Dosage Calculations Practice

Dosage Calculations Practice Order: Biaxin 200 mg p.o. q 12 h for a child who weighs 45 lbs. Have: Biaxin 125 mg per 5 mL Biaxin label states 15 mg/kg/day in two equal doses. Is this dosage safe? 1. Convert lbs to kgs. 45lbs = 20.5 kg 2. Calculate the recommended dose per day. A child weighing 20.5 kg can have 307.5 mg PER DAY. So, divide 307.5 by 2 to get a single dose. So, the maximum single dose is 153.75 mg. 3. NO, the ordered dose is not safe. The doctor ordered 200 mg which is more than 153.75 mg. How many mcg in a mg? 1000 Order: D5LR 1250 mL IV over 8 hours. What is the infusion rate in mL/h? Answer: 156 mL/h Divide 1250 by 8 156.25 => 156 Order: Amoxil 200 mg q 8 h Have: 50 mg/ml Label: 20 to 40 mg/kg/day in divided doses every 8 hours. The patient weighs 10 kg. Is this order safe? 1. First, calculate the minimum and maximum dose per day. The minimum amount would be 200 mg. (20 x 10) The maximum amount would be 400 mg. (40 x 10) 2. Now, since the dose is given every 8 hours, divide the minimum and maximum by 3, since 3 doses can be given in one day (24 hours). The minimum single dose is 66.7 mg, and the maximum single dose is 133.3 mg. 3. NO, the ordered dose is not safe. The doctor ordered 200 mg for a single dose which is more than the maximum allowed single dose of 133.3 mg. How many mL in a teaspoon (tsp)? 5 How many grams are in a kilogram? 1000 How many teaspoons are in a tablespoon? 3 How many ounces are in a pound? 16 How many pounds are in a kilogram? 2.2 Convert 21.3 kg to lbs. 46.86 Tridil is infusing at 15 mL/hr on an infusion pump. The drug is mixed 50 mg in 500 mL DsW. How many mcg/min is the patient receiving? Answer: 25 mcg/min First, convert the 50 mg to mcg. 50 mg = 50,000 mcg Now, how many mcg is in 1 mL? 50,000 mcg/500 mL = 100 mcg/mL Now, how many mcg/hr is the pt receiving? 100 mcg x 15 mL = 1,500 mcg/hr So, 1500 mcg/60 min = 25 mcg/min How many mL in a tablespoon (T or tbs)? 15 How many mL in one ounce? 30 Convert 0.3 g to kg. 300 How many ounces in a cup? 8 How many mL in a cup? 240 Convert 22.2 kg to lbs. 48.84 lbs Convert 89 kg to lbs. 195.8 Order: D5W IV at 125 mL/h Drop factor: 10 gtt/mL Calculate flow rate in gtt/min. Answer: 21 gtt/min (volume in mL/time in min) x drop factor (125/60) x 10 2.08 x 10 = 20.8 => 21 Convert 2250 g to kg. 2.25 => 2.3 A child weighs 10 lb 2 oz. What is their weight in kg? 1. First, convert the 2 oz to lbs. 2 oz is 0.1 lbs. This gives you 10.1 lbs. 2. Now convert 10.1 lbs to kg. 3. Answer: 4.59 => 4.6 kg Convert 8 lbs 4 oz to kg. 3.8 kg You are caring for a patient at home who must take magnesium hydroxide/aluminum hydroxide (Maalox) 30 mL PO. How many tbsp will you instruct the patient to take? 2 A patient has a bottle of warfarin (Coumadin) 5 mg tablets at home. After his most recent international normalized ratio (INR), the doctor calls and tells him to take 7.5 mg/day. How many tablets (scored) should the patient take? 1.5 If your IV bag says 5% dextrose solution, what does the 5% represent? There are 5 g of dextrose per 100 ml in the bag. Order: NS 0.9% 250 mL IV over the next 4 hours How many mL per hour will you infuse? Answer: 63 mL/h 250 mL divided by 4 is 62.5. Round to the nearest whole number. Order: Ampicillin 500 mg IV in 50 mL in D5 1/2NS in 30 minutes. What is the infusion rate in mL/h? Answer: 100 mL/h Divide total mL by total minutes, then multiply by 60. (total mL ordered/total minutes) x 60 minutes (50 mL/30 min) x 60min 1.67 x 60 = 100.2 => 100 mL/h OR Convert 30 min to hours. 30 min = 0.5 hours 50 mL/0.5 = 100 mL/h During your 12-hour shift from 7p - 7a, what is your patient's INTAKE and OUTPUT? : Jevity 50 mL/hr 0615: 50 cc free water flush : Two 250 mL of red blood cells 0115: 20 cc saline flush IV 0300: Zosyn IV 50 mL 0400: 10 cc saline flush IV Continuous Fluids: Heparin 10 mL/hr Normal Saline 100 mL/hr Ileostomy: 300 mL NG suction: 50 cc Urine: 1850 mL Wound vac: 100 cc Intake: 2450 mL Output: 2300 mL Remember that 1 cc = 1 mL Notice that the Jevity is running at 50 mL/h for 10 hours, so that is a total of 500 mL. Continuous fluids are constant and run your entire shift. Order: Ancef 2 gm IVPB in 100 mL D5W in 45 minutes What is the infusion rate? Answer: 133 mL/h (100/45) x 60 = 133.3 => 133 You have an IVPB of ranitidine (Zantac) 50 mg in 50 mL D5W to run over 30 minutes. The tubing has a drip factor of 15. How many drops per minute will you set on the IV infusion controller? Answer: 25 gtt/min (volume in mL/time in min) x drip factor (50/30) x 15 1.67 x 15 = 25.05 => 25 You need to administer 250 mg of erythromycin (Erythrocin) PO. You have on hand 0.5 g tablets. How many tablet(s) will you give? 0.5 1 grain = ___ mg 64.8 mg (60) gr. X = _____ mg