NCLEX PARENTERAL MEDICATION DOSAGE CALCULATIONS

1. 1. Question A health care provider prescribes kanamycin (Kantrex) 7.5 mg/kg IM q 12 hr; Available: kanamycin 0.35 Gm/mL. How many mL will you administer for each dose to a 157 lb patient? Fill in the blanks. Record your answer using one decimal place. o Answer 2. 2. Question A health care provider orders Heparin 7,855 units subq bid; Available: Heparin 10,000 units per ml. How many mL will you administer? Fill in the blanks. Record your answer using two decimal places. 3. 3. Question A health care provider prescribes meperidine (Demerol) 50 mg IVP q 6 hr prn pain; Available: Demerol 75 mg/ 1.3mL. How many mL will you administer? Fill in the blanks. Record your answer using one decimal place. 4. 4. Question A health care provider orders Streptomycin 1.75 mg/ lb IM q 12 hr; Available: Streptomycin 0.35 g / 2.3 mL. How many mL will you administer a day to a 59 Kg patient? Fill in the blanks. 1.5 ml x 2 = 3 ml 5. 5. Question A health care provider prescribes bumetanide (Bumex) 0.8 mg IV bolus bid; Reconstitution instructions: Constitute to 1000 micrograms/3.1 mL with 4.8mL of 5% Dextrose Water for Injection. How many mL will you administer? Fill in the blanks. Record your answer using one decimal place. 6. 6. Question A health care provider orders ceftazidime (Tazidime) 0.3 g IM tid; Reconstitution instructions: For IM solution add 1.5 mL of diluent. Shake to dissolve. Provides an approximate volume of 1.8 mL (280 mg/mL). How many mL will you give? Fill in the blanks. Record your answer using one decimal place. o Answer 7. 7. Question A health care provider orders Tobramycin 1.25mg/Kg IM q 12 hr; Available: Tobramycin 0.2 g/mL. How many mL will you administer to a 183 lb patient for each dose? Fill in the blanks. 8. 8. Question A health care provider prescribes Heparin 4,390 units Sub Q bid; Available: Heparin 5,000 USP units per ml in 10 ml. How many mL will you administer? Fill in the blanks. 9. 9. Question A health care provider orders Penicillin G 223,500 units IM q 4 hr; Available: Penicillin G 500,000 units /2.5 mL. How many mL will you administer? Fill in the blanks. Record your answer using one decimal place. 10. 10. Question A health care provider orders amikacin (Amikin) 5 mg/ lb IM q 12 hr; Available: Amikacin 0.9 gm/ 2 mL. How many mL will you administer to a 72.7 Kg patient? Fill in the blanks. Record your answer using one decimal place. 11. 11. Question A health care provider orders fentanyl (Sublimaze) 0.05 mg IV bolus; Reconstitution instructions: Constitute to Fentanyl 100 micrograms/2.3 mL with 2.4 mL of 5% Dextrose Water for Injection. How many mL will you administer? Fill in the blanks. Record your answer using one decimal place. 12. 12. Question A health care provider prescribes cefazolin (Ancef) 0.4253 gm IM bid; Reconstitution instructions: For IM solution add 1.25 mL of diluent. Shake to dissolve. Provides an approximate volume of 1.6 mL (240 mg/mL). How many mL will you give? Fill in the blanks. Record your answer using one decimal place. 13. 13. Question A health care provider orders Morphine gr 1/10; Available: Morphine 10 mg/ml. How many ml will the nurse give? Fill in the blanks. Record your answer using one decimal place. 14. 14. Question A health care provider orders Morphine gr 1/10; Available: Morphine 10 mg/ml. How many ml will the nurse give? Fill in the blanks. Record your answer using one decimal place. 15. 15. Question A health care provider orders promethazine (Phenergan) for a child whose BSA is 1.2 m2. The usual adult dose is 25 mg. How many milligrams would the nurse administer for the dose? Fill in the blanks. Record your answer using one decimal place. Solution: 16. 16. Question A patient with complaints of chest pain is ordered to receive diltiazem (Cardizem) 5 mg IVP. The vial contains 10 mg/2 ml. How many ml will you give? Fill in the blanks.