideeffects related to druguse.
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D It protects thepatient byprovidinginformation to decreaseside effects.
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ANS: C v
Feedback
A druglabel with aboxed warningprovides information to healthcareprofessionals and
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patients regarding the serious risks and side effects related to the drug. The Boxed
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Warning is not the primarysource for identifying the patient’s drug dosage.
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Thewarningis foundon specificprescription medicationsand does not provide information
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to reduce or decrease side effects.
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3. When practicingsafetyin the administration ofmedication, for which of thefollowing
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medication orders should a nurse seek clarification before the administration of the
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medication?
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, A Regularinsulin 5 u subcut now. v v v v v
B Enoxaparin 80 mgsubcut every12 hours. v v v v v v
C Benadryl 50 mgPO PRN every6 hr foritching. v v v v v v v v v
D Ondansetron4 mg IVP stat. v v v v
ANS: A v
Feedback
The“u”should never be used in amedication order; rather, for safety, the word
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“units”should bespelled out. Theotheransweroptions contain therequired components
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needed to safely carry out the medication order.
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4. A nurse is reviewing a drug label with a drug name written with tall man lettering. Which
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statements shows the nursehas acorrect understandingof tall man letteringon adruglabel?
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A “Thetall man letteringmeans this is a high alert drug.” v v v v v v v v v v
B “Thetall man letteringhelps me distinguish this drugwith otherdrugs that v v v v v v v v v v v v
havesimilar names.” v v
C “Thetall man lettering means that this drugmust have a Boxed Warning.” v v v v v v v v v v v v
D “Thetall man letteringhelps me quicklyidentifythat this drugis an injectable drug.”
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ANS: B v
Feedback
Tall man letteringhighlights a portion ofthe drug name to help distinguish from
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similardrugnames. It is not used to identifyhigh alert drugs, highlight aboxed warning, or
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identify injectable drugs.
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5. Thefollowingmedication orders are found in the patient’s MAR:
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Metformin HCl 500 mg PO daily at 0900. Hydrochlorothiazide25 v v v v v v v v v
mg PO every12 hrat0900 and2100. Digoxin .25 mg PO daily at
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0900.
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In readingthe medication orders for the0700–1500 shift, thenursedetermines that which of the
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following is the priority nursing intervention?
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A Clarifythe metformin HCl order. v v v v
B Clarifythe hydrochlorothiazide order. v v v
C Clarifythe digoxin order. v v v
D Prepareto administer the 0900 medications. v v v v v
ANS: C v
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